Infants gain all their nutrition through breast or bottle feeding until they are at least six months of age. The ability to suck successfully from breast or bottle requires the infant to coordinate three actions: suck-swallow-breathe. Suck is accomplished with slightly different motions on the breast compared to the bottle, but essentially the lips must close on the nipple and the tongue moves in and out in a suckle motion and presses the nipple against the roof of the mouth, creating pressure on the nipple. As the jaw moves down, it helps create suction to pull the liquid into the mouth. The infant then has to swallow the liquid, and the infant must stop breathing during each swallow and then breathe after swallowing.
For a Better Swallow
Pediatric Swallow Studies - Johns Hopkins All Children's Hospital
Dysphagia is an impairment of swallowing that may involve any structures from the mouth to the stomach. Esophageal dysphagia presents with the sensation of food sticking, pain with swallowing, substernal pressure, or chronic heartburn. There are many causes of esophageal dysphagia, such as motility disorders and mechanical and inflammatory diseases. Infrequently dysphagia arises from extrinsic compression of the esophagus from any vascular anomaly of the aortic arch. The most common embryologic abnormality of the aortic arch is aberrant right subclavian artery, clinically known as arteria lusoria. This abnormality is usually silent.
A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery
Metrics details. In clinical practice, a large number of post-stroke survivors require nasogastric tube NGT placement and nasal feeding for a relatively long period. However, its impact on the swallowing function remains largely unknown. This study examines the impact of prolonged placement of an NGT on the swallowing function of elderly post-stroke patients. The participants of this study were 30 elderly post-stroke patients who had been using an NGT for more than 2 months.
Many babies born prematurely have trouble eating because of swallowing difficulties, making new moms anxious during bottle feeding or breastfeeding. Whereas a full-term pregnancy is 39 to 40 weeks, infants born prematurely before 37 weeks may experience a feeding problem because they may have difficulty coordinating sucking, swallowing and breathing. If a feeding problem is not diagnosed after a preterm infant is born, severe problems can develop, including dehydration, aspiration of fluid into the lungs, the need for a feeding tube in the stomach and even chronic lung problems. Our evaluation method offers her peace of mind and reassurance. Traditionally, caregivers would pinpoint the problem by taking an X-ray and recording a short video snapshot of the baby swallowing while feeding — called Videofluroscopy Swallow Study VFSS — though the assessment has limitations.