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Baby placed with tracheostomy & gastronomy tube - doubt regarding aspiration

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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.
Answered by Dr. E. Venkata Ramana

Education:

MBBS

Professional Bio:

Dr. E. Venkata Ramana is a dedicated Pediatrician with extensive clinical experience in child healthcare. He is committed to ensuring the healthy growth and development of children by providing compassionate and comprehensive medical care. Known for his patient-friendly approach, he builds strong trust with both children and parents. His expertise includes managing childhood illnesses, growth and developmental monitoring, immunizations, and preventive pediatric healthcare.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

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.

Medically reviewed by iCliniq medical review team
Published At October 16, 2014
Reviewed At May 7, 2026

Education:

MBBS

Professional Bio:

Dr. E. Venkata Ramana is a dedicated Pediatrician with extensive clinical experience in child healthcare. He is committed to ensuring the healthy growth and development of children by providing compassionate and comprehensive medical care. Known for his patient-friendly approach, he builds strong trust with both children and parents. His expertise includes managing childhood illnesses, growth and developmental monitoring, immunizations, and preventive pediatric healthcare.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Pediatrics

Education:

MBBS

Professional Bio:

Dr. E. Venkata Ramana is a dedicated Pediatrician with extensive clinical experience in child healthcare. He is committed to ensuring the healthy growth and development of children by providing compassionate and comprehensive medical care. Known for his patient-friendly approach, he builds strong trust with both children and parents. His expertise includes managing childhood illnesses, growth and developmental monitoring, immunizations, and preventive pediatric healthcare.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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