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silent aspiration

Posted by cdward1028 @cdward1028, Mar 8 8:04am

My cough and mucus production is worse. I don't seem to be clearing after nebulizer 3%saline/duoneb, plus chest compresion therapy twice daily. I had an EGD with a Bravo device implanted to see if I have reflux. I have had previous swallow studies and they have always been normal. Waiting for EGD results. Have been on Brinsupri 25 for 3 1/2 months. I have appointment with pulmonologist in 2 weeks. Anyone have silent aspiration and have any suggestions.

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Profile picture for narelled23
narelled23 | @narelled23 | Mar 10 7:10pm
In reply to @rmoore901 "@narelled23 a barium swallow test can be done to check for aspiration. It’s for lack of..." + (show)
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@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.

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@rmoore901
Yes I had a Barium swallow that didn't pick up anything...but I am not convinced I am not aspirating. Have gastritis.

Thank you.

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narelled23 | @narelled23 | Mar 10 7:19pm
In reply to @rozie83 "@narelled23 This is what they prescribed to help reflux during meals: Take a small sip Look..." + (show)
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@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.

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@rozie83
So you are saying your coughing during meals is caused by reflux and this technique interrupts that. Not sure I suffer during meals.
Thank you.

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smtdoc | @smtdoc | Mar 11 7:41am

The GI doc I worked with last week at NJH drew a clear distinction between silent aspiration and reflux disease. It is possible to have both. My swallowing study showed a "grade 3" reflux with liquids (the upper end= silent aspiration) and esophageal reflux disease. They just have to be addressed differently.

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blm1007blm1007 | @blm1007blm1007 | Mar 11 4:48pm
In reply to @rozie83 "@narelled23 This is what they prescribed to help reflux during meals: Take a small sip Look..." + (show)
Profile picture for rozie83 @rozie83

@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.

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@rozie83 I find that if what I am eating is on the dry side that will cause me a problem , it doesn't go down easily. Thanks for posting what you learned.
Barbara

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blm1007blm1007 | @blm1007blm1007 | Mar 11 4:54pm
In reply to @rozie83 "@rozie83 Take pills with applesauce sometimes Avoid mixing consistencies...no soup with carrots or noodles, etc Another..." + (show)
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@rozie83 Take pills with applesauce sometimes
Avoid mixing consistencies...no soup with carrots or noodles, etc
Another whole list from NJH.

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@rozie83 Rozie...did they specifically say no soup with carrots or noodles?
I wonder why because I would think the liquid of the soup would help all the way around.
Barbara

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1 reply
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rozie83 | @rozie83 | Mar 11 7:27pm
In reply to @blm1007blm1007 "@rozie83 Rozie...did they specifically say no soup with carrots or noodles? I wonder why because I..." + (show)
Profile picture for blm1007blm1007 @blm1007blm1007

@rozie83 Rozie...did they specifically say no soup with carrots or noodles?
I wonder why because I would think the liquid of the soup would help all the way around.
Barbara

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@blm1007blm1007 I think the idea was that the liquid could cause aspiration and then the other ingredients would also be aspirated. When I eat Pho from a Vietnamese restaurant, I eat it all together. It was the speech pathologist who said to separate it. Roz

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rozie83 | @rozie83 | Mar 11 7:29pm
In reply to @rozie83 "@blm1007blm1007 I think the idea was that the liquid could cause aspiration and then the other..." + (show)
Profile picture for rozie83 @rozie83

@blm1007blm1007 I think the idea was that the liquid could cause aspiration and then the other ingredients would also be aspirated. When I eat Pho from a Vietnamese restaurant, I eat it all together. It was the speech pathologist who said to separate it. Roz

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@rozie83 What the speech pathologist tells you is what is ideal. Then you decide what works best for you. I'm going back there next week. Send me any specific questions, and I can ask them. I'm going this time because my voice is often so hoarse. I'd like to lift it if possible.

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1 reply
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blm1007blm1007 | @blm1007blm1007 | Mar 11 9:30pm
In reply to @rozie83 "@rozie83 What the speech pathologist tells you is what is ideal. Then you decide what works..." + (show)
Profile picture for rozie83 @rozie83

@rozie83 What the speech pathologist tells you is what is ideal. Then you decide what works best for you. I'm going back there next week. Send me any specific questions, and I can ask them. I'm going this time because my voice is often so hoarse. I'd like to lift it if possible.

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@rozie83 Thanks for the offer of submitting questions.
The pulmonologist I just had an office visit with is scheduling me for the FL Dysphagiagram W Video and Speech.
I will try to remember to ask about the "no soup with carrots or noodles."
Barbara

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1 reply
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rozie83 | @rozie83 | Mar 12 9:45am
In reply to @blm1007blm1007 "@rozie83 Thanks for the offer of submitting questions. The pulmonologist I just had an office visit..." + (show)
Profile picture for blm1007blm1007 @blm1007blm1007

@rozie83 Thanks for the offer of submitting questions.
The pulmonologist I just had an office visit with is scheduling me for the FL Dysphagiagram W Video and Speech.
I will try to remember to ask about the "no soup with carrots or noodles."
Barbara

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@blm1007blm1007 I was a hospital social worker for 9 years. I always told my patients to write their questions down. If it's a doctor's visit, ask if you can record it, or take another person to listen also. Good luck with your scan. Roz

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1 reply
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blm1007blm1007 | @blm1007blm1007 | Mar 12 10:22am
In reply to @rozie83 "@blm1007blm1007 I was a hospital social worker for 9 years. I always told my patients to..." + (show)
Profile picture for rozie83 @rozie83

@blm1007blm1007 I was a hospital social worker for 9 years. I always told my patients to write their questions down. If it's a doctor's visit, ask if you can record it, or take another person to listen also. Good luck with your scan. Roz

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@rozie83 Yes, thanks, I agree about having things in writing.
I gave the new pulmonologist a history, that I keep current, of what I thought would help him know and understand what a CScan, PFT (Pulmonary Function Test and sputum test does not tell about us, meaning those things outside of the tests best for a doctor know who we are and what we do for ourselves etc. etc.
Questions also as needed, written.
Thanks

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