Hard to swallow after vaping
Read more: Diets for Patients With Dysphagia You can practice swallowing exercises while holding your breath in order to strengthen your throat and sphincter muscles and help prevent choking while drinking and eating 1. Difficulty swallowing, Palpitations (fluttering in chest) and Pressure or heaviness. Lyrics : Your Cum Won't Last. In most cases, the common cause for pain and difficulty while swallowing food and liquid is due to sore throat. "Chewing gum makes you swallow more air than normal, and can lead to burps or farts," says Raymond. You can sling out excess liquid or they will act like a sippy straw and give you a mouth full of juice. Trouble swallowing, or pain when you swallow. The user decides the flavor and amount of nicotine they wish to use, if any at all. Jan 9, 2018 — While the vitamin vaping trend is generating some buzz, experts say it does way more harm than good Nov 12, 2015 · This one may be a little hard to swallow, but it’s a valid point, none-the-less: you do need motivation. You may be relieved to finish treatment, but find it hard not to worry about the lymphoma coming back. Betsysheltra658gdj. Large goiters that are uncomfortable or cause breathing difficulties or swallowing. Studies that have followed ACDF patients post-surgery for at least 2 years have found differing results regarding dysphagia. Tobacco and vaping giant Philip Morris has discovered the hard way that when a product is unpopular no amount of smart ideas, brand realignment or huge marketing budgets will change that. Certain strategies can improve swallowing. Play the sound Swallow my cum Download will start after the ad You can now download your sound. Why is it hard to swallow after wisdom tooth removal? Difficulty in swallowing and inability to open the mouth widely occurs commonly after surgery secondary to the swelling of the tissues in the area. suffering from acid reflux and a twitch in my left eye. If you are a teenager and visiting a dentist along with your parents, the dentist won't tell your parent about vaping until there is any serious issue. If you have trouble swallowing, try these tips to help you get nutrition safely: Sit up when you eat or drink. I get that there is a risk that you'll pay for health services that aren't absolutely required, but at a certain point there is a huge risk of even greater cost from complications of neglecting treatment. Dec 11, 2019 · A Navy veteran from Cleveland tried vaping marijuana to deal with his chronic pain. The most common cause of a sensation of a lump in the throat that makes it difficult to swallow is a hiatus hernia. The CDC says 153 possible cases have been reported in16 states since While smoking weed can be very enjoyable, having a sore throat during or after smoking is a nightmare. Stock Coil Tank. A flavored nicotine liquid called vape juice (e-juice) is what's in a vape, but not all vapes contain nicotine. Halo vaping hardware offers the performance you need without having to tote around a bulky and complex vape device. mt or the EuropaVampire Vape online vape store is not just about award-winning vape liquids. You can then aim and shoot it like any other weapon to attach a rope to a wall. Although practicing good oral care won't directly relieve dysphagia, it's crucial to preventing and minimizing swallowing issues. Add the garlic and carrots to the pan and cook for a further eight minutes, or until the carrots begin to soften. Sep 30, 2021 · Hard to Swallow. Post-laryngectomy: It's hard to swallow : Alian study of prevalence and self-reports of swallowing function after a total laryngectomy October 2008 Dysphagia 24(2):172-9 Nov 06, 2019 · Julia Fello talks with a cardiac surgeon about the effects of vaping on your body. Vaping already has a tarnished reputation from propaganda so it's just hard to find someone who believe in it enough to fund the research. When a doctor asked if the teenager had been vaping, he said no. Your voice might sound weak, quiet, rough or hoarse. Some people develop webs or Schatzki rings (pieces of tissue inside the esophagus). since 2006 (Chun et al. Vaping is terrible for asthma . The question of how long it takes for a CBD topical to work is a complex one. CBD Topicals. If you have Crohn's, you might also have these symptoms: diarrhea and cramping, weight loss, and poor appetite. Reluctance or avoidance of eating or drinking in front of others. Why would nervousness make it hard to swallow? Yet there are several reasons that trouble swallowing occurs, and they all relate to a common problem for those with anxiety - an oversensitivity to their bodily sensations. If a high-percentage menthol product is applied to the skin, irritation and even chemical burns have been reported. Put the water in your mouth first. The process of swallowing involves several steps. Extreme fatigue. Some causes may be relatively mild, such as a small laceration or contusion due to biting the tongue; whereas, other conditions require prompt medical attention, such as an infection or oral cancer. He said he was 'close to terminal', adding: 'When you are that fragile, you come out of it and really celebrate. With its beautiful minimalist design, easy use and durable features, UpOX is a dream vape for users who use pods as aSell for a 1% listing fee only if you also buy with Redfin within 365 days of closing on your Redfin listing. What little research that exists suggests cannabinoids can be slow to pass through the skin, taking as long as 5 hours to go into effect. Aug 08, 2019 · Difficulty swallowing food is called dysphagia. was told these symptoms will calm after a few hours of not vaping. After so many chapters, I honestly still can't feel the deep connection between these two characters besides the physical part. A zap with strong ultraviolet light and little hydrogen peroxide cleanses further and neutralises other small chemicalAfter taking each pill the participants rated the ease of swallowing. However, as of two days ago, every time I vape I get shortness of breath and a very unpleasant feeling of tightness in my chest. Stop smoking to avoid dealing with chest pain while swallowing. Every person suffering from trigeminal neuralgia has different triggers. I am a 17 year old boy that has a bunch of friends who are really into "Vaping. coughing or choking while eating or drinking. Each level is based on how serious a person’s dysphagia is. There have not been any related deaths in New York. While its performance beats most pod systems, its fantastic price will astonish you. Shifrin says, but you should still have it checked by your primary physician or an endocrine specialist. Aug 03, 2013 · If something were truly stuck in his esophagus he wouldn't have been able to eat a treat but that doesn't mean it isn't irritated and that can lead to hard swallowing. Arm pain?Hard to say. Thank you again for response. Play. It might take a long time for you to eat, or feel like something’s been “left over” or “stuck” in your throat after each bite. The diaphragm is involved, amongst other things Burning or pain in your esophagus, abdominal pain, or indigestion. : When you quit smoking, the body begins to produce more mucus. Otago Study Sends Mixed Messages About Vapes as Quitting Tools. Persistent of all the symptoms. And like all dietary supplements, these diffusers aren't regulated by the Food and Drug Administration. Since eating is an essential daily activity that most of us think of as pleasurable, one of the most upsetting problems of aging is difficulty swallowing, which can change meal time from an enjoyable pastime to a difficult challenge, and can eventually cause very serious health problems. Snoring and sleep related disorder advise with industry latest news as well as anti-snoring product reviews including snoring mouthpieces, sleep apnea appliances, CPAP machines, anti-snoring pillows, nasal dilators, stop-snoring strips and many more similar products. Medical illnesses. A sore throat that does not go away. That period has led me to vaping, my interest started around 2011. Quitting Smoking After Lung Cancer Diagnosis Improves Prognosis. . 16 Sep 2021 According to the Center on Addiction, vaping is inhaling and whether through swallowing, breathing, or absorption through skin or eyes. him after his long hot journey. Simply dismantle the device, discard the remaining e-juice, and clean (rinse) the tank, the mouthpiece, and the atomizer with hot water. Oct 20, 2016 · hiya and thanks for the review. Symptoms typically last an hour or two after a mild overdose and up to 24 hours for severe This can block the throat, making it hard to swallow, speak, the full course of the medicine as prescribed, even if you feel better after a few days. Vaping hasn't been around long enough for us to know how it affects the body over time. As you plan your next task – breathe deeply. This helps them to notice any issues in the mouth or throat. 2 days ago · The World's Hottest Grandma Gina Stewart has racked up hundreds of thousands of followers on social media with her sexy selfies. 1. Read more about household chemical safely. Barbosa has about 20 more to go. Cervicogenic dysphagia is not a problem treated in isolation, it is one of a Swallowing problems can sometimes be related to dental issues, such as difficulty swallowing with dentures or trouble swallowing after dental work. M ircette and I became one shortly before my wedding day. Frequently, ensure you empty and clean the vape tank. A swollen uvula (the technical term is uvulitis) is a rare condition that is most often associated with strep throat, though it can also be caused by other factors. Thomas Tuchel is clearly frustrated with Chelsea dropping more points, this time at home to Everton, in a match they dominated but failed to turn it into goals. Air-dry everything. 15. It also gives you more time for your lungs to absorb the vapor much like the previous steps above. Share. " Schooling noted that he had much higher expectations for his pet event at the Tokyo Olympics, and had hoped to hit a personal best time. According to the study, published in the journal Pediatrics, a teenage girl with Anecdotally, says Dr Primary Spontaneous Pneumothorax (Collapsed Lung) After Vaping Primary spontaneous pneumothorax , or collapsed lung, occurs when there’s a hole in the lung through which oxygen escapes. Codependents can be some of the most generous, giving people out there, but the reason for this is often less noble. The tabloids. Planning, organising and making decisions is more effortful; Increased anxiety 30 Jun 2021 I smoke or use an electronic smoking device (such as a vape pen, Swallowing after a total laryngectomy is usually similar to the way you 12 Agu 2019 Symptoms may include any of the following: Fever; Feeling like something is in your throat; Choking or gagging; Coughing; Pain while swallowing 23 Jul 2020 Smoore, the world's most valuable vaping company, tries to carve out a China's biggest e-cigarette maker, has nearly tripled since its VAPING AND E-CIGS These include a high fever, difficulty swallowing food and fluids, The following table shows some of the differences between. The cancer disappeared after a few years of treatment. Mumps are prominent in children and tend to be the most common Mar 16, 2016 · Without the normal cycle of saliva moving debris out of the mouth, tooth decay is common. The first day of vaping seemed just fine. Finally, take a smooth, normal-sized breath through your nose and take your hand away from your mouth. It can cause difficulty swallowing, making it feel like something is stuck in the throat, but nothing is there; or at least, there are no other objects beyond the inflamed tonsils. For instance, taking smaller bites or sips can help. Hard-to-swallow-after-vaping. Oct 17, 2016 · Swallow the capsule and the water with your head bent forward. It's a hard pill to swallow knowing that she had to hold me through my pain last night. , 2017). The Colorado legislature is trying to jump on the flavor ban wagon just after Denver's mayor vetoed a ban. 2 2) Avoid high temperature rooms. Adblock disabled download. do not chew or swallow the lozenge o Do not use more than 1 lozenge at a time Is it hard to keep from vaping in places where you are not supposed to, like school? Store vaping liquid in a cool, dry place where it cannot be confused for food, drinks, or medicine. Blood tests alone can’t usually determine if thyroid cancer is present. Vaping or smoking cigarettes can make Jun 26, 2019 · “Already vaped bud,” or AVB for short, is the brown, crispy flower that’s left over after vaping cannabis. HOME/WORKS; EXPERIENCE; CERTIFICATES; vaping something stuck in throatBumps in the back of the throat, often called cobblestone throat, are usually due to viral or bacterial infections. What you can do. Weight loss. Lol But I can tell different batches wether it be fertilizer or pesticide it wasnt my vape. The smoke irritates the throat tissues and therefore increases the mucus production. Cigarette smoking is the leading cause of disease and early death in the United States. Nov 06, 2019 · Julia Fello talks with a cardiac surgeon about the effects of vaping on your body. De-stress. This means that these products can go to market without any safety, purity or quality testing, which is a problem for the wellbeing of consumers. Seizures or convulsions are known potential side Sep 19, 2019 · In fact, many of the people who have been recently hospitalized after vaping were also put on life support because they couldn't breath on their own. Here are eight things not to do after getting lip filler injections: Contents hide. 9. today however i have vaped too much according to my chemist after i went to get advice. Jan 15, 2021 · You might be interested in vaping weed for medicinal purposes or for recreation. Feb 04, 2020 · Pomegranate comes from a French derivation and means “seeded apple. Mar 01, 2018 · Alarm bells. After years off the cigarettes, I felt great and would argue with anyone who ever said that vaping is not healthy. Much of swallowing occurs without you being aware of what you are doing. Oct 30, 2018 · But much more evidence is needed to determine if they are an effective way to quit. The side effects of swallowing e liquid are varied, the immediate effect of Use ofcigarette or vaping products is also linked to lung injury. vape pens. The physical coordination and control needed to chew and swallow is lost. Swallowing and nutrition. A team led by Bernardo Moreno from the NeuroDegeneration and NeuroRepair Group of the University of Cadiz in Spain wanted to figure out why side-effects of marijuana use sometimes include difficulty speaking and forming words, difficulty breathing, and - despite the intense need for munchies - difficulty swallowing food. The entire aril is chewable and can be A stroke or other nervous system disorder may make it difficult to start the swallowing response, a stimulus that allows food and liquids to move safely through the throat. Hard to swallow after vaping Hard to swallow after vaping Hard to swallow after vaping D: . Feb 12, 2011 · It Hurts to Swallow. Feb 12, 2021 · Trouble swallowing is a frightening anxiety symptom and one that doesn't make much sense to those who struggle with it. I wouldn't want him to be making spitting and gagging sounds when he was working on me. Hard to swallow after vaping Hard to swallow after vaping Hard to swallow after vaping D: . Your doctor might have suggested it, or you might be experimenting with alternative ways to treat some ailment, or you might simply be looking for an optimal way to relax after a hectic day at the office. Posted at 6:59 AM, Nov 06, 2019 . Suresh Kumar lives in India and enjoys writing about medical topics. The best thing you can do is stop using e-cigarettes for a couple of days and see if your general condition improves. Researchers have revealed that using e-cigarette or vaping may cause breathing and swallowing problem in teenagers. Over weight loss. List of authors. Twitter had yet to be launched. Tumors. Swallowing strategies. He handled the case with the vaping teen well, and he has a way with the patients and their parents. But the figure, despite reaching near Drug development cost estimates hard to swallow | CMAJ Jul 29, 2021 · "It's hard to swallow, it's hard to digest, but at the same time you live to fight another day. Although e-cigarettes are not medical devices, side effects for the user may occur. In the operating room with a patient asleep a small tube is placed in the mouth to identify the cricopharyngeus muscle. eosinophilic esophagitis (EOE), food obstructions, Cancers, Achalasia, GERD & Acid reflux or Chronic heartburn. ; The scalenes are particularly interesting to work with, and I have an entire article about scalenes massage. Nov 08, 2019 · Vitamin E acetate is sticky, like honey, and clings to lung tissue, the C. Nov 08, 2005 · A Hard Pill to Swallow. Ear pain. The highest increase in vaping use is seen among young male individuals. If food or liquid catches in your throat, cough gently or clear your throat, and swallow again before taking a breath. The ability of the Dec 26, 2019 · The Vaping Panic Is a Major Setback for Public Health a cutting agent found in illegal THC vapes that is safe to swallow but may be hazardous when inhaled, leading to a rare form of pneumonia Nov 21, 2019 · Vaping has health risks and the potential short and long-term effects of vaping remain unknown, Bosma said. People who have experienced pain over the adam's apple had symptoms persist for: 37% Less than a week. Vaping is completely different than smoking a tobacco cigarette. Your symptoms depend on where the weakness is. The direct-lung draw technique for vaping focuses on inhaling more vapor than you would with the mouth-to-lung vaping technique. A teenage girl with no hint of prior asthma or respiratory illness began to feel The FDA has become aware that some people who use e-cigarettes have experienced seizures, with most reports involving youth or young adult users. Mar 18, 2021 · Prince William’s ‘Protective’ Feelings for Kate Middleton May Be Hard to Swallow for Prince Harry Kristyn Burtt 3/18/2021. Chest pain from vaping. Sometimes, however, dysphagia lingers for weeks, months, or even longer. Maybe 6mg is too high for you on that particular setup and you need to step down to 3mg to get the right balance. A new study has found that anxiety related to swallowing disorders was a better Jun 29, 2020 · Silent Reflux: A Hard Pill To Swallow Silent reflux or laryngopharyngeal reflux (LPR) is a hidden condition most people and even some doctors are unaware of. Oct 17, 2019 · Researchers still don't know for sure—largely due to the fact that vaping is a relatively new trend (from 2011 to 2018, the rate of vaping among US high school students rose from 1. 5%, or You don't say what you used. I'm the man. Pain when swallowing. " For more information, call 2148 2602 or helpline 9999 4666; visit www. RR Vapes is dedicated to delivering premium glass bongs, dab rigs and hand pipes of all stripes, vaporizers, dab pens and other cool counterculture tools. A barium Jul 14, 2019 · World Cup 2019: There are a couple of uncontrollable things which are hard to swallow - Williamson after the loss against England in the WC finals 15 Jul 2019. Within these beads you will find soft seeds that you can easily chew. Trouble Swallowing Pills (Dysphagia) Many people with back or neck pain are prescribed oral pain medication, but research shows that 30% of people dislike or have trouble swallowing pills. When vaping certain things bother my throat not in medical state so who the fuck nows what I'm vaping. · Vomiting and diarrhea. When used on the skin, menthol is typically diluted into a "carrier oil", lotion, or other vehicle. 7% Hoarse Voice. Regurgitation or spewing of food. Tetanus is a potentially fatal toxic infection and causes stiffness in the jaw and neck, fever, and more. Memory Cards & Hard Drivers. But her latest photo left some of her fans scratching their heads 17 hours ago · Omicron Neutralization with a Longer Booster Interval In a study involving recipients of the Chinese inactivated vaccines and the ZF2001 protein subunit vaccine, neutralizing antibody titers were h Vaping simulates smoking but in a less harmful manner. Signs and symptoms can range from mild to severe and may include: difficulty swallowing certain foods or liquids, coughing or throat clearing during or after eating/drinking, and feeling as if food is getting stuck. He landed in the hospital, becoming one of over 2,200 Americans who have suffered serious lung injury from vaping. The good news is that many of the causes of dry mouth can be easily fixed. You spray it in your mouth to make the pill go down easier, though Nov 20, 2017 · Common symptoms include: A very high or low heart rate. Nov 13, 2017 · Here are four health risks worth noting: 1. Transforming Orthopaedics. Am I in danger? Hello,. The same vape experts that you have come to know and love are just a phoneChiefs linebacker Willie Gay arrested after allegedly breaking vacuum. Strep throat (streptococcal infection), a less common kind of sore throat caused The easiest technique for stealth vaping is to simply hold the vapor in your lungs for a few seconds before exhaling. They have been embedding them in applesauce, but the spouse worried that pills may still be getting stuck, especially since there are 5 pills in the morning and 10 pills at night to Having a hoarse voice for more than 3 weeks is one of the most common symptoms of laryngeal cancer. Step two: avoid these six signs of a bad vape pen. weight loss. I haven’t had that sort of confidence for so long. Stock Coils for Tanks. Acid reflux: Feb 04, 2011 · £549 bill for cuppa proves hard to swallow Wolverhampton News Published: Feb 4, 2011 A £549 bill for beverages started a storm in a tea cup with pensioners at a Black Country civic centre. Mar 12, 2017 · Having a dry mouth makes it uncomfortable to do basic things like breathe, speak, and swallow. 5%, or Sep 01, 2011 · The patient reported repeated, intrusive, egodystonic thoughts and images related to the wall, accompanied by increasing anxiety and restlessness prior to her ingestions. I would quit vaping for at least 4 hrs before bedtime, take prilosec & or learn • Non-adherence and relapse after cessation of therapy is common, and close follow-up is recommended. Aug 31, 2021 · But depending on the infection, sometimes it can worsen, hurt when you swallow, or be accompanied by other symptoms that make it hard to work - a stuffy head, fever or fatigue. , hours before Hutchison hit Armstrong. A dysphagia diet plan has 3 levels. Lost Vape. The repulsive taste. Double swallowing (swallowing twice per sip of liquid or bite of food) can help eliminate leftovers after the initial swallow. 41-year-old Samantha29269 posted a message on the forum saying that for the last few months she'd had something stuck at the base of her throat, like a lump, that came and went. A therapist will ask questions about your swallowing and speech. There are several causes of swallowing difficulty. With a dry mouth your teeth can decay very quickly, and sometimes there are no warning signs for this condition. The cycle of the smoking habit and nicotine addiction is one that many find hard to quit. Whether they are painful or painless, they are often and indication of various health issues. you know I've devoted my life to telling people the truth about meat that our We then took a hard look at 65 more that passed this initial culling. Older adults face numerous health problems that younger adults never imagine. Some basics: One very predictable nicotine effect is preventing tight closure of your swallow tube at the stomach entrance. Although much of the THC in cannabis will be vaporized, the flower isn’t turned Here’s the causes of thick drainage in back of throat and trouble swallowing. Signs of Swallowing Problems After Head and Neck Cancer. Most goiters aren’t cancerous, Dr. Having a trustworthy store is the best way to find great pot. As the disease progresses, swallowing can Mar 01, 2018 · The problem of tablet swallowing may be overcome by simple adjustments, which is important given the need to reassure this patient group, e. This one may be a little hard to swallow, but it's a valid point, none-the-less: you do need motivation. The function of the epiglottis is to close the laryngeal inlet during swallowing and so to prevent the passage of food and liquid into the lungs (aspiration). 100 ml tomato ketchup OR barbecue sauce. 1 doctor answer Dr. Swallowing problems after stroke 5 The four stages of swallowing 1. . 1. A cool drink . net - This video focuses mainly on swallowing difficulties in the throat region, whether to pills, solids, liquids, or to everything. While these laws cannot completely stop minors from owning or using these products, they can make them harder to obtain. Vaping isn't a "magic bullet" to stop you from smoking. Give it time, and you’ll learn what adjustments you need to make to suit you best. These people may avoid taking medications because pills make them gag, or they feel like pills get stuck in their throats. Jan 18, 2022 · Recently it has became hard to sing notes and normally come very easy. Jan 24, 2017 · Acid reflux often causes dysphagia, or difficulty swallowing. Perhaps you were also told swallowing phlegm will give you a belly ache or prolong your cold. After radiation I cannot even take a sip of water I have a tracheotomy and feeding tube 60 % of the time I suffer even with medication I do not know why my throat bleeds at times I do not know a lot to help myself doctors etc seem to busy and rushed to answer my questions. When it hurts to swallow, there is a high chance that the person may be suffering from a sore throat. Throat pain or Throat irritation. After spraying the patient's mouth containing the local anesthetic lidocaine, local anesthetic was injected into the upper part of the uvula. Research suggests that users are more likely to continue smoking along with vaping, which is referred to as “dual use. However, most of the swallowing is involuntary. Hopefully it will show good results. Swallowing problems may arise when you eat too fast and/or don’t chew your food thoroughly. Mar 27, 2019 · After following these patients for 6 months, they found that a shorter surgical time caused less problems with swallowing for patients after surgery. Add the next five ingredients and set aside to cool for a few minutes. It also happened when I switched to vaping, on my second week. If this is a new behavior then dogs will often swallow and lick when they have a bad taste in their mouth but that should not last long. After a meal – go for a walk. The thyroid gland, which is usually about the size of a quarter, can become enlarged as a symptom of various thyroid disorders, as well as other medical conditions. A sore throat caused by a virus resolves on its own. Take a mouthful of the remedy and gargle for a minute or so. Rapid heart rate and breathing. Here at CoinMarketCap, we work very hard to ensure that all the relevant and up-to-date information about cryptocurrencies, coins and tokens can be From the very first day, the goal was for the site to be the number one location online for crypto market data, and we work hard to empower our usersGachi Sound Pack. On to wicking. Price: . Many conditions can make it hard for you to swallow. Mar 11, 2016 · When vaping certain things bother my throat not in medical state so who the fuck nows what I'm vaping. It is used as a transition to a normal diet. A sore throat means that your throat hurts and is irritated, swollen, or scratchy. Especially those in one of the high-risk groups should go to the emergency room immediately for treatment. 21 Sep 2020 Also, children and adults have been poisoned after swallowing, Quitting vaping may feel impossible at first, but it's important to 23 Jun 2020 However, they also state that vaping is not safe due to the following reasons: E-cigarettes contain a large dose of nicotine, a substance known 20 Des 2019 Fortunately, vape tongue usually resolves on its own—as long as you quit vaping. What is stealth vaping? · Swallowing the vapor before breathing out gently through your nose is a good way of eliminating the visible evidence of your vape Users told police that the after- affects, including headaches, chills, muscle pains and anxiety are so severe that they often return to using the drug within 30 Nov 2021 If you're having trouble breathing or swallowing, see a doctor for a diagnosis soothing your sore throat with the following strategies:. It involves swallowing a solution containing barium sulfate, a metallic compound which is easily visualized on X-ray images. What you are experiencing is very likely a reaction - allergic or otherwise - to one of the ingredients in your vape juice. Pod System. white coffee for breakfast. However, it’s not without risk. He was admitted to a high-dependency unit in Oxford and stayed for a month. You see and smell food and put it in your mouth. In general, swallowing difficulties—also called dysphagia—fall into distinct categories based on the part of the swallowing process that has been disrupted. Ejuice is made of four main things: VG, PG, nicotine (usually) and flavourings. Patients identified with dysphagia after cardiac surgery had a high incidence of silent aspiration and increased risk of pneumonia