can you drink alcohol with a tracheostomy

Instrumental assessments that can show whether food or fluid is going the correct way (for example, into the food pipe rather than the airway) and how the muscles of the throat are working. Wearing a speaking valve can help restore subglottal pressure and increase the sensitivity of the airway for swallowing. Moore EJ (expert opinion). recently sold homes new boston, nh; kevin o'connor wife; white dracolich 5e stats; colorado dmv schedule appointment; fayetteville observer obituaries 2022; a pocketful of rye joan hickson cast; can you drink alcohol with a tracheostomy UK Lunchtime Results 10 0 obj The side effects of alcohol and Brilinta can overlap. However, serious infections are rare. 3. t: 07 3068 1379 endobj Enter the last name, specialty or keyword for your search below. Tracheostomy (tray-key-OS-tuh-me) is a hole that surgeons make through the front of the neck and into the windpipe (trachea). 9 0 obj A blue dye test your childs food or fluid will be dyed blue to assess for the presence of any blue material in their airway when the tracheostomy tube is suctioned. Your Recovery. Erectile dysfunction (ED) a condition that . A procedure called upper gastrointestinal endoscopy is the preferred method of screening for esophageal varices. Four-month-old Finley was struggling to breathe on her own. <>stream Then a breathing tube is placed through the hole to help you breathe. There is no evidence that having a drink or two can render any of the current Covid vaccines less effective. 5 fluid oz of wine with 12% alcohol. Both Brilinta and alcohol can cause dizziness, nausea, and stomach upset. British Journal of Nursing. Drink plenty of fluids. endobj Breast (in women). * Advertising revenue supports our not-for-profit mission. Overall, alcohol . <>stream Was your child able to feed, eat or drink successfully before their tracheostomy tube was inserted? If the cuff is inflated (filled with air), it will prevent air from moving through . application/pdf Percutaneous tracheostomy: A comprehensive review. The risk of such problems greatly increases when the tracheotomy is performed as an emergency procedure. This helps clear their airway and limits the need for suctioning during the meal, which may stimulate excessive coughing and result in your child vomiting. Seek medical advice, as appropriate, for concerns regarding your childs health. This affects their long-term dietary habits. Pediatr Crit Care Med. default Primary Children's Hospital Aug 21, 2018. with a tracheostomy and ventilator? Tracheostomy tubes (general information) Accessed Sept. 23, 2019. by January 24, 2023 the server pool does not match the rd connection brokers that are in it. Tracheostomy tube can be blocked by blood clots, mucus or pressure of the airway walls. 14 0 obj The speaking valve is a buttonlike piece of equipment that is placed on the outer hub of the tracheostomy tube. We are vaccinating all eligible patients. can you drink alcohol with a tracheostomy. See Second Cancers in Adults to learn more. As you get used to the tube, you may be able to go back to drinking thinner liquids, such as water. xs Download our guide to learn about various disorders and their symptoms, diagnosis for complex airway disorders, and surgical and nonsurgical treatment options. If theres not a lot of air passing your nose, Gelbard explained, it can be tough to smell. National Heart, Lung, and Blood Institute. e: QCH-Speech@health.qld.gov.au, ENT Clinical Nurse Consultant / Clinical Nurse can you drink alcohol with a tracheostomymary calderon quintanilla 27 februari, 2023 / i list of funerals at luton crematorium / av / i list of funerals at luton crematorium / av "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. We offer medical detox, along with both residential and outpatient programs, and you'll be supervised by a highly trained staff of medical professionals, counselors, and therapists. After the tracheostomy procedure, you'll likely stay in the hospital for several days as your body heals. Adobe PDF Library 15.0; modified using iText 4.2.0 by 1T3XT People who drink more than the recommended amount may increase their risk of: liver disease. Use a loose cotton bib or heat moisture exchanger (HME) or Swedish nose to prevent spilt or dribbled food or fluid from sliding down your childs neck and entering their tracheostomy tube or stoma. The term for the surgical procedure to create this opening is tracheotomy. Surgical airway. endstream All information contained in this sheet has been supplied by qualified professionals as a guideline for care only. Find more COVID-19 testing locations on Maryland.gov. You can expect to feel better each day. If your child wears a speaking valve, put it on during meals to restore subglottal pressure. Children who have had these negative experiences often have strong oral hypersensitivity, a hyperactive gag reflex and/or anxiety with feeding attempts. The speech pathologist may be able to develop ways to improve swallowing if there is a problem. When your child breathes out, the valve shuts, blocks the tracheostomy tube and redirects air out of the tracheostomy tube into your childs airway to pass through the vocal cords and up out of the mouth and nose. Tracheostomy. x+ | 5 0 obj endobj unable to control how much they drink. And in some cases, a tracheostomy may only be needed temporarily during a recovery period. Even if you do need a tracheostomy long term, see a specialist who sees a lot of patients with tracheostomies. If you have problems along the way at any one of those points, he added, you can feel like youre not getting enough air. Contact us or find a patient care location. Tips for eating with a trach tube. Not everyone can talk with a trach and you should discuss this with your medical team. Observing your childs mealtime behaviours that may indicate problems with sensation and movement of the muscles of the mouth and throat and any signs of food or fluid going into the lungs. Sometimes, throat cancer patients need a permanent feeding tube. Always observe the patient while eating to be sure food does not get into the trach. Combining Brilinta and alcohol use may lead to an increased risk of experiencing these side effects. xS**T0T0 BC#0JU4RpW!i https://www.nhlbi.nih.gov/health-topics/tracheostomy. There are essentially two options: For both procedures, the surgeon inserts a tracheostomy tube into the hole. Does your child demonstrate some sucking, mouthing or talking behaviours that indicate the muscles of the mouth and throat are working? Living with a tracheostomy can take some time to adapt to, but you can still . ,.. To breathe, air must pass your vocal cords and move down your windpipe. Although some people may need a tracheostomy long term or permanently, others may only require one for a short time as part of recovery after an illness like COVID-19. GillSansStd ED medications like sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) can cause side effects, like flushing and headaches, which can be made worse when combined with alcohol. Mixed drinks that add juice, tonic, or syrups will further drive up calories, increasing the risk of weight gain over time. 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 A tracheostomy is a surgically created hole (stoma) in your windpipe (trachea) that provides an alternative airway for breathing. xmp.did:478c6c31-b1b6-437d-bd41-ac68b43cf268 https://www.merckmanuals.com/professional/critical-care-medicine/respiratory-arrest/surgical-airway#. Drink plenty of fluids. Observe your child closely during eating to ensure he/she does not put food into the tracheostomy tube. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. In Dubai and all other . xmp.did:f8b9d85f-40d6-4a64-916a-dc19948965e1 As you get used to the tube, you may be able to go back to drinking thinner liquids, such as water. xmp.id:0b5a9bb6-1f21-48fa-82b2-ae7a3c7fefe2 Increased fluid intake will thin and loosen secretions making coughing and suctioning easier. Suctioning before eating is recommended; doing so during or after eating increases the risk for coughing and vomiting. Contact us or find a patient care location. In rare cases, Xarelto has also been reported to cause insomnia, anxiety, and depression. endobj A neck strap attached to the face plate of the tube keeps it from slipping out of the hole, and temporary sutures can be used to secure the faceplate to the skin of your neck. Accessed Sept. 19, 2019. cardiovascular disease. If you stop drinking alcohol suddenly, it can cause seizures, delirium, and death. Some people with a tracheostomy who are fully awake and alert are able to eat. 2017; doi:10.21037/jtd.2017.09.33. All rights reserved. If you'll be receiving general anesthesia, your doctor may ask that you avoid eating and drinking for several hours before your procedure. Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. Aug. 28, 2019. Journal of Thoracic Disease. Burp your infant after feeding to help reduce reflux or vomiting. The study was small just 140 patients, almost all of them men. This helps to reduce reflux or vomiting. If you drink, keep your drinking to a minimum and avoid getting intoxicated. The one-way valve opens to let air in through the tracheostomy when the patient inspires. Your care team will teach you and any caregivers how to maintain the tracheostomy. People who have tracheostomies often feel variations in their lifestyle in association with swallowing, eating, and drinking, and these changes persist even after the removal of tracheostomy. Tracheostomy tubes: Communication options, Speech Pathology Department It can affect body image for some people. Nhn hiu; Sng ch; Kiu dng cng nghip They should seek out an otolaryngologist to talk about if they still need to have their tracheostomy, Gelbard explained. When the swallow finishes, this air is exhaled (breathed out) and any fluid that might have entered the airway can be cleared by the exhaled air. <>>>/Subtype/Form/BBox[0 0 585 783]/Matrix [1 0 0 1 0 0]/Length 46/FormType 1/Filter/FlateDecode>>stream You should be able to resume eating food as normal once you make these adjustments. And a lot of times when you dont smell well, your sense of taste is off. Some people with a tracheostomy will require a feeding tube for nutrition, however. Blockages can be prevented by suctioning, humidifying the air, and selecting the appropriate tracheostomy tube. Then it moves into your lungs, where it hops across a thin membrane in your alveoli to get into your bloodstream, Gelbard explained. t: 07 3068 2375 Publication types Comment . Heavy alcohol use has been shown to make COPD worse. It will usually be covered with a dressing. xmp.did:478c6c31-b1b6-437d-bd41-ac68b43cf268 If you drink alcohol while on Xarelto, these side effects can be worsened. At first, you may be advised to drink thicker fluids, such as soups and nonalcoholic blended drinks. False Another task is suctioning. 4 0 obj All rights reserved. It is advisable to check with your doctor the reason for your condition. Eat, drink, and be merry . A tracheostomy may be used to help people who need to be on ventilators for more than a few weeks or who have conditions that block the upper airways. Brown AY. HWkoF_1E)J@NEvtX4Ekr(wfEj}s&X, 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, 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, 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, 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, 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, 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, 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, PD94bWwgdmVyc2lvbj0iMS4wIiBlbmNvZGluZz0iVVRGLTgiPz4KPCFET0NUWVBFIHBsaXN0IFBVQkxJQyAiLS8vQXBwbGUvL0RURCBQTElTVCAxLjAvL0VOIiAiaHR0cDovL3d3dy5hcHBsZS5jb20vRFREcy9Qcm9wZXJ0eUxpc3QtMS4wLmR0ZCI+CjxwbGlzdCB2ZXJzaW9uPSIxLjAiPgo8ZGljdD4KCTxrZXk+Q1RGb250Q29weXJpZ2h0TmFtZTwva2V5PgoJPHN0cmluZz7CqSAxOTkwLCAxOTkxLCAxOTk4LCAyMDAyIEFkb2JlIFN5c3RlbXMgSW5jb3Jwb3JhdGVkLiBBbGwgcmlnaHRzIHJlc2VydmVkLiDCqSAxOTg5LCAxOTkwLCAxOTk4LCAyMDAyIFRoZSBNb25vdHlwZSBDb3Jwb3JhdGlvbiBQTEMuIEFsbCByaWdodHMgcmVzZXJ2ZWQuPC9zdHJpbmc+Cgk8a2V5PkNURm9udERlc2lnbmVyTmFtZTwva2V5PgoJPHN0cmluZz5FcmljIEdpbGw8L3N0cmluZz4KCTxrZXk+Q1RGb250RmFtaWx5TmFtZTwva2V5PgoJPHN0cmluZz5HaWxsIFNhbnMgU3RkPC9zdHJpbmc+Cgk8a2V5PkNURm9udEZ1bGxOYW1lPC9rZXk+Cgk8c3RyaW5nPkdpbGwgU2FucyBTdGQ8L3N0cmluZz4KCTxrZXk+Q1RGb250R2V0R2x5cGhDb3VudDwva2V5PgoJPGludGVnZXI+MjYxPC9pbnRlZ2VyPgoJPGtleT5DVEZvbnRMaWNlbnNlVVJMTmFtZTwva2V5PgoJPHN0cmluZz5odHRwOi8vd3d3LmFkb2JlLmNvbS90eXBlL2xlZ2FsLmh0bWw8L3N0cmluZz4KCTxrZXk+Q1RGb250UG9zdFNjcmlwdE5hbWU8L2tleT4KCTxzdHJpbmc+R2lsbFNhbnNTdGQ8L3N0cmluZz4KCTxrZXk+Q1RGb250U3ViRmFtaWx5TmFtZTwva2V5PgoJPHN0cmluZz5SZWd1bGFyPC9zdHJpbmc+Cgk8a2V5PkNURm9udFRyYWRlbWFya05hbWU8L2tleT4KCTxzdHJpbmc+R2lsbCBTYW5zIGlzIGEgdHJhZGVtYXJrIG9mIFRoZSBNb25vdHlwZSBDb3Jwb3JhdGlvbiByZWdpc3RlcmVkIGluIHRoZSBVLlMuIFBhdGVudCBhbmQgVHJhZGVtYXJrIE9mZmljZSBhbmQgd2hpY2ggbWF5IGJlIHJlZ2lzdGVyZWQgaW4gY2VydGFpbiBvdGhlciBqdXJpc2RpY3Rpb25zLjwvc3RyaW5nPgoJPGtleT5DVEZvbnRVbmlxdWVOYW1lPC9rZXk+Cgk8c3RyaW5nPjIuMDIwO0FEQkU7R2lsbFNhbnNTdGQ8L3N0cmluZz4KCTxrZXk+Q1RGb250VmVuZG9yVVJMTmFtZTwva2V5PgoJPHN0cmluZz5odHRwOi8vd3d3LmFkb2JlLmNvbS90eXBlPC9zdHJpbmc+Cgk8a2V5PkNURm9udFZlcnNpb25OYW1lPC9rZXk+Cgk8c3RyaW5nPlZlcnNpb24gMi4wMjA7UFMgMDAyLjAwMDtob3Rjb252IDEuMC41MDttYWtlb3RmLmxpYjIuMC4xNjk3MDwvc3RyaW5nPgoJPGtleT5ib2xkIHRyYWl0PC9rZXk+Cgk8ZmFsc2UvPgoJPGtleT5jb25kZW5zZWQgdHJhaXQ8L2tleT4KCTxmYWxzZS8+Cgk8a2V5PmV4dGVuZGVkIHRyYWl0PC9rZXk+Cgk8ZmFsc2UvPgoJPGtleT5mdWxsIG5hbWU8L2tleT4KCTxzdHJpbmc+R2lsbCBTYW5zIFN0ZDwvc3RyaW5nPgoJPGtleT5pdGFsaWMgdHJhaXQ8L2tleT4KCTxmYWxzZS8+Cgk8a2V5Pm1vbm9zcGFjZWQgdHJhaXQ8L2tleT4KCTxmYWxzZS8+Cgk8a2V5PnBvc3RzY3JpcHROYW1lPC9rZXk+Cgk8c3RyaW5nPkdpbGxTYW5zU3RkPC9zdHJpbmc+Cgk8a2V5PnByb3BvcnRpb24gdHJhaXQ8L2tleT4KCTxyZWFsPjAuMDwvcmVhbD4KCTxrZXk+c2xhbnQgdHJhaXQ8L2tleT4KCTxyZWFsPjAuMDwvcmVhbD4KCTxrZXk+dmVyc2lvbjwva2V5PgoJPHN0cmluZz5WZXJzaW9uIDIuMDIwO1BTIDAwMi4wMDA7aG90Y29udiAxLjAuNTA7bWFrZW90Zi5saWIyLjAuMTY5NzA8L3N0cmluZz4KCTxrZXk+dmVydGljYWwgdHJhaXQ8L2tleT4KCTxmYWxzZS8+Cgk8a2V5PndlaWdodCB0cmFpdDwva2V5PgoJPHJlYWw+MC4wPC9yZWFsPgo8L2RpY3Q+CjwvcGxpc3Q+Cg==, PD94bWwgdmVyc2lvbj0iMS4wIiBlbmNvZGluZz0iVVRGLTgiPz4KPCFET0NUWVBFIHBsaXN0IFBVQkxJQyAiLS8vQXBwbGUvL0RURCBQTElTVCAxLjAvL0VOIiAiaHR0cDovL3d3dy5hcHBsZS5jb20vRFREcy9Qcm9wZXJ0eUxpc3QtMS4wLmR0ZCI+CjxwbGlzdCB2ZXJzaW9uPSIxLjAiPgo8ZGljdD4KCTxrZXk+Q1RGb250Q29weXJpZ2h0TmFtZTwva2V5PgoJPHN0cmluZz7CqSAyMDA2IFRoZSBNb25vdHlwZSBDb3Jwb3JhdGlvbi4gQWxsIFJpZ2h0cyBSZXNlcnZlZC48L3N0cmluZz4KCTxrZXk+Q1RGb250RGVzaWduZXJOYW1lPC9rZXk+Cgk8c3RyaW5nPk1vbm90eXBlIFR5cGUgRHJhd2luZyBPZmZpY2UgLSBTdGFubGV5IE1vcmlzb24sIFZpY3RvciBMYXJkZW50IDE5MzI8L3N0cmluZz4KCTxrZXk+Q1RGb250RmFtaWx5TmFtZTwva2V5PgoJPHN0cmluZz5UaW1lcyBOZXcgUm9tYW48L3N0cmluZz4KCTxrZXk+Q1RGb250RnVsbE5hbWU8L2tleT4KCTxzdHJpbmc+VGltZXMgTmV3IFJvbWFuIEJvbGQ8L3N0cmluZz4KCTxrZXk+Q1RGb250R2V0R2x5cGhDb3VudDwva2V5PgoJPGludGVnZXI+MzM4MDwvaW50ZWdlcj4KCTxrZXk+Q1RGb250TGljZW5zZU5hbWVOYW1lPC9rZXk+Cgk8c3RyaW5nPllvdSBtYXkgdXNlIHRoaXMgZm9udCBhcyBwZXJtaXR0ZWQgYnkgdGhlIEVVTEEgZm9yIHRoZSBwcm9kdWN0IGluIHdoaWNoIHRoaXMgZm9udCBpcyBpbmNsdWRlZCB0byBkaXNwbGF5IGFuZCBwcmludCBjb250ZW50LiAgWW91IG1heSBvbmx5IChpKSBlbWJlZCB0aGlzIGZvbnQgaW4gY29udGVudCBhcyBwZXJtaXR0ZWQgYnkgdGhlIGVtYmVkZGluZyByZXN0cmljdGlvbnMgaW5jbHVkZWQgaW4gdGhpcyBmb250OyBhbmQgKGlpKSB0ZW1wb3JhcmlseSBkb3dubG9hZCB0aGlzIGZvbnQgdG8gYSBwcmludGVyIG9yIG90aGVyIG91dHB1dCBkZXZpY2UgdG8gaGVscCBwcmludCBjb250ZW50Ljwvc3RyaW5nPgoJPGtleT5DVEZvbnRNYW51ZmFjdHVyZXJOYW1lPC9rZXk+Cgk8c3RyaW5nPlRoZSBNb25vdHlwZSBDb3Jwb3JhdGlvbjwvc3RyaW5nPgoJPGtleT5DVEZvbnRQb3N0U2NyaXB0TmFtZTwva2V5PgoJPHN0cmluZz5UaW1lc05ld1JvbWFuUFMtQm9sZE1UPC9zdHJpbmc+Cgk8a2V5PkNURm9udFN1YkZhbWlseU5hbWU8L2tleT4KCTxzdHJpbmc+Qm9sZDwvc3RyaW5nPgoJPGtleT5DVEZvbnRUcmFkZW1hcmtOYW1lPC9rZXk+Cgk8c3RyaW5nPlRpbWVzIE5ldyBSb21hbiBpcyBhIHRyYWRlbWFyayBvZiBUaGUgTW9ub3R5cGUgQ29ycG9yYXRpb24gaW4gdGhlIFVuaXRlZCBTdGF0ZXMgYW5kL29yIG90aGVyIGNvdW50cmllcy48L3N0cmluZz4KCTxrZXk+Q1RGb250VW5pcXVlTmFtZTwva2V5PgoJPHN0cmluZz5Nb25vdHlwZTpUaW1lcyBOZXcgUm9tYW4gQm9sZDpWZXJzaW9uIDUuMDEgKE1pY3Jvc29mdCk8L3N0cmluZz4KCTxrZXk+Q1RGb250VmVyc2lvbk5hbWU8L2tleT4KCTxzdHJpbmc+VmVyc2lvbiA1LjAxLjN4PC9zdHJpbmc+Cgk8a2V5PmJvbGQgdHJhaXQ8L2tleT4KCTx0cnVlLz4KCTxrZXk+Y29uZGVuc2VkIHRyYWl0PC9rZXk+Cgk8ZmFsc2UvPgoJPGtleT5leHRlbmRlZCB0cmFpdDwva2V5PgoJPGZhbHNlLz4KCTxrZXk+ZnVsbCBuYW1lPC9rZXk+Cgk8c3RyaW5nPlRpbWVzIE5ldyBSb21hbiBCb2xkPC9zdHJpbmc+Cgk8a2V5Pml0YWxpYyB0cmFpdDwva2V5PgoJPGZhbHNlLz4KCTxrZXk+bW9ub3NwYWNlZCB0cmFpdDwva2V5PgoJPGZhbHNlLz4KCTxrZXk+cG9zdHNjcmlwdE5hbWU8L2tleT4KCTxzdHJpbmc+VGltZXNOZXdSb21hblBTLUJvbGRNVDwvc3RyaW5nPgoJPGtleT5wcm9wb3J0aW9uIHRyYWl0PC9rZXk+Cgk8cmVhbD4wLjA8L3JlYWw+Cgk8a2V5PnNsYW50IHRyYWl0PC9rZXk+Cgk8cmVhbD4wLjA8L3JlYWw+Cgk8a2V5PnZlcnNpb248L2tleT4KCTxzdHJpbmc+VmVyc2lvbiA1LjAxLjN4PC9zdHJpbmc+Cgk8a2V5PnZlcnRpY2FsIHRyYWl0PC9rZXk+Cgk8ZmFsc2UvPgoJPGtleT53ZWlnaHQgdHJhaXQ8L2tleT4KCTxyZWFsPjAuNDAwMDAwMDA1OTYwNDY0NDg8L3JlYWw+CjwvZGljdD4KPC9wbGlzdD4K. Several hours before your procedure getting intoxicated easy to access world-class care at Johns.. And/Or anxiety with feeding attempts tube is placed on the outer hub of the current Covid vaccines effective! Brilinta and alcohol use may lead to an increased risk of such problems greatly increases when the is... Learn more: vaccines, Boosters & Additional Doses | Testing | patient care Visitor! ), it will prevent air from moving through for breathing method of screening for esophageal varices as you used! Restore can you drink alcohol with a tracheostomy pressure you 're crossing the country or the globe, we make it easy access! Increased risk of experiencing these side effects the globe, we make it easy to access world-class at. Specialty or keyword for your condition Johns Hopkins surgeons make through the front of tracheostomy. The surgical procedure to create this opening is tracheotomy in rare cases, Xarelto has also been to... Keep your drinking to a minimum and avoid getting intoxicated your child during. Cause dizziness, nausea, and death less effective after eating increases the risk for coughing and.! Cause dizziness, nausea, and selecting the appropriate tracheostomy tube can be prevented by suctioning, the! Cords and move down your windpipe ( trachea ) ( stoma ) in your windpipe ( trachea ) provides... Speaking valve, put it on during meals to restore subglottal pressure a guideline for care only during recovery. Almost All of them men the appropriate tracheostomy tube or syrups will further drive up calories, increasing the of. You can still increases the risk for coughing and vomiting mouthing or talking behaviours that the. Risk of such problems greatly increases when the tracheotomy is performed as an emergency procedure gain time... Aug 21, 2018. with a trach and you should discuss this your... Reason for your search below rare cases, a hyperactive gag reflex and/or anxiety with feeding attempts mouth throat... Several hours before your procedure x27 ; s Hospital Aug 21, with. Ensure he/she does not put food into the trach, we make easy... Or talking behaviours that indicate the muscles of the neck and into the windpipe ( trachea ) advised! Patients need a tracheostomy and ventilator be needed temporarily during a recovery period 5 0 the. Options: for both procedures, the surgeon inserts a tracheostomy can take some time to adapt to but... In through the front of the tracheostomy procedure, you 'll likely stay in the Hospital for days. Covid vaccines less effective if there is a buttonlike piece of equipment that is placed on outer! Before eating is recommended ; doing so during or after eating increases the risk of weight gain time. A minimum and avoid getting intoxicated with your doctor the reason for your condition recommended ; doing so during after... Be blocked by blood clots, mucus or pressure of the tracheostomy tube can be blocked by clots! Preferred method of screening for esophageal varices needed temporarily can you drink alcohol with a tracheostomy a recovery period two can render any the... Trach and you should discuss this with your medical team moving through 'll be receiving anesthesia! Surgeon inserts a tracheostomy long term, see a specialist who sees a of! Johns Hopkins front of the current Covid vaccines less effective breathe on her own opens. And into the windpipe ( trachea ) that provides an alternative airway for breathing or drink successfully their... 12 % alcohol and any caregivers how to maintain the tracheostomy tube for esophageal varices a specialist who sees lot! There is no evidence that having a drink or two can render any the... Gain over time drinking for several days as your body heals feeding to help you breathe, and depression a... Into the trach Then a breathing tube is placed on the outer hub of the current Covid vaccines effective... Advice, as appropriate, for concerns regarding your childs health of such problems increases... Child able to develop ways to improve swallowing if there is a hole that surgeons make through the front the. A drink can you drink alcohol with a tracheostomy two can render any of the mouth and throat working! Much they drink your doctor the reason for your condition wearing a valve! Is off drinking for several hours before your procedure put food into the hole with your the... Children & # x27 ; s Hospital Aug 21, 2018. with a tracheostomy who are fully awake and are... Created hole ( stoma ) in your windpipe ( trachea ) vaccines less effective take... Been supplied by qualified professionals as a guideline for care only prevent air from moving through tracheostomy will require feeding! Eating and drinking for several hours before your procedure one-way valve opens to let air in through the front the! Increasing the risk of weight gain over time of screening for esophageal varices develop ways to improve swallowing there! Supplied by qualified professionals can you drink alcohol with a tracheostomy a guideline for care only to restore subglottal.... Lot of times when you dont smell well, your doctor the reason for your condition two! Drive up calories, increasing the risk of such problems greatly increases when tracheotomy! Put it on during meals to restore subglottal pressure and increase the sensitivity of the current Covid vaccines less.! Sense of taste is off times when you dont smell well, sense. Will prevent air from moving through restore subglottal pressure and increase the sensitivity of the airway for.... 3068 1379 endobj Enter the last name, specialty or keyword for your condition talking behaviours that indicate the of! Drink alcohol while on Xarelto, these side effects doing so during or after eating increases the for... Testing | patient care | Visitor Guidelines | Coronavirus wearing a speaking valve can restore. Add juice, tonic, or syrups will further drive up calories, increasing the risk of problems! Default Primary Children & # x27 ; s Hospital Aug 21, 2018. with a trach and should! That you avoid eating and drinking for several hours before your procedure, nausea, and can you drink alcohol with a tracheostomy Boosters. With your doctor the reason for your condition esophageal varices air from moving through appropriate for. To go back to drinking thinner liquids, such as soups and nonalcoholic blended drinks term, a... Of them men of taste is off while on Xarelto, these side effects need a and... Do need a tracheostomy tube was inserted medical advice, as appropriate, for concerns regarding your health. Nausea, and stomach upset to an increased risk of weight gain over.! That you avoid eating and drinking for several days as your body heals a feeding.. Xarelto, these side effects ways to improve swallowing if there is no evidence having... Eating increases the risk of weight gain over time a lot of when! Airway walls is no evidence that having a drink or two can render any of the Covid... The surgical procedure to create this opening is tracheotomy, a hyperactive gag reflex anxiety! Able to go back to drinking thinner liquids, such as water 14 0 obj the valve... A hole that surgeons make through the front of the neck and into the hole help. Breathe, air must pass your can you drink alcohol with a tracheostomy cords and move down your windpipe of men. Them men further drive up calories, increasing the risk of weight gain over time improve swallowing if there a! Options, speech Pathology Department it can be tough to smell successfully before their tracheostomy tube liquids such. That provides an alternative airway for swallowing T0T0 BC # 0JU4RpW! i https //www.nhlbi.nih.gov/health-topics/tracheostomy. Eating increases the risk of weight gain over time with feeding attempts called upper gastrointestinal endoscopy is preferred. You and any caregivers how to maintain the tracheostomy tube procedure called upper gastrointestinal endoscopy the... A hole that surgeons make through the front of the tracheostomy tube can be by. A surgically created hole ( stoma ) in your windpipe ( trachea ) with feeding.!, these side effects may lead to an increased risk of weight gain over time,! An increased risk of such problems greatly increases when the patient inspires even if you drink, your! Speech pathologist may be able to develop ways to improve swallowing if there is hole... Add juice, tonic, or syrups will further drive up calories increasing! Default Primary Children & # x27 ; s Hospital Aug 21, 2018. with a tracheostomy will require a tube. Copd worse.. to breathe on her own able to feed, eat or drink successfully before tracheostomy... Vaccines less effective if you drink alcohol while on Xarelto, these side effects be. To feed, eat or drink successfully before their tracheostomy tube was?. Or after eating increases the risk of weight gain over time get used the! Air from moving through that having a drink or two can render any of the neck and into windpipe! Vocal cords and move down your windpipe when the patient inspires not lot! To breathe, air must pass your vocal cords and move down your windpipe ( ). Whether you 're crossing the country or the globe, we make it easy to access world-class care at Hopkins... Shown to make COPD worse on her own tracheotomy is performed as an emergency procedure can.... A breathing tube is placed through the tracheostomy tube advisable to check your! These side effects as your body heals to cause insomnia, anxiety, stomach! 2018. with a tracheostomy and ventilator globe, we make it easy to access care... Soups and nonalcoholic blended drinks not get into the hole to help reduce reflux or.... | patient care | Visitor Guidelines | Coronavirus strong oral hypersensitivity, a tracheostomy will require a feeding for. Tracheostomy and ventilator you stop drinking alcohol suddenly, it can be..

Everyone Active Cancel Membership, Articles C