Hi! I am an SLP working in a SNF with a pt who underwent an EGD 10 days ago at the hospital with results indicating acute esophageal necrosis, black esophagus, hiatal hernia, and mild gastritis. Pt also with hydronephrosis and cholecystitis upon MRI of abdomen. Pt admitted to facility \ with mech soft but currently consuming less than 25% of meal, typically consuming natural puree, stating d/t feeling of nausea and symptoms of globus sensation with mech soft. Scheduled GI consult in 10 days. Educated on nutritional supplements, smaller meals, snacks, softer low fiber foods to help maintain nutrition. Is there something else I should be recommending? I plan on d/c'ing prior to GI appointment as there does not appear to be an oropharyngeal component. Is it common practice to discuss with the GI doctor the symptoms during meals by phone or note for appointment?
Thank you in advance!
Vanessa