Reggie has recovered from his fundal ligation surgery, but the problem isn't 100% resolved. Although he doesn't seem to be refluxing on food, his cough is aggravated by feeding. He is coughing a lot on his drool. Feedings can increase oral secretions. Robinol does work to dry secretions, but it also seems to make secretions worse when he isn't taking it.
The plan is (1) to decrease the volume of feedings and give over 5 times per day. (2) give Robinol first thing in the morning. (3) make follow up appointments with GI and ENT. (4) do some swallow therapy.
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