A 15 month old boy presented with history of recurrent vomiting and regurgitation of feeds since birth. He was admitted once in PICU with aspiration pneumonia, and required mechanical ventilation. There was history of noisy breathing since birth with no change on changing position. Child was neurologically normal and thriving well.
A Fiberoptic Endocopic Evaluation of Swallowing (FEES) was performed which showed aspiration of milk into the trachea while swallowing, suggestive of swallowing dysfunction.
Patient was discharged on gastro-jejunal feeds via PEG tube.