University of Thi-Qar
Discussion
Started 19 May 2021
Management of Infants with abscence of gag and cough reflex
Dear colleagues,
I would like to ask you some questions regarding your experience or research in the pharmacologic treatment and rehabilitation of infants with dysphagia having absent or immature gag and cough reflex.
Does anybody have experience using spicy foods (capsaicin, piperine) to stimulate cough in these group of patients?
Has anybody tried pharmacologic treatment (e.g., use of substance P)?
What about the use of e-stim (vitalstim or similar)? Or Transcutaneous vagus nerve stimulation?
Thanks in advance
All replies (3)
Thanks for your help. I really apreciate your help but chapter does not answer any of my enquiries and specifically the part regarding treatment strategies is so generic.
I will talk about my personal clinical experience with this group of patients:
- Electrostimulation seems to me to be an interesting approach (both active and passive stim) using vitalstim or even basic nmes devices.
- Vagal dysfunction may theoretically improve with transcutaneous vagus nerve stimulation.
- I have no experience in the use of substances that can stimulate cough or gag reflex, such as capsaicin and pepper, but I think it would be a good option but using it cautiously, controlling side effects and reducing dosage.
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