### Patient: Doctor, I'm having trouble swallowing and speaking lately, and I've been experiencing a lot of nasal congestion. I also seem to have lost my appetite and my infant is having trouble feeding.
### Doctor: It sounds like you may have Down syndrome. People with Down syndrome often have difficulty with swallowing, speaking, and nasal congestion. Infants with Down syndrome can also have trouble feeding due to low muscle tone. Have you been diagnosed with Down syndrome before?