How is oral intake reinstituted following the treatment of botulism?

Updated: Feb 15, 2019
  • Author: Kirk M Chan-Tack, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Nasogastric suction and intravenous hyperalimentation are important when an ileus is present. If no ileus is present or when the ileus resolves, tube feeding can be used for nutritional supplementation.

Oral intake should be reinstituted gradually under the following conditions:

  • Respiratory status is stable without mechanical ventilation.

  • Swallowing safety has been assessed and confirmed with a swallowing study, as appropriate.

  • Ileus has resolved.


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