 [ Symptoms ] my grandfather passed away at hospital choked on food [ Disease ] i am so sorry for your loss in my opinion he would have many possibilities ards may have happened after his stroke that has caused bulbar symptoms this could have lead to aspiration of some food that caused spesis in the lung causing ards but although ards is a life threatening case i think it was not the direst cause of death i think he may has had stroke heart  due to bed stay and ards and this was the cause of arrest