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silent aspiration

MAC & Bronchiectasis | Last Active: Mar 21 8:19am | Replies (31)

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Profile picture for narelled23 @narelled23

@rozie83

It seems that not all reflux tests are very accurate. I would be interested to know what your speech pathologist recommended to ease/prevent reflux? Tucking your chin down when swallowing clear liquids or tipping your head backwards? The smells from cooking (seldom these days) garlic ginger and chilli used to send me into coughing fits.

I wonder what is the best way to test for silent aspiration.

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Replies to "@rozie83 It seems that not all reflux tests are very accurate. I would be interested to..."

@narelled23 a barium swallow test can be done to check for aspiration. It’s for lack of technical terms to describe it an X-ray with live video so the speech pathologist and radiologist can review it in live time as you swallow liquids and solids with things that have barium mixed in making it visible on the screen. Easy and painless. While I didn’t have an aspiration issue, they did find a dysmotility issue meaning things get stuck for a moment (that feeling like something is in your throat). I’ve been told they don’t treat this, just told to eat slowly and drink water while eating to wash things down.

@narelled23 This is what they prescribed to help reflux during meals:
Take a small sip
Look down
Swallow hard
Swallow two times per bite
After 1-2 bites, take a sip (With Chin tuck) to clear residue
If you have to cough, cough HARD then swallow

I don't cook much. Mostly I eat easy to prepare soft foods. A lot of eggs, oatmeal, potatoes, chopped nuts, turkey burgers, pasta, some bread and bagels, etc.