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Hi, new here, My husband has dementia, he has had it a while. One of the current problems we are having is his cough. It usually starts with drinking and worse eating any suggestions?

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Check with his doctor about the medicines he takes. Beta blockers and ACE inhibitors can cause a cough.

Please call hospice for an evaluation. Hospice will provide help to you as well as husband. My husband is in a facility and in hospice care. He has swallowing problems, and they cause him to cough. There are breathing treatments that aides administer after his coughing episodes. He recently aspirated and had aspiration pneumonia; antibiotics prescribed by the hospice doctor cleared it up.

I'm relating this because you need to know that in hospice care, options are available (they don't just let them die like some people think). It was totally my call if he should receive antibiotics. I am very grateful that within days he was restored to the quality of life that he still has - enjoying visitors, interacting with his aides, and sitting in the sunshine.
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Reply to Fawnby
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This sounds like he is starting to aspirate fluids and some solids.
You may have to begin thickening all liquids and mincing solid foods.
Aspiration can be deadly. It can lead to what is called Aspiration Pneumonia.
There are products that will thicken liquids. A little will thicken it so a cup of coffee or juice is as thick as nectar and adding more you can thicken that liquid so it is as thick as oatmeal or pudding.
You can talk to his doctor about it. They may have you schedule him for a "swallow test" and then they will show you how to thicken things that need to be thickened.
I will caution you about any what I call "slippery" foods. Things like peaches, nectarine, oranges can slide down the "wrong way" very easily. Also solid things that turn to liquid should also be monitored so no ice cream, popsicles, jello as they can be aspirated easily.
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Reply to Grandma1954
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Not to scare you but to me it sounds like your husband's food and drink are now going into his lungs causing him to aspirate both and cough. This is a very serious issue and you need to get him to his doctor or the hospital today, as most people don't survive aspiration pneumonia.
My late husband too would cough after eating and drinking, and I finally realized that something was not right and called 911 and had him transported to the ER, where it was discovered that he had aspiration pneumonia and was told that he wouldn't make it through the night. The ER doctor shared with me that because my husband had dementia that his brain was forgetting to tell his throat to close thus allowing his food and drink to go into his lungs.
Now in my husbands case, he did survive but ended up with sepsis and septic shock and completely bedridden until he died 22 months later in our home.
I had to puree all his foods and thicken his drinks with the product Thick It going forward to try and prevent his food and drink going back into his lungs.
So PLEASE take this issue seriously!
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Reply to funkygrandma59
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Hope21 Jun 19, 2026
I am so sorry you experienced so much suffering. Thank you for sharing the knowledge from your experience to help others here.
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This is a question for his doctor who would be able to get more information from you and do a physical exam and maybe even imaging. A cough is a symptom, and a very generic, common one. There are too many things which can cause it, like swallowing problems (dysphagia).
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Reply to Geaton777
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