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[Dysphagia] swallowing issues in infant?




Jacob and Stephanie Morgan <steph.jacob@verizon.net> wrote: Our pediatrician is going to set up an appt with a therapist soon.  There was no diagnosis with my first son, Brigham, as to why he had dysphagia.  He also had high muscle tone that resolved over time.  We think the pneumonia he had might have been caused by the gentian violet he was taking at the time and not the aspiration.
 
When we took him into his pediatrician she said she thinks that Luke has laryngomalacia.
 
*** This would lead me to investigate the probability of reflux with or without oropharyngeal problems as this would be the most common scenario as has been described. These problems do tend to resolve with time in many cases but it ia essential to identify them accurately. The child/infant with gastroesophageal problems is very likely to to have oropharyngeal problems as well but if nothing more than the oropharynx is examined the potential for appropriate management or even wrong management increases.
 
Stephanie Morgan
-----Original Message-----
From: Irene Campbell-Taylor [mailto:eripley@yahoo.com]
Sent: Saturday, January 01, 2005 8:12 PM
To: Jacob and Stephanie Morgan; Dysphagia
Subject: Re: [Dysphagia] swallowing issues in infant?


I think one would need quite a bit of further information. Oropharyngeal dysphagia with aspiration is quite rare in neurologically normal infants and children and the event is more often pneumonitis caused by reflux rather than pneumonia. Is there a congenital condition shared by the second child that would increase the likelihood of a swallowing problem?

Jacob and Stephanie Morgan <steph.jacob@verizon.net> wrote: About three years ago I had a son diagnosed with oropharyngeal dysphagia.
He presented with pneumonia at 1 week of age and was put on a feeding tube
till he was 8 months. I felt like I gained a pretty good ear for a smooth
swallow during this time.

I just had another baby 2 weeks ago and his swallowing is not very smooth.
Half the time it sounds fine, the other half the time he is gulping, making
high pitched noises etc. He usually coughs once each feeding. So now I'm
trying to decide if this is something to get checked out. Any advice.

Thanks
Stephanie Morgan

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



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


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