[Dysphagia] Bronchospasm

[cmandersn223 at rogers.com (Sharon Manders)]

Thanks for all those who responded. Usually I try to include GERD as a 
possible culprit. I think I was just so wrapped up in his horrible 
breathing that I forgot. I passed on the recommended articles to the 
respirologist plus a few more I found when searching. I saw him today 
and he is back on a regular diet - and very happy of course.

Thanks again,

Sharon

On Apr 25, 2005, at 8:57 PM, Sharon Manders wrote:

> Hi,
>
> I have a question for the group. One of our respirologists has 
> recently been asking me if bronchospasm can worsen or cause 
> aspiration. We have a patient who has COPD and on his last very recent 
> admit, one of my colleagues saw him and found no dysphagia. I saw him 
> this time and his breathing was much worse and the respirologist asked 
> me to reassess. The patient's lungs had been okay on discharge, but he 
> was back just a few days later for a recurrence of his 
> COPD/exacerbation. The MD was running out of ideas as to why and we 
> were both thinking that since his breathing was so horrible that this 
> may have been causing difficulty when swallowing. It turns out today 
> that some MD over the weekend figured out he had epiglottitis and 
> after a course of antibiotics was started on the weekend, he is now 
> doing very much better.
>
> My main question remains: can bronchospasm cause aspiration? It seems 
> quite possible to me. Anyone have any particular experience, or could 
> recommend some articles or a place to start? A medline search for 
> bronchospasm, dysphagia, deglutition disorders and bronchial spasm 
> only gave me 6 articles, none of which were particularly helpful.
>
> Also, are people seeing epiglottitis very often?
>
> Thanks in advance,
>
> Sharon
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