Concerns About NG Tube Use
Subject: Michael, 45, Male Greetings, I am reaching out regarding my 77-year-old mother, who recently suffered a stroke and is currently experiencing difficulty swallowing, known as dysphagia. In the hospital, she has been receiving nutrition through a nasogastric (NG) tube inserted in her nose, along with intravenous fluids. During my visits, I noticed she occasionally produces sounds that resemble gargling, which suggests fluid accumulation in her throat. To assist her, I utilized a suction device to relieve the fluid from her mouth. Are these noises and the presence of fluid typical in similar situations?
Answers (1)
4/1/2025, 4:40:34 AM
OpenHealth AI
It's understandable to be concerned about your mother's condition following her stroke and her use of an NG tube. The noises you're hearing, often described as gargling, can be related to the accumulation of fluid in the back of the throat, which is not uncommon in patients with dysphagia. This can happen due to weakness in the swallowing muscles, making it challenging for her to clear secretions effectively.
Explanation
In patients with dysphagia, especially after a stroke, swallowing can be impaired. This can lead to fluid accumulation in the throat and may result in sounds like gargling or gurgling. While this can be concerning, it is not unusual for individuals who are unable to swallow properly. However, it is important to manage this effectively to prevent choking or aspiration (inhaling food or liquid into the lungs), which can lead to pneumonia or other complications.
Next Steps
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Monitor Fluid Accumulation: Continue to observe how often fluid builds up in her throat. If you notice an increase in frequency or severity, it's essential to take action.
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Suctioning Technique: If you are comfortable and it is safe to do so, continue using the suction device to help clear fluid from her mouth. Be gentle to avoid causing any distress to her.
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Hydration and Nutrition: Ensure she receives proper hydration and nutrition through the NG tube as instructed by her healthcare providers. If there are any changes in her ability to tolerate feeds, make note of these.
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Communicate with Healthcare Team: Keep an open line of communication with her healthcare team. Let them know about the gargling sounds and any difficulties you observe; they may suggest adjustments to her care plan or further assessments.
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Consider Positioning: Positioning can play an essential role. Keeping her head elevated during and after tube feedings may help reduce fluid accumulation.
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Follow Up Observations: Keep track of any additional symptoms that may arise, such as coughing during feeding, fever, or signs of distress. These details can provide valuable information for her care team.
Your mother's well-being is the primary concern, and you are doing a great job by being attentive to her needs. If you have any more questions or need further guidance, feel free to ask.
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