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HomeAnswersPediatricsaspirationWhy is there aspiration of feeds in baby and what can be done?

Baby placed with tracheostomy & gastrostomy tube. Doubt regarding aspiration.


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At October 16, 2014
Reviewed AtFebruary 15, 2023

Patient's Query

Hi doctor,

My baby has undergone hospitalization many times since birth. She has been placed with tracheostomy and gastrostomy tube due to which mobility of the baby is not possible.

We are consulting with renowned ENT surgeons and pediatric doctors and we had been told that ''the aspiration can be due to poor co-ordination and tracheostomy tube placement for long period. Once decannulation is tolerated by baby, then the aspiration problem will not persist''.

Now they have told us to wait and concentrate on the baby's weight gain. But we want to take a second opinion from you. So, please suggest proper steps to be taken from our end.


Welcome to icliniq.com.

The aspiration of feeds is due to the presence of bulbar palsy and palate pharyngeal muscle incoordination. As per the doctor's advise, try to improve the nutrition of the child and weight.

Once the child gains a proper weight, then decannulation (removing tracheostomy tube) can be planned depending on the child's fitness. Be in follow-up with the doctor.

The child will be fine.

For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. E. Venkata Ramana
Dr. E. Venkata Ramana


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