Demented Patient Ingestion

“Gulp”, written by Mary Roach, is a book to educate the readers about the alimentary canal. The alimentary canal is a long tube which runs from the mouth to the anus; it is a part of the digestive system. Some of the organs include the mouth, stomach, intestine, and the anus. Roach makes a point that the nose is an underrated organ in the eating process because smell is where taste begins. This leads into a discussion about chewing and the taboo and ick factor of saliva. The act of not eating a plate of food after one has spit in it boggles the mind of Roach. The enzymes in our saliva prevent us from catching a cold when we drink from an infected person and breaks down food into the digestive system. Roach fills this book with interesting characters

As dementia progresses, swallowing difficulties (called dysphagia) become more common, although they can vary from person to person. If a person is having difficulty with swallowing, a referral to a speech and language therapist can help. Difficulties can include holding food in the mouth, continuous chewing, and leaving foods that are harder to chew (eg hard vegetables) on the plate. Swallowing difficulties can also lead to weight loss, malnutrition and

The Y-shaped incision is performed from the shoulders joining over the sternum and continuous cut through umbilical region down to the pubic bone. He examines the oral cavity, and the air tube from back of the nose pharynx that connects to the voice box larynx; all of these are normal. However, the inflammation of esophagus is found right behind the upper esophageal sphincter. He predicted the victim used to suffer postprandial burning chest pain. Chyme is found in the duodenum part of the small intestine. The pathologist can take them to the laboratory for further examination. He also isolates the pancreas which is connected to the duodenum to examine any pancreatic diseases. The result is the victim had type 2 diabetes; it means the pancreas is unable to produce insulin to control the blood sugar level. In victim’s urinary system, he dissects the kidney and found she had pyelitis which is the inflammation of renal pelvic region of the kidney. The victim may experience the unconscious urination such as micturition syncope as well. About the reproductive system, the victim had no

Vital signs are BP 113/82, pulse 83, respirations 18, O2 saturation is 99. Alert, in no acute distress. HEENT: Atraumatic. Examination of his mouth revealed a 1 cm erythroplastic lesion to the left side mid tongue, which he reports some tenderness to it during palpation. Lesion has well defined borders and its unique color it is all red.

Mentally engaging in the fear of choking, better known as Phagophobia, is an instance of the sort of hypochondria-related problem that can significantly disturb the way one lives their life. People that are overcome by the persistent issue that if they consume solid foods they will choke and potentially die will wind up taking on really restrictive diet regimens to safeguard themselves. This could take on the dependency of only taking on fluid or highly pureed foods that may be quickly swallowed but are often lacking in lots of vital nutrients. In addition to the dietary inadequacies which could cause a person to lose weight, the human intestinal system requires solid food inputs to operate properly and also effectively. Ultimately, when people tend to stay

Usually, there is a suggestive history of choking, although the classic clinical presentation, with coughing, wheezing, and diminished

It is important to focus on treating the cause of your loved ones dysphagia as well the dysphagia itself.

A 62 years old male who was scheduled for emergency orthotropic liver transplantation because of hepatitis C cirrhosis, hepatocellular carcinoma and end stage liver disease. He had history of remote tonsillar cancer for which he underwent extensive surgical resection including part of his tongue as well as a skin and arterial graft from his left arm to his posterior pharynx. This was followed by radiation therapy which is associated with ongoing hemoptysis. On Examination, he is thin. Examination of his airway was concerning for an extremely limited mouth opening, and very limited neck extension. His thyromental distance also short and his throat was quite woody in that area. He had only 18 mm of inter-incisal mouth opening with muscle spasm.

The patient is an 82-year-old male who presented to the hospital because his daughter found the morning of presentation that his PEG tube was completely on the side of the bed was completely dislodged during the night. The family offered him Glucerna thru a straw which he promptly drank without any agitation, difficulty or coughing. They present now with questions about having the new tube replaced. His medical history is quite significant. He was hospitalist December 2016 with altered mental status. He appeared to have aspiration pneumonia and was intensive care unit on ventilatory support and was being given nutrition with NG tube and after debate with the family a PEG was inserted. However, over the last 3 months the patient has significantly

patient was not having any pain or significant discomfort in the area. The throat was

The patient fulfilled the DSM-IV criteria for anorexia nervosa binge-eating/purging type, was binge-eating and vomiting 10-20 times daily and using 100-150 laxatives per day. Her BMI was 12.6 kg/m2 and she had low potassium levels.

One of my high school best friends was diagnosed with anorexia my junior year of high school. Her condition was not severe, but still very serious because it led her to attempt to kill herself. After coming back to school from being in a mental health institution, she had gained weight from being forced to eat and was more than ever determined to lose the weight that she had gained. Clearly, being forced to eat made her condition worse. Patients with anorexia nervosa who are alarmingly thin, around 15% or so below their expected body weight, are sometimes force fed, more often than not through a tube inserted through their nose. This has raised many questions

While dysphagia may exist alone, it often occurs in addition to other conditions (Prasse & Kikano, 2009). Approximately 50% of pediatric patients who have feeding disorders have multiple causes contributing to their feeding difficulties. Similarly, 90% of these patients have at least one medical diagnosis (Lefton-Greif, 2008). These are factors a SLP must consider when determining how to manage dysphagia in newborns. Essentially, every newborn with feeding/swallowing difficulty is different (Tuchman, 1988). Some patients experience difficulty feeding and swallowing due to prematurity, which may result in poor coordination of breathing and swallowing. Similarly,

Rumination Syndrome is an eating disorder that makes people feel the need to regurgitate their food repeatedly. This disorder is sometimes voluntary but most commonly is involuntary which means, it is not by choice. How to diagnose rumination is the person does not respond to standard treatment for gastroesophageal reflux, does not occur during sleep, does not show symptoms of inflammatory, anatomic, metabolic, or neoplastic sickness, does not show wrenching or nausea, and also starts regurgitation within a given amount of time. Rumination is most frequently found in infants, but in rare occasions is found in adults. This has been associated with neglect, high stress families, and lack of stimulation as an infant. The description of the disorder is that the person eating usually will eat food, but one to two hours later they will start to regurgitate so called “cud” and chew it repeatedly then swallow or spit out

Food coma, or in medical terms “Postprandial somnolence” is a real scientific phenomenon. There are physiological explanations