Inclusion Criteria:  Patients of either gender. Patients within 7 days of acute ischemic or hemorrhagic stroke confirmed by computed tomographic scan of the brain who required nasogastric feeds for >24 hours, and could be recruited within 48 hours of NGT insertion Age above 13 years.  Exclusion Criteria:  Patients with aspiration pneumonia at the time of presentation. Patients with a history of chronic neurodegenerative diseases that could affect swallowing (e.g. Parkinson disease and motor neuron disease) Poor postural control (unable to sit up for swallowing assessment). Esophageal disorders, Contraindications to metoclopramide.