Aerophagia is diagnosed in 8.8% of cognitively delayed patients where the coordination between swallowing and respiration is impaired and not well-defined. Aerophagia is a dangerous potential side effect of
non-invasive ventilation (NIV), commonly used in treatments of respiratory problems and cardiovascular critical care or in surgery when a general
anaesthetic is required. In the case of aerophagia during NIV, it is normally diagnosed by experienced medical specialists who check on patients intermittently during NIV use for any emergent problems. The diagnosis is based on the sound heard by listening through a
stethoscope placed outside the abdominal cavity. Using this approach, the problem is sometimes detected later than when it develops, possibly also later than necessary. Belated detection or response to aerophagia may lead to gastric distension, which in turn could elevate the
diaphragm or cause aspiration of the stomach contents into the lungs or pneumatic rupture of the
esophagus due to extreme gastric insufflation. == See also ==