Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

127 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Diagnosed with interstitial lung disease. Endoscopy showed candidiasis. Took medicine

Answered by
Dr.
Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

default
Posted on Fri, 15 Nov 2013 in General Health
Question: My father in law has been diagnosed with interstitial lung disease. Some times he starts choking while having food. About an year back doctor advised endoscopy which detected candidiasis for which he took medications and he became normal. Now his choking while having food has come back again - happens sometimes. What should be done when it happens? He is consulting a chest specialist who has mentioned that his lungs have become weak due to old age. His age is 77.
doctor
Answered by Dr. Mayank Bhargava 35 minutes later
Brief Answer:
Hi XXXX, Welcome to XXXXXXX forum

Detailed Answer:
Hi XXXX,
Welcome to XXXXXXX forum.

Let me know his associated features along with mentioned.
Does he has pain while swallowing/ coughing while swallowing/ chest heaviness/ skin tightness?
Does he has difficulty in opening mouth/ weakness in any limbs/ facial weakness?

With the available described details, there could be possibility of disturbed esophageal (food pipe) motility causing difficulty in swallowing with choking sensation.
Esophageal dysfunction may cause hindrance in propulsion of food ahead.

Esophageal dysfunction could be due to weakness of smooth & skeletal muscles in esophagus.
Weakness could be a part of central nervous system (brain cause which is known as pseudobulbar palsy) or could be a part of syndrome such as interstitial lung disease/ connective tissue disorders.

Esophageal candidiasis could also be contributory factor for difficulty in swallowing.

You should consult with XXXXXXX medicine specialist/ neurologist and should go for thorough check up. Complete neurological and gastrointestinal evaluation is mandatory before making any diagnosis.

He should also go for complete blood count, erythrocyte sedimentation rate, ANA, anticentromere antibodies (for scleroderma), MRI brain (to rule out brain cause for esophageal muscular weakness) and repeat endoscopy.

Weakness of esophageal muscular weakness can be confirmed clinically by putting Ryle's tube via nose to Upper gastrointestinal tract.
If liquid food given via Ryle's tube can be tolerated and not vomited out then esophageal muscular weakness can be partially confirmed.

Treatment depends on exact diagnosis.
In my personal opinion, you should go for placement of ryle's tube for better feeding.
If Ryle's tube feeding is not accepted by your father in law, then kindly prefer liquid diet only in sitting position.
Avoid hard food stuff.

Take care,
Let me know your other associated query.
Wishing a speedy recovery.
Dr. Mayank Bhargava
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Feeding tube

doctor1 MD

My good friend was operated on because she had internal bleeding . They eventually did life saving surgery since after many tests, couldn t find where it was coming from. They removed ulcers that eroded her stomach, esophagus and apparently put a hole in her heart that they had to repair. They didn t realize until a day or so later that she also had suffered a stroke due to the surgery that from what I hear is considered a massive stroke. She s been on a respirator and out of it since she s had the surgery. The longer they wait, it is more dangerous where the stroke is concerned. Can she fully recover? They are not sure if they can reattach the esophagus. At present she has a feeding tube . At one point they said she had no stomach due to a gastric bypass she had many years back but when they closed her up days later, they were going to do something so she had a stomach. Not sure this all makes sense but just looking for your reponse where the stroke is concerned and if she will ever be able to actually eat again?

doctor1 MD

Hi, my grandmother is 90 years old and she has suffered with dementia for the past eight or nine months. My uncle is her caregiver and he abruptly removed her from her condo as a result of a doctor visit where the doctor told him that she should not live alone. He did not realize that she was on medication for a thyroid condition and had not given it to her in six months. She loss over forty pounds. The problem that we have now is that she is taking her thyroid medicine, but she refuses to eat. She was recently hospitalized for not eating and the doctor recommended either a feeding tube or a blood transfusion due to her being an anemic. My quesiton is how do I get my grandmother to eat? She is back home but she has bed sores and soreness of her back because she was in the hospital for almost three weeks.

doctor1 MD

my mother is 87 and has not eaten in 2 weeks drinks 8 oz of gingerale per day she is home with me on hospice. Before she came home her potassium level was low and then she stopped the iv s and blood work and denied the feeding tube How long can her heart survive this. She also has copd her sats are 75-83 she refuses the oxygen she had a fall 3 months ago broke humerous requried surgery then her eating got worse. They did discover through a CT that she had a previous stroke ( the fall I think) and dementia plus PAD

doctor1 MD

Good Morning sir, My mother aged 84 yrs got stroke on last monday (04/12/2017)morning at 7.00am. We admitted in xxx hospital. XXXXXXX .they taken CT scan and impression is Lacunar infarcts in leftlentiform necleus. And repeat CT scan on next day...

doctor1 MD

I have locally advanced pancreatic cancer, I have a feeding tube because I have no appetite and take pain pills. 8 weeks ago I had a pet scan that showed a complete metabolic response which indicated no cancer. I understand imaging test can...

doctor1 MD

At 2 days old my nephew has been placed in the NICU because he has a hole in one lung. He is now on a ventilator and they have also inserted a feeding tube. I thought this usually only occurs in premature babies but he was 39 weeks and weighed 8 lbs and the mother never had any complications. What could cause this and how long is the recovery time?

doctor1 MD

Mother(67) has been eating like a mouse for years and has always been a small framed Woman. She developed some other issues and while getting treatment for those issues, Cancer was discovered in the Ovaries and Omentum. (Greater or lesser was not...