HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Difficulty In Swallowing Caused By Recurrent Laryngeal Nerve Palsy

default
Posted on Fri, 12 Dec 2014
Question: A stroke on the left side has caused a throat to deny solid food. How can the throat muscles be repaired so the introduction of solid food can be improved ?
doctor
Answered by Dr. Rakesh Madhyastha (26 minutes later)
Brief Answer:
Start with liquid diet

Detailed Answer:
Hello

Thanks for the query

Recurrent laryngeal nerve palsy often causes patients to have difficulty in swallowing of solid food. It usually takes about 6 weeks to a year for some patients to have enough strength to have solid food.
Here are my suggestions

1. Always have food in propped up position with back straight
2. Try to swallow thin liquids like water given through a spoon first, if you are not able to swallow that then please stop immediately
3. If you are able to swallow liqiuids through the spoon then continue to do so and increase the amount to atleast 200 ml
4. Once you are able to swallow thin solids and keep increasing the thickness of the thin liquid to a semi solid slowly over 4-6 weeks time

Please note that this procedure is extremely dangerous and there are chances of aspiration into the lung if the cough reflex has not developed yet. It is best to do it under medical supervision

I hope I was of help, if you have any further queries please get back to me

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Rakesh Madhyastha (19 hours later)
The cough-reflect muscle is the problem or is there other muscles in the voice box that need to develope ?? (some voice is returning)
doctor
Answered by Dr. Rakesh Madhyastha (3 hours later)
Brief Answer:
Cough reflex muscles is the problem

Detailed Answer:
Hello

Thanks for getting back

Cough reflex muscle is the most important muscle in order to initiate you on solid food. It is important because, if cough reflex is not developed there are high chances for the food to enter the lung instead of the esophagus. Seek help from ENT surgeons to know how well it has developed

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Difficulty In Swallowing Caused By Recurrent Laryngeal Nerve Palsy

Brief Answer: Start with liquid diet Detailed Answer: Hello Thanks for the query Recurrent laryngeal nerve palsy often causes patients to have difficulty in swallowing of solid food. It usually takes about 6 weeks to a year for some patients to have enough strength to have solid food. Here are my suggestions 1. Always have food in propped up position with back straight 2. Try to swallow thin liquids like water given through a spoon first, if you are not able to swallow that then please stop immediately 3. If you are able to swallow liqiuids through the spoon then continue to do so and increase the amount to atleast 200 ml 4. Once you are able to swallow thin solids and keep increasing the thickness of the thin liquid to a semi solid slowly over 4-6 weeks time Please note that this procedure is extremely dangerous and there are chances of aspiration into the lung if the cough reflex has not developed yet. It is best to do it under medical supervision I hope I was of help, if you have any further queries please get back to me Regards