Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have a grand son who have cerebal palsy,and he has a problem where he cough constantly and he get choaked all the time and he spits up his food and it come out his nose had this have been going on and on for years, he had a cyst removed from his throat in august and that was suppose to help but it did not, he have been to throat drs. lung dr.and this is really getting bad and I dont no what else to do, he has Medicade and some Drs wont see him and this is getting worse, and worse, I dont no what else to do , he get severly choaked all the time, please help if u can, Im so tired. Grand mother Mary
[|AI|]  Hello, Thanks for the query to Chat Doctor. Forum. Sometimes doctors cant do anything except helplessness. In your grandson case same thing is there. When any person gulp anything it enters into esophagus (food pipe) and enter into stomach. When we inhale air it enters into larynx from pharynx and from larynx to lungs. This is the way. In cerebral palsy patient is not able to raise his esophagus above the level of larynx and this food or fluid enter into larynx and this develops cough or chocking sensation. Here I want to say that there is also palsy of esophagus (oropharynx portion) so food don't enter into food pipe. This is the reason of cough and chocking sensation. In my opinion consult a plastic surgeon and reconstructive surgery of esophagus is the only an option. Good luck.