Paraphasia / aphasia?
 

Hi all, I want to share my concerns, hope you can tell me if this is possibly some form of paraphasia or aphasia.

He can speak and write normally most of the time. Sometimes with more difficulty, but don’t we all. He is above average intelligent, though he has noticed some cognitive issues, but all very minor.

However, he has periods when, especially when tired, he uses wrong words.

It is often a noun, and most of the time it is a noun that sounds a bit similar.
Like saying “Can you get me the candle, candle....cradle....c....c..... card”

He squints, closes his eyes a bit, and physically pushes the word out, kind of like a stutter. He knows the word isn’t right, he know’s candle or cradle isn’t want he wants to say and he gets frustrated. After a few misses and some focusing he does find the right word.

“Will you please look at the water, w-w, wa...winter.”
He pointed at the window and get’s a bit frustrated.
“W...window!” And sighs and laughs.

Sometimes it’s a verb, that too similar sounding, mostly starting with the same letter(s).

Mind, it doesn’t happen daily, so it’s a bit hard to tell docs about. However, we as his family, do know it isn’t normal or just “tired”.
Is this a form of (par) aphasia and if so, which one?

I’ve read about paraphasia but that seems more like it’s saying “apple” or “fruit” when wanting to say “pear”.

Is there a history of this in your family?

It might indicate damage to either or both of the main language centres in the brain (Broca’s area and Wernicke’s area).

MRI scans can sometimes be informative about this - they are an option which you could discuss with him.

Thank you.
There is no history of this in my family.

He does have some other issues himself, but the thing about this issue is: it isn’t daily. It isn’t all the time. So doctors cannot really test is like you would with a person with aphasia.

He never had a MRI. The thing is, we both read about (par)aphasia and what he has isn’t described as a thing. I wonder if this particular issue is possible (par)aphasia or not, since the examples are different.