Uvula tail is relatively an uncommon condition. Patient also presents with difficulty in fluency of speech and chronic cough. Upper airway obstruction is often a missed complication of such a rare condition. Clinical presentations of upper airway obstruction often mimic asthma. 10 years old boy came to our OPD with difficulty in fluency of speech. No other complaints and was evaluated. Once diagnosed, the management of elongated uvula, almost exclusively, is surgical excision leading to total cure. It is a case report of such a rare condition.

Key Words: Uvula tail, Fluency of speech and chronic cough, Mimic asthma.