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How Do You Swallow Without Aspiration? [14 Replies Found]

A pharynx also exists part of the system That brings air into the lungs. Air enters your lungs when you breathe. It then moves to the pharynx. The air then goes down into your main airway (trachea) and into your lungs 🤓 A flap of tissue called the epiglottis sits over the top of the trachea 😊 This flap blocks food and drink from going down into the trachea when you swallow. In some instances, however, aspiration can occur if food or drinks get into the trachea. Sometimes it may fall as you swallow. It may return to the stomach. People with dysphagia are much more likely than others to aspirate. [1]
By making liquids thinner, you can control your liquids. You can do this by adding flavorless liquids such as gel, gum, powder or other liquids to them. They are known as thickeners. A thickener can be added to help you achieve the following: bring any liquid to the right level of thickness that you need. Thickeners may also be available at your local pharmacy. They can be purchased in medical supply outlets. The instructions for how to use Thickeners are printed on their packaging. Pre-thickened liquids are also available. Although these may come at a higher price, they are still worth it. These liquids are not necessarily better prepared. If you have questions regarding how to prepare your liquids, talk with your SLP. Last edited by Denetra Brandon, Bahawalpur (Pakistan) [2]
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Your pharynx also contributes to the airflow system. Air enters your mouth when you breathe and then moves to the pharynx. Air then flows down your main airway (trachea), and into your lungs. Over the top, a layer of tissue known as the epiglottis sits. When you swallow, this flap prevents any food or drinks from getting into your trachea. In some instances, however, food and drink may still enter the trachea. Sometimes it may fall as you swallow. It may return to the stomach. People with dysphagia are much more likely than others to aspirate. Waylen Nicholaserson revised this article on March 18, 20,21 [3]
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Aspiration may cause injury, pneumonia, or even asphyxiation. Depending on how large the material is and its chemical composition, the effect may be immediate. Most importantly, the effectiveness of the patient’s pulmonary defenses and airway clearance mechanism can predict the implications of aspiration of food or liquid into the airway. Patients, caregivers and family members would all be better served if they could recognize signs and provide airway protection. Last modified 22 days ago, by Tarel Moeek of Shizuoka (Japan). [4]
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Thickened fluids are recommended when someone has dysphagia. Thickening fluid can reduce aspiration risk. Following the recent death in a nursing home, staff should know about an urgent safety alert. To reduce aspiration pneumonia risks, the resident suffered from dysphagia. Thickening powder was used to thicken his food. While the investigation is ongoing, it appears that this person attempted to eat the powder. Patient died after the solid powder became a mass and made it impossible to breathe. Hospitals have experienced a similar situation. DH Guidance advises staff that they should be aware of the risks and to properly store thickeners when there’s a chance of ingestion.13 (revised on September 4, 2020, Cerrissa Waggoner). [5]
Aafp.org He continues to say that, no matter what the food composition is, the pharyngeal stage involves an overlapping sequence of events. The soft palate rises. The hyoid and larynx are moved forward and up. Vocal folds reach the midline and the epiglottis then folds backwards to protect the airway. To propel the bolus downward, the tongue moves backwards and down into the pharynx. This is made possible by the pharyngeal sphincter, which contracts in a progressive manner from top to base. When swallowing begins, the upper esophageal muscle relaxes and is pulled. open by the forward movement of the hyoid bone Larynx and pharynx.3 The sphincter then closes following passage of food. Renea Rucker edited this article on March 23, 2020. [6]

Refer to the Article

  1. https://www.cedars-sinai.org/health-library/diseases-and-conditions/a/aspiration-from-dysphagia.html
  2. https://www.saintlukeskc.org/health-library/managing-liquids-dysphagia-diet
  3. https://www.saintlukeskc.org/health-library/aspiration-dysphagia
  4. https://www.uptodate.com/contents/swallowing-disorders-and-aspiration-in-palliative-care-assessment-and-strategies-for-management/print
  5. https://www.independentnurse.co.uk/clinical-article/dysphagia-and-safe-swallowing/86310/
  6. https://www.aafp.org/afp/2000/0415/p2453.html
Mehreen Alberts

Written by Mehreen Alberts

I'm a creative writer who has found the love of writing once more. I've been writing since I was five years old and it's what I want to do for the rest of my life. From topics that are close to my heart to everything else imaginable!

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