Clinical symptoms and signs of aspiration |
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Blinking, eye watering |
Throat clearing, grimacing, head tilting |
Difficulty handling oral secretions |
Poor oral motor co-ordination |
Limited endurance/increasing fatigue during feeding |
Delayed swallow reflex |
Multiple swallows to clear single bolus |
Wet voice quality during or after feeding |
Increased congestion during feeds |
Noisy/wet upper airway sounds associated with feeding |
Coughing or choking during/after feeds |
Change in breathing rhythm or apnoea |
Recurrent wheeze |
Recurrent respiratory infection |