Articles Related to Drooling
Upper Oesophageal Foreign Body with Acute Drooling in a Child with Congenital Hypotonia
Foreign body ingestion and aspiration commonly affect children. The most vulnerable age is early childhood when children tend to explore new objects with their mouths or by an accident by elder siblings. A 2-year-old female child who is known to have congenital hypotonia, status post laparoscopic fundoplication and gastrostomy tube feeding (G- tube) inserted at age one year. Then she was in stable condition till when presented with acute unexplained drooling of frothy whitish secretions, mild cough and difficulty breathing with hypoxemia. X-ray chest and upper abdomen revealed normal. She underwent flexible bronchoscopy revealed normal and then direct laryngoscopy was extracted a covering plastic of the feeding tube in the upper end cervical oesophagus by Magill forceps technique. Subsequently her symptoms resolved completely. To increase the likelihood of identifying foreign body ingestion and aspiration, healthcare professionals should maintain a high index of suspicion even in children with neuromuscular disorder.