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2 results

  • Chapter 19 - Eating and Drinking Difficulties

  • Edited by David M. L. Branford, Independent Pharmacy Consultant, Satheesh K. Gangadharan, Leicestershire Partnership NHS Trust, Mary Barrett, Leicestershire Partnership NHS Trust, Regi T. Alexander, Hertfordshire Partnership University NHS Foundation Trust
  • Book:
    The Frith Prescribing Guidelines for People with Intellectual Disability
    Published online:
    07 November 2024
    Print publication:
    21 November 2024, pp 275-296

  • Summary

    Eating and drinking difficulties are highly prevalent in the intellectual disability population and include all aspects of the eating and drinking process. This can include stable positioning and pacing the meal all the way through to safe swallowing. Dysphagia is a subset of wider eating and drinking difficulties, often seen in the intellectual disability population. Dysphagia presents as a difficulty chewing and swallowing. It is often the underlying cause of malnutrition, dehydration, weight loss, choking, and aspiration pneumonia, with risks to mental health, social isolation, dignity, and enjoyment. A deterioration in eating and drinking skills is often a symptom of a broader physical and mental health diagnosis. People with eating and drinking difficulties can also experience a cyclical decline in health and an increased risk of malnutrition and dehydration. In addition to eating and drinking difficulties this chapter covers surgical intervention requiring insertion of a gastric tube, the impact of medication on feeding, and strategies to manage eating and drinking difficulties.

  • Drooling in oro-motor dyspraxia: is there a role for surgery?

  • J Rimmer, B E J Hartley
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue 8 / August 2009
    Published online by Cambridge University Press:
    08 March 2017, pp. 931-933
    Print publication:
    August 2009
  • Objective:

    To report the successful use of a surgical approach for the treatment of drooling in a case of oro-motor dyspraxia.

    Case report:

    A seven-year-old girl with a diagnosis of oro-motor dyspraxia was referred for management of drooling; this was her only symptom. There were no focal neurological abnormalities. Conservative measures had not helped, and her parents were keen for definitive treatment. Bilateral submandibular duct transposition was performed with no complications. The patient's drooling improved immediately.

    Conclusion:

    There are currently no reports in the literature of surgery for persistent drooling in children with oro-motor dyspraxia who are otherwise neurologically and developmentally normal. The mainstay of treatment is speech and language therapy. We report the successful use of surgical techniques, usually reserved for children with cerebral palsy or severe neurological disorders, to treat drooling in an otherwise normal seven-year-old child with oro-motor dyspraxia.