swallow evaluation

Mahiya when she woke up after her code, was evaluated by speech therapist (ST). At that time she had her jaws tight and did not open much, the ST called it tonic bite, and said this is due to her severe brain damage (which I hated to hear). Then the ST put her finger to see if she had gag reflex. NO.... then an ice chip in her mouth to see if she would swallow. She did swallow but ST said she is very slow to swallow waits until her mouth is full. So we were given a big NO to oral feed. After couple of days I saw her mouth was very dry,so I started giving her water in a syringe and she loved it. Couple of weeks later ST came again and said the same thing again...........we were very upset first and then we understood that aspirating could cause even more set back. So we have been tube feeding (J tube) Mahiya since her code.

After coming home, we have been giving her little taste of food that she loved before her code it seemed like she was liking it. Last week we had another evaluation and the ST gave her half a baby spoon of apple sauce. She opened her mouth and bit on the spoon and won't let go. Again the ST started "she still has the tonic bite". NOT AGAIN!!!. But she let go in few seconds and swallowed the apple sauce. ST looked inside her mouth to make sure there was no residue. There was  no residue and Mahiya took another spoon. Drank water out of a cup. ST was happy with her and said that she does not feel like she is aspirating but still she wanted a swallow study to be done before we feed her orally. Swallow study is done under continuous X-ray. She will be given some liquid to drink mixed with barium (tasteless). This barium can be watched under X-ray to see if she is swallowing without aspirating. But ST is OK with giving her little pureed food until the swallow study. Liquids have higher risk of aspiration.

Mahiya has not had much solids even before her code, so she it is new to her. Hope she starts eating solids and likes it.