Five-year-old child, unclear pronunciation, is it related to trace elements?

Patient's question:

When learning to speak, there is no distinction between front and back nasal sounds.

Doctor's answer:

The main manifestation of pronunciation problems is unclear articulation, which is relatively common in children. For example,
A two-year-old child may say "lao lao" instead of "lao lao." However, if a child over four years old, or even a school-aged child, still cannot pronounce sounds like "le," "ge," "ji," "qi," or "xi" clearly, that is a concern. The general public often refers to this as "having a thick tongue," while in medicine, it is called dysarthria. If this occurs, parents should promptly take their child to see a doctor.

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