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[Dysphagia] loss of consciousness while swallowing in SCI vent depend pt
Sounds like a GI problem with deglutition syncope. does he have any cardiac problem e.g. arrythmia, COPD, diabetes or indicators of GERD - apart from the white frothy, most probably mucus production?
mcronen@comdis.umass.edu wrote:
I have just received a consult for a swallowing evalution for a 74 yo C2-4 vent
dependent gentleman with spinal cord injury who fell off roof in 1999. In the
past month there have been several epidosdes of decreased level of ability to
swallow. Wife reports the following: Patient is currently on a pureed diet
which wife mixes herself. Patient will have a small amount of bolus of food in
his mouth and after 3-4 spoonfuls, he has decreased ability to swallow, he then
goes into a near trance with a decreased level of consciousness. There is no
volunatry or involuntary choking at this time. After several hours , patient
produces a whitish bubbly liquid from his mouth. He then sleeps deeply the
remainder of the day. His body temp reduces that evening to around 90 or 91
degrees. This has happened 3 times in the past month.
Any ideas why this occurs. Any suggestions what to look for or ask about?
I don't know if this behavior is only triggered when eating. Any help would be
appreciated.
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Dr I Campbell-Taylor
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