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People with dysphagia may not cough when they aspirate (silent aspiration). Swallowing problems and especially swallowing problems with silent aspiration may cause lung problems due to inability to cough and clear food and liquids from the airway. [citation needed] Warning signs of a swallowing problem. Choking or coughing when eating or drinking
Laryngospasm is a primitive protective airway reflex that functions to protect against aspiration.However, it may be detrimental if there is sustained closure of the glottis resulting in blockage of respiration that hinders the free flow of air.
If left untreated, aspiration pneumonia can progress to form a lung abscess. [5] Another possible complication is an empyema , in which pus collects inside the lungs. [ 6 ] If continual aspiration occurs, the chronic inflammation can cause compensatory thickening of the insides of the lungs, resulting in bronchiectasis .
Pulmonary aspiration is the entry of solid or liquid material such as pharyngeal secretions, food, drink, or stomach contents from the oropharynx or gastrointestinal tract, into the trachea and lungs. [1] When pulmonary aspiration occurs during eating and drinking, the aspirated material is often colloquially referred to as "going down the ...
Treatment depends on how severe the patient's condition is and the cause of the obstruction. If the patient is choking on a foreign body, the Heimlich maneuver can be used. More invasive methods, such as intubation, may be necessary to secure the airway. In severe cases, intubation may be difficult and a cricothyrotomy or tracheostomy may be ...
Incision and drainage may be associated with a lower chance of recurrence than needle aspiration but the evidence is very uncertain. Needle aspiration may be less painful but again the evidence is very uncertain. [13] Treatment can also be given while a patient is under anesthesia, but this is usually reserved for children or anxious patients.
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Some patients have limited awareness of their dysphagia, so lack of the symptom does not exclude an underlying disease. [11] When dysphagia goes undiagnosed or untreated, patients are at a high risk of pulmonary aspiration and subsequent aspiration pneumonia secondary to food or liquids going the wrong way into the lungs.