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Oral feeding of tracheostomy patient
I have a son, 18 years old, who is suffering from cerebral palasy. In Dec 16 he was admitted for pneumonia and since he was not able to breath properly incubated and then tracheostomy was done. Feeding is being given by a NGT. Since the last 4 months he has stabilised and we want to start oral feeding. We want to know how to start oral feeding. Should we remove the Trach and NGT and start feeding or start feeding by removing only NGT and then after he improves on oral feeding remove the Trach. Please help.
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Oral feeding can be started with both the NGT as well as the Trach, but it should be done only under expert supervision by a physician. They assess swallowing coordination and chances of regurgitation or aspiration while beginning to feed. Once oral feed is adequate, then the NGT can be removed. Never ever try to remove the Trach. If the Trach is a cuffed tube (plastic), it needs to be depressurised before starting oral feeds.
Next Steps
Better start oral feeds (with NGT in situ) under medical supervision.
Health Tips
Trach is for breathing and does not interfere with feeding
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.