My father is in hospice care and has developed excessive saliva and coughs a lot especially when he eats (his food is pureed and we put Thick-It in drinks). The hospice nurse has given him medication to reduce the amount of saliva. The medication helped initially but now he is back to coughing; it sounds like bronchitis to me. However, he has no fever, his lungs are clear, and his blood pressure is good. What else can be done to make him more comfortable? Thank you.

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My mom pockets a lot of saliva. I care for her at home. I got the doctor to prescribe a suction machine. When I cannot coax her to swallow, by giving her a piece of a cookie, I slide the tube from the machine into the side of her mouth. I push it gently against her teeth until she separates her teeth to bite it, lol, then I slide it on the the side of her tongue and it sucks out the saliva. You might want to let them know this at the facility.
God Bless.
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Reply to Melimar

It sounds like chronic aspiration which will get worse as the disease progresses. Next will be inability to swallow. He is on hospice so you probably do not want to increase care. To aid in draining you can try laying flat with fully turning on his side to let gravity drain for about 10 minutes.. But stay with him in case he vomits. You can also ask if he can get a portable suction device.
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Reply to MACinCT

Hm, this sounds very familiar. I don't mean to alarm you but they told me my mom's lungs were clear too although she sometimes coughed and gagged so much that I was sure she was drowning in her own saliva. After a couple of months of this she took a sudden turn for the worse and died of aspiration pneumonia.
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Reply to cwillie

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