Fwd: [Dysphagia] pt wtih hx of laryngeal cancer

[eripley at yahoo.com (Irene Campbell-Taylor)]

Alyce Schoenagel <atsslp@yahoo.com> wrote:
 The phlegm (usually it is white/frothy, not thick) is often from persistent/small amounts of penetration/aspiration

** White, frothy secretions are not from aspiration, they are most often from the esophagus. One can do a rough and ready test of this with a Chem strip. The pH is usually around 4.5 - 5.0 because of admixture with saliva and its neutrailizing components.. 

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Dr I Campbell-Taylor
Clinical Neuroscientist
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