Mom's having a health issue that is providing me with a new perspective related to taking care of someone with Alzheimer’s disease – she’s having trouble swallowing solid food. We received a call from the nursing home’s speech therapist, who indicated that the dietary staff had noticed this issue. After watching Mom eat, the therapist couldn’t determine why Mom couldn’t swallow solid food. And asking Mom what’s going on doesn’t provide any answers; she just keeps on trying to chew and swallow the food, even though she’s gagging. “The 36-Hour Day” by Nancy L. Mace and Peter V. Rabins explained, “People who cannot express themselves well may not be able to answer yes or no when you ask them specific questions such as ‘Does your head hurt?’ Even people who still express themselves well may fail to recognize or may be unable to report pain.” I noticed this issue the last time I took cookies to Mom. Her eyes got that excited ...
I have been experiencing a lot of difficulty swallowing and underwent an endoscopy that was normal. What can this be?
While it was correct to undergo an upper endoscopy to look for structural lesions to explain difficulty swallowing such as cancers and strictures, the workup should not stop there. You may have a motility disorder of the esophagus, where abnormal contractions of the esophagus can effect swallowing. This can be evaluated at first with a barium swallow/esophagram, and then if an explanation is not found, with esophageal manometry. The swallow is simple and involves swallowing barium. The manometry is more cumbersome, as while awake, a thin catheter is placed through the nose as at it enters the esophagus, pressures are measures. Elevated pressures in the esophagus or lack of esophageal contractions can lead to difficulty swallowing. If those tests are normal, perhaps the problem is aspiration. That can be caused by a defect in the swallowing mechanism, as a result of a ...
Generic Name: EXPECTORANT/ACETAMINOPHEN - ORAL Refenesen Chest Congest & Pain Oral Uses
This combination medication is used to temporarily treat
symptoms caused by the common cold, flu, allergies, or other breathing
illnesses (such as sinusitis, bronchitis). The expectorant helps thin and
loosen mucus in the lungs, making it easier to cough up the mucus.
Acetaminophen (APAP) is a non-aspirin pain reliever and fever
This medication is not usually used for ongoing coughs
from smoking, asthma, other long-term breathing problems (such as emphysema),
or coughs with a lot of mucus unless directed by your doctor.
Cough-and-cold products have not been shown to be safe or
effective in children younger than 6 years. Therefore, do not use this product
to treat cold symptoms in children younger than 6 years unless specifically
directed by the doctor. Some products (such as long-acting tablets/capsules)
are not recommended for use ...
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