[Dysphagia] pt wtih hx of laryngeal cancer

[abradley at RegencyHospital.com (Amy Bradley)]

I have a pt. who is s/p numerous surgeries to remove polyps from vocal
cords and completed 6 weeks of radiation therapy 5 weeks ago for
laryngeal cancer.  Pt. initially was NPO secondary to poor laryngeal
elevation resulting in aspiration.  Pt. has been working on exercise
regime and has improved, tolerating oral trials, however is having
excessive secretions.  Pt. reports 'it feels like the food can't go down
all the way.'  GI consult reported no narrowing or strictures.  The pt.
is constantly coughing up thick phlegm especially when attempting to
eat.  Any suggestions??  abradley@regencyhospital.com