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Aspiration — can baby outgrow this? What causes it?

7 replies

Cmuxx · 20/03/2024 13:08

I can’t seem to find anything on this.

My DD (2 months) has just been diagnosed following a private consultation video fluoroscopy with aspiration. She has been doing so since birth when I knew something wasn’t right and GP previously dismissed it with reflux and prescribed omeprazole.

We were recommended a thickener to prevent any future occurrences, so our journey has only just begun.

I am terrified as I’ve seen other threads where aspiration was linked to a greater reason IE. brain damage etc. But what causes aspiration?

I am now going down a rabbit hole thinking aspiration wasn’t that bad and we can fix it but wondering if I failed my daughter in that her jaundice was so severe and HVs left it untreated… did it cause brain damage… leading to aspiration.

I’m a ball of nerves. Anyone else’s babies have aspiration and be neurologically fine and did they ever outgrow it?

Really need some help. Many thanks.

OP posts:
littleducks · 20/03/2024 13:13

Hi there, you sound so worried I didn't want not to post but I don't have any personal experience for my own children. In a SLT working with children with dysphagia (swallowing problems) including aspiration.

There are a cohort of typically developing children who aspirate and have chest health problems as a result. These usually fare will once their diet is modified.

As you have read it can also be a sign of a wider diagnosis.

Without seeing your child and even with children we do see at such a young age can be hard to distinguish.

I would suggest you see if you can get some kind of a follow up. What happened with the jaundice are you still under a paediatric doctor now?

Cmuxx · 20/03/2024 13:49

@littleducks Thank you so so much for such a quick response regarding this. I am indeed worried sick (I’ve literally given myself strep throat from not drinking or sleeping and watching her sleep myself to make sure she doesn’t choke in the night),

First, it was worrying whether or not she would choke while BFing her at her next feed and getting her seen privately… but now it’s unlocked a whole other fear of what is actually causing it then? Is something more wrong with my daughter, in essence?

The specialist said we need to see an ENT for next steps to make a management plan but didn’t seem too concerned about what’s actually causing it and the follow ups sound like they’re going to be quite drawn out. I am so annoyed I didn’t ask at the appointment today.

Have you seen this is something little ones can outgrow and be ultimately fine? What are the odds of having a healthy baby who just aspirates and be fine developmental wise?

OP posts:
littleducks · 20/03/2024 14:19

I can't give you any odds figures with such little info and also have to be careful about professional standards around SM advice.

The follow up course being an ENT is suggestive of a suspected structural issue (eg. Laryngomalacia) rather than a neurological issue.

You mention breastfeeding, I hope you have been given advice around this? This is usually different to advice for formula feeding

Are you also under NHS care, if not once you have the VFSS report ask your GP to refer you to the SLT service locally who can help with strategies around positioning, how best to introduce solids when you get to that stage etc.

In terms of repeat VFSS follow up these wouldn't be frequent as you don't want unnecessary radiation exposure but you should get more frequent follow up without a VFSS assessment.

Cmuxx · 20/03/2024 17:57

Oh no, of course. Totally understand regarding the SM advice.

We paid for private not through NHS. The reflux specialist was the one who referred us to do the test and did this VFSS via Xray today.

She clearly saw her aspirating the barium fluid in the Xray and said to trial the thickener and to now pump and only bottle feed her this way now.

She has recommended an ENT to us via Harley Street for a follow up evaluation with him.

We are just as confused why we need to speak with ENT and not SLT regarding this.

P.S thanks so much again — from a very anxious mummy ❤️

OP posts:
Beastlybeautiful · 05/12/2024 22:59

Hi,

Just wondering how you're doing now and if the cause was found? My 7 week old has been admitted into hospital twice for aspiration ( he caught aspiration pneumonia both times in his right lung). His symptoms include rib retractions too, he's in respiratory distress due to it.

Worried sick and still currently in hospital waiting for answers

Cmuxx · 07/12/2024 03:21

Oh hello @Beastlybeautiful
Really hoped this thread would help others or those who’d come to find it useful — so very sorry to hear of your experience with the little one and having back to back occurrences, wishing you all peace, recovery and restoration during this time — hand holding fiercely for you. I do remember those days where time seemed to have stopped entirely and was desperately searching for answers or even just similar experiences.

Now, I will proceed by emphasising that I am not medically trained whatsoever but will share my experience with my LO… I noticed it at 6 weeks from the off and was told multiple times by midwives and GPs it was only Acid Reflux and my worries were being dismissed… repeatedly. I had no idea what it was or why but I knew I needed to advocate and advocate ferociously till I thought I was losing my mind myself but it was painful to see my child, what seemed to be, struggling to breathe at every feed. I then grew fearful and dreaded when it was feeding time. I knew I couldn’t carry on.

Fortunately, my husband was able to get Private Insurance and quickly whereby we saw 3 consultants over the course of 2 months and who specialised in aspiration. I would not rest and pushed for appointment dates to be soon made after another. We had a Swallow Test Study done via Chest X-ray and it was the most daunting thing I’d ever seen. The fluid directly seeping into my child’s lungs. The consultant trialed a thickener with formula straight away and it corrected it immediately and we were then prescribed thickener and this was the new course of action. We saw a top ENT to determine the “why” in Central London who mentioned it may have been the cause of a weak larynx whereby they may have needed to intervene by stitching it shut, yet this would only be done if my LO had been hospitalised frequently. It is a common practice and was assured if needed, all would be okay. However, until then it was recommended to proceed with the previous consultant’s advice to continue with thickener.

…Now… my LO was also experiencing CMPA at the same time and I was hesitant to start formula as my LO also wouldn’t take a bottle after latching on during breastfeeding so well. Midwives and GPs repeatedly told me to feed upright if I wanted to continue breastfeeding; HOWEVER, I researched endlessly, days and nights and found many studies where this actually causes aspiration as it is an unnatural way to feed for babies. SO…may sound quite simplistic and anticlimactic, yet to this day… we’ve seemed to have ultimately corrected it by lying side on and side-laying feeding. This was the only time I noticed my LO wouldnt splutter and cough up fluid. Since, we think our LO has now outgrown it with the minor incidences of swallowing water too quickly but seems to be more neurological and when distracted while playing with sippy cup. We will have another follow-up after 1st birthday.

Once again, this has worked for us and has done now for 9 months later with ZERO issues since and no hospitalisations and now we’ve got a very healthy, active and strong solid child whom no one would have ever believed the bumpy start we had or any issues with feeding.

If I may, please do be cautious when researching as I’m certain you will be looking for answers just as I did. To the point I was reading medical journals from east to west and staying up for god-awful hours watching X-ray videos and audio recordings of swallows to determine if my child’s was similar. Everyone’s journey is different and from what I’ve seen / heard… it somehow gets better and more manageable over time.

I sincerely hope this helps, cannot stop thinking of your little baby as I begin to remember mine during those early and uncertain days but it will get better…❤️

OP posts:
Beastlybeautiful · 11/12/2024 01:15

Hi,

Thank you so much for your response.

Can I have the name of the consultant that specialises in aspiration? I'm also in London and considering private, should the NHS not work out.

Regarding health insurance, I heard you can't get it on a condition that has been diagnosed by the NHS?

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