[Dysphagia] CP & swallowing

[speechhearing_my at yahoo.com (Speech and Hearing Centres)]

Dear colleagues,
 
    I am seeing a 7 year old CP boy who has difficulty chewing and swallowing. However, he has a strong cough reflex. He also has various other allergies, leaving him with little choice of food selection. Though he has a gastro button, he has been taking oral intake for 3 years now and last MBS was done about that time with a result of pooling. 
Recently, he's had some form of asthma attack. I wonder if this sudden attack was caused by his eating and swallowing difficulty? Is it an indication of aspiration? He has been going for chest x-ray periodically for the past 1-2 years now. Is it mandatory that he gets an MBS done soon? Please advice as the nearest MBS is in Singapore, though it won't be a problem for Mom to arrange that. Would it be wise to continue oral intake? 
 
Thanks and appreciate your advise,
 
Linda Blankanette
Speech Therapist
Bac. Sp.Sc (Hons) UKM
Malaysia. 

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