Swallowing Study
Aug. 31, 2008 No Comments Posted under: Uncategorized
Littlest had another scheduled visit to the Purple Chipmunk Desk at the Children’s Hospital. This time they did a swallowing study to re-evaluate her reflux and see how she tolerates thin liquids. There was some concern about her lungs because of her big respiratory illness at the end of June and her chronic cough. Althought we already know her cough is probably a symptom of her reflux. Anyhow, poor Littlest couldn’t eat for three hours before the test. She was starving and was mad when I tried to give her the binkie. I think she would have thrown it across the room if she could have. I finally fed her just a tiny bit and then we were finally called. They do the study using a fluoroscope which provides real-time moving images of her swallowing. We alll donned lead vests to protect us and then sat Littlest in a padded infant seat and we strapped her in. We first tried a thickeness consist with regular milk and watched her swallow it. They include a constrast agent in the fluid so they can watch it go down her throat on x-ray. On the screen we could watch her suck first. Nancy (whose title I can’t remember) told us that Littlest still has an immature suck even after the four month structure development (going by her adjusted age of a little over 4-1/2 months). Then we watched as some of the thin liquid slip past her vocal cords and into her lungs. Apparently the vocal cords are supposed to stop the flow of liquids into the lungs. Then we tried the nectar thick liquids, which is what we are trying to use now. She did fine with that thickness. We also spoon fed her a super thick pudding type mixture, think shiny whipped mashed potatoes with a hint of banana. This was Littlest’s first experience with spoon feeding. She did pretty good, but because of her immature suck and development, we were told to hold off on any type of feeding other than formula until after she is six months old and after she’s seen by the clinic.
We were given a list of instructions to help minimize aspiration risks which could lead to bacteria in her lungs. The hope is that she will grow out of it, if not they can do a type of surgery to fix it.
So the moral of the study was, thickened fluids at all time. We were getting a tiny bit lax in how thick her food was and this reinforced the necessity of the thickener. We also found out that the Thick It we have been using has been causing her chronic diarrhea. We switched back to Simply Thick and within a day she had normal bowel movements.


Strapped in and ready for food!

Not a very good picture of the fluoroscopy screen, but on the left side you can see the shape of the nippe about midway and there is just a tiny bit of contrast coming out of it.
Are we done yet?






