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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Stroke Patient. Difficulty In Swallowing, Cough, Severe Constipation, Redness In Eyes. Taken Medication. Will He Be Okay?

Hi... my grandfather is a stroke patient. He had his stroke last year. He has now difficulty in swallowing and everytime he eat and drinks he cough so much. After his lunch we gave him meds, a capsule it is called dr shultze, it helps him to soften his stool bec his having severe contipation.. after 15 mins of giving the capsule he is okay, no cough or anything then he drink water and started to cough, cough and cough until his eyes turns to red and he is sweating, he cough also the capsule but it breaks already.. my question is how he cough it out the capsule if 20mins after he took.thank u so much Doc
Tue, 7 May 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

Difficulty in swallowing can occur due to stroke. This is common with strokes in medulla oblongata region of brain or strokes affecting both sides of brain.

It takes at least about 30 minutes for the capsule to get digested, so, an undigested capsule may regurgitate with severe coughing from stomach.

It may be a better idea to feed your grandfather through Ryle's tube (naso-gastric tube) to prevent aspiration pneumonia.

Please get back if you require any additional information.



Best wishes,



Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)

Senior Consultant Neurologist

Apollo Hospitals, Hyderabad,

My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar

My email: drsudhirkumar@yahoo.com
I find this answer helpful

1 Doctor agrees with this answer

Neurologist Dr. Sudhir Kumar's  Response
Hi,

Thank you for posting your query.

Difficulty in swallowing can occur due to stroke. This is common with strokes in medulla oblongata region of brain or strokes affecting both sides of brain.

It takes at least about 30 minutes for the capsule to get digested, so, an undigested capsule may regurgitate with severe coughing from stomach.

It may be a better idea to feed your grandfather through Ryle's tube (naso-gastric tube) to prevent aspiration pneumonia.

Please get back if you require any additional information.



Best wishes,



Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)

Senior Consultant Neurologist

Apollo Hospitals, Hyderabad,

My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar

My email: drsudhirkumar@yahoo.com
I find this answer helpful

1 Doctor agrees with this answer

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Stroke Patient. Difficulty In Swallowing, Cough, Severe Constipation, Redness In Eyes. Taken Medication. Will He Be Okay?

Hi, Thank you for posting your query. Difficulty in swallowing can occur due to stroke. This is common with strokes in medulla oblongata region of brain or strokes affecting both sides of brain. It takes at least about 30 minutes for the capsule to get digested, so, an undigested capsule may regurgitate with severe coughing from stomach. It may be a better idea to feed your grandfather through Ryle s tube (naso-gastric tube) to prevent aspiration pneumonia. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com