###Human: Baby placed with tracheostomy & gastrostomy tube. Doubt regarding aspiration. ###Assistant: Hi. The aspiration of feeds is due to the presence of bulbar palsy and palate pharyngeal muscle incoordination. As per the doctor's advise, try to improve the nutrition of the child and weight. Once the child gains a proper weight, then decannulation (removing tracheostomy tube) can be planned depending on the child's fitness. Be in follow-up with the doctor.  The child will be fine. For further queries consult a paediatrician online -->