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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffered Paralytic Attack, Unable To Swallow, Weakness. Tried Physiotherapy. Precautions?

Hello Sir, My father got an paralytic attack on 17 sep and is under treatment. but he is unable to swallow food easily he foces it I just want to know that is this normal, resulting low diet and weaknss. we r doing phys therpy 2 hrs a day but still he has slow development. Sir what precautions has to be taken during this period, steps for fast recovering. pls suggest ur valuable suggestion
Wed, 14 Nov 2012
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM
Your father suffered a paralytic attack that is CVA( Stroke) you have not given information which side means right side or leftside,if it is right side usually speech is also affected.
In such condition patient some time find difficult to swallow,they should be fed in sitting position and very slowly semisolid diet and keep good hygine as otherwise food can get impected and infection and thrush (Fungal) can occur.
If there is cough during feeding there is risk of aspiration then you should put a Ryle,s tube for liqid feeding and supplements can be given to keep good nutrition.
Please continue physiotherapy and other medicines and if there is weight loss or other sign of nutritional deficiency pre formulated nutrition may be given in consultation with your doctor.
Please take good care of him
Good Luck to you.
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Suffered Paralytic Attack, Unable To Swallow, Weakness. Tried Physiotherapy. Precautions?

Hi, Welcome to HCM Your father suffered a paralytic attack that is CVA( Stroke) you have not given information which side means right side or leftside,if it is right side usually speech is also affected. In such condition patient some time find difficult to swallow,they should be fed in sitting position and very slowly semisolid diet and keep good hygine as otherwise food can get impected and infection and thrush (Fungal) can occur. If there is cough during feeding there is risk of aspiration then you should put a Ryle,s tube for liqid feeding and supplements can be given to keep good nutrition. Please continue physiotherapy and other medicines and if there is weight loss or other sign of nutritional deficiency pre formulated nutrition may be given in consultation with your doctor. Please take good care of him Good Luck to you.