Deans' stroke musings: Cough reflex induced by capsaicin inhalation in patients with dysphagia

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, April 9, 2014

Cough reflex induced by capsaicin inhalation in patients with dysphagia

I'm quite positive you will never get this test. Inhaling the hotness of peppers seems unlikely to be aproved by your hospital.
http://informahealthcare.com/doi/abs/10.3109/00016489.2010.516013

January 2011, Vol. 131, No. 1 , Pages 96-100 (doi:10.3109/00016489.2010.516013)

Yoshimasa Imoto ¹, Akihiro Kojima ², Youko Osawa ², Hiroshi Sunaga ³ & Shigeharu Fujieda ¹

¹Division of Otorhinolaryngology Head & Neck Surgery, Department of Sensory and Locomotor Medicine, Faculty of Medical Science, University of Fukui, Fukui

²Department of Otorhinolaryngology, Tannan Regional Medical Center, Fukui

³Department of Otorhinolaryngology, Maizuru Kyosai Hospital, Kyoto, Japan

Correspondence: Shigeharu Fujieda MD, Chairman of Otorhinolaryngology Head & Neck Surgery, Department of Sensory and Locomotor Medicine, Faculty of Medical Science, University of Fukui, 23 Shimoaizuki, Matsuoka, Yoshida, Eiheiji, Fukui, 910-1193, Japan. +81 776 61 8407. +81 776 61 8118. sfujieda@u-fukui.ac.jp

Abstract

Conclusions: We conclude that the capsaicin inhalation test is useful to directly assess cough reflex and sensation around the larynx, while it indirectly reflects central nervous system function. Objectives: To understand the state of the cough reflex before patients with dysphagia start eating. Methods: We studied the cough reflex by the capsaicin inhalation test in 21 patients with dysphagia and 12 healthy persons without dysphagia. Results: The control group showed a cough reflex at a capsaicin concentration of 2.61 μM (0.98–7.80), while patients with mild dysphagia did so at 7.28 μM (1.95–15.6), those with moderate dysphagia at 22.07 μM (15.6–62.5), and those with severe dysphagia at 71.75 μM (31.2–250). Control vs mild p < 0.01, control vs moderate p < 0.01, control vs severe p < 0.01, mild vs moderate p < 0.01, mild vs severe p < 0.01, moderate vs severe p < 0.05. There was a significant correlation between the grade of dysphagia and the threshold capsaicin concentration that provoked a cough reflex (ρ = –0.796, p < 0.001).