This sounds very challenging, but, as I have posted on this child before, there is nothing normal or simple about what is going on. Normal children do not aspirate. The baby sounds as if it's been injured (with evidence of facial asymmtetry, discoordinated tongue movements, poor feeding and now aspiration) or has something equally or much more serious going on. This child also, as you had previously posted, had colored emesis. I would guess, with evidence on swallow study that the baby is aspirating, that the cyanotic episode was not just reflux and that this child has difficulty protecting the airway. I would urge you to be cautious in your recommendations until the underlying cause of this baby's problems is more aggressively investigated. Jenny Thomas, MD, FAAP, IBCLC www.drjen4kids.com *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html