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Stroke

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Father had stroke, able to swollow some, right side mobility intially had no strength to stand or hold anything with right limbs but was able to move them. Two days after stroke, had trouble breathing and literally smothered to death. Was revived and put on life support but removed shortly after because stats were great. A short while later, began smothering again and it was concluded throat muscle damaged by stroke because as long as his head was laid back and hand of nurse pulled chin skin up, he could breathe but he couldn't when skin and head dropped back down. Neck brace helped but only for a few minutes. Was told he had to be put back on life support which would eventually lead to a trake and feeding tube. I want to know if you know of alternate methods of treatment or if you are familiar with similar cases. If trake is put in, is feeding tube necessary since he was able to swollow some prior to air way been blocked. Can throat muscle gain its strength back and return to workable state? Is it possble that trake or feeding tube can be removed should blockage of airway by the muscle repair itself? Is there a surgery that you're aware of that can be done to pull muscle out of the way until it heals? Also since being in ICU on life support, the mobility that he did have in right leg and arm is totally gone. He can no longer raise air or leg at all. Is this normal and why did it get worse so long after the intial stroke?
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replied April 24th, 2011
Hello and welcome to e health forum.

In acute cases of stroke requiring respiratory support, the only way it can be achieved is via endotracheal intubation. And it is practically impossible to orally feed a intubated patient, hence a feeding tube is placed so that adequate nutrition is provided.

Symptoms and disability following a stroke vary greatly depending on factors such as the part of the brain affected, how quickly treatment was given, and the extent of the damage to the brain.

There are no alternative methods of treatment to provide respiratory or nutritional support.

Long duration of disuse and immobility can cause atrophy of the muscles and they tend to become rigid. This can affect the ability to regain function in them.

Stroke rehabilitation is a very important part of recovery for many people who have had a stroke. It helps build your strength, coordination, endurance and confidence.

Regular physiotherapy, stretching exercises, will be very important in the process to regain the function back.

You may consult a neurologist and a physiotherapist for future interventions and treatment.



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