I was doing the assigned readings for Anatomy (among other things, highlighting special dysphagia recipes and concurrently at work we had an anorexic cat come in, which made me wonder:
Ok, so medical/surgical intervention is all about if the benefits of doing something outweigh the risks. Example: Doing a dental, which necessitates sedation IS worthwhile in a six year old kitty without heart issues, while it is NOT worth the risk in a 17 year old cat with a heart condition (or probably in the 17 y.o. cat even without a known heart issue). And over and over, the text says how serious and life-threatening dysphagia can be for patients. They can easily aspirate or get an aspiration pneumonia
Which brings me to my question: On Intervention I saw this gal who an an eating disorder where they had placed a feeding tube directly in her stomach. And she could feed herself that way. This particular lady had kept it in for years–which was way too long. The only ill-effect (aside from her mental condition and disordered thoughts) was skin infection and hygiene of the tube. BUT in life-threatening dysphasia patients, wouldn’t a little skin infection be a worthwhile risk if aspiration could be completely avoided?
On the same track, we have a cat at work who went anorexic. And in felines even three days without eating (for whatever reason, whether it’s a disease process, nausea, or pickiness) can cause liver failure. So it’s very important to either stimulate the cat to eat, syringe-feed them, or place a feeding tube. We placed the tube right from neck to stomach. And then put the food, and medications right in the tube–nothing by mouth. So couldn’t you just place a feeding tube and then throw antibiotics into the tube for dysphagia? Or give periodic antibiotic injections to ward off the skin infection of a long-term feeding tube?
It seems to me the feeding tube is a better option for someone with swallowing difficulty then tedious meal plans and risk of aspiration. . .
And my last question–I’ve heard of anorexics getting “nutrition” through their IV bags. Is that a thing, and can’t that be done for dysphagia patients, who have it from, say, ALS? Where they might be bed-ridden anyway?
There is research to be done.
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