Brutal Throat Gagging

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Brutal Throat Gagging
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My nephew is 28 and was born with cerebal palsy. He is confined to a wheelchair, does not walk or talk and in the last several years, when he started gagging, has been fed through a tube in his stomach. My sister has taken him to several different doctors without any resolution. He has been on medication for heartburn, no help. She started using lowfat ensure, no help. He also has pain in his shoulder and just resently she found a lump by his neck. When she presses on the lump it moves.
The gagging seems worse in the morning and he sometimes gags to the point he throws up clear mucus. Then there are some days when he doesn't gag as much. So far we haven't been able to figure why that might be when his routine didn't change.
My sister is very worried and does not know where to turn. My nephew doesn't seem to be in pain except for his shoulder from time to time. He hasn't lost weight and seems to be ok when he isn't gagging.
Does anyone have any suggestions.
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I have a 2-1/2 yr old daughter that was born with a cleft lip/palate (among other things) and had to have a g-button placed and a Nissin fundoplication at the age of 3 months. From the beginning she had extreme gagging and everyone I asked told me it was "normal" and it may or may not go away. We finally got to a GI DR. that put her on Prilosec and although she still has some gagging it has gotten better. Hope this helps.
John C Hagan III, MD, FACS, FAAO Jun 08
John C Hagan III, MD, FACS, FAAO 12/20
John C Hagan III, MD, FACS, FAAO 04/18
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THIS is the terrifying moment a female student is bound, gagged and attacked by a burglar during a Zoom call with other classmates.
Footage shows the intruder entering the teen’s home in Durango, Mexico as her classmates watch on in horror.
The student was in the middle of an English lesson taking place remotely as a result of the coronavirus pandemic.
A shocking clip of the call shows the intruder tie her up and gag her in front of her classmates.
As the intruder enters, the student lowers the computer’s camera so that no one can see the alleged crime.
Footage posted online shows the woman, named ‘Ariana’ on the Zoom chat, sitting deadly still as she tries not to disturb the intruder as he sneaks around the house.
The thief later found car keys in the house and fled the scene in a stolen car.
Antonio Bracho, director of Municipal Public Security, said a call for help had been received from the girl’s shocked classmates.
But by the time that the authorities arrived the attacker had left the scene.
Concerned neighbours also called the victim's mother, who rushed to the house to check on her daughter.
The young woman has been giving counselling by Mexico’s Unit for Attention to Family and Gender Violence.
Authorities also confirmed that the vehicle stolen by the assailant has been recovered.
Though the assailant has been identified, he has not yet been arrested, the Durango Prosecutor’s Office said.
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