Studies For Evaluation of Aspiration

What is aspiration?

Aspiration occurs when food, liquids, or other foreign substances are inhaled into the airway or lungs instead of being swallowed properly into the stomach. This can lead to choking, difficulty breathing, and even serious complications such as aspiration pneumonia, where the lungs become infected. Chronic aspiration can lead to permanent lung damage.

What are the signs that my child may be aspirating?

Signs of aspiration in children may include:

Coughing or choking during or after eating

Frequent respiratory infections, such as pneumonia

Difficulty swallowing or a sensation of food “sticking” in the throat

Frequent nasal congestion or runny nose

Gurgly or wet-sounding voice after eating

Unexplained fever or difficulty breathing

Pneumonia or other lung problems with no clear cause

If you notice any of these signs, it’s important to consult your pediatrician or a pediatric pulmonologist to evaluate the possibility of aspiration.

Can aspiration tests be used to diagnose underlying conditions?

Yes, aspiration tests can also help identify underlying conditions that may cause aspiration, such as neurological disorders (e.g., cerebral palsy, brain injury), anatomical abnormalities in the airway, or muscle weakness affecting swallowing. Identifying these issues is crucial for planning appropriate treatment.

How are aspiration and swallowing difficulties treated?

Treatment for aspiration and swallowing difficulties depends on the underlying cause. It may involve:

Swallowing therapy: Conducted by a speech therapist or feeding specialist to help the child swallow more safely and efficiently.

Diet modifications: Adjusting food textures or consistencies to reduce the risk of aspiration.

Surgical intervention: In severe cases, surgery may be needed to correct anatomical issues or protect the airway.

Medications: If aspiration is causing chronic infections or other complications, medications may be prescribed.

The doctor will recommend an individualized treatment plan based on the evaluation results.

How do I prepare my child for a Barium Swallow Study or other aspiration tests?

Preparation for these tests varies depending on the procedure, but generally, your child will need to fast for a few hours before the test (usually no food or drink for 4-6 hours prior). For the Barium Swallow Study, your child will be asked to swallow a special liquid mixed with barium during the test. It’s important to follow the instructions provided by your healthcare provider to ensure the test can be performed accurately and safely.