[Dysphagia] hyperosmolar fluids and yogurt

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

dysphagiadude@mailcan.com wrote:
 a different sort of threat to those with
impaired immunity because it contains live cultures

***If you look at most commercially available yogurts, you find that they do not contain live cultures. It is quite difficult to obtain yogurts that do. As to aspiration of yogurt, hyperosmolar fluids and anything else, I must repeat what I have said many times - the fact of aspiration alone cannot be the deciding factor in management. It must be considered only as part of a combination: How much/how often/over how long a period/in relationship to the patient's immune response. It is highly doubtful that aspiration of anything during a meal could constitute a sufficient amount as to be hazardous since much of the inhaled material probably never reaches the lungs. The greatest potential hazard remains aspiration of significant amounts of stomach contents, followed by aspiration of saliva which. of course, cannot be prevented except by radical surgery.

.



Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com