question: As babies we learn to drink from a bottle while lying down, but as adults we easily choke on a small sip of water. At what point do we lose the ability to drink while lying down?
comment: Drinking from a hole in the nipple where the stream and amount of liquid is regulated is much easier than drinking sips/gulps of water while lying down. When you drink water lying down, you are increasing the chance of aspirating water into your lungs, which increases the risk of aspiration pneumonia (serious for the elderly). Other risk factors are having the water go into your sinuses or Eustachian tube. Source: RN who works closely with speech therapists and swallow studies for patients with dysphagia.
passages: ""We are having a particularly hungry period and [I] can quite truthfully say that our mouths water, and that we 'slaver' as dogs do before meals. Some of us find it advisable to rise slowly after lying down, as due to malnutrition, any rapid movement is apt to cause dizziness or even a black-out ... one morning recently I awoke and discovered to my horror that my sight had become very dim. Later I realised this was due to vitamin deficiency in our poor diet.""
   Eugene's mother Mary did attend a Catholic school in the Midwest, Saint Mary's College, of Notre Dame, Indiana. Subsequent to the date when the play is set (1912), but prior to the play's writing (1941–42), Eugene's older brother Jamie did drink himself to death (c. 1923).
   When a liquid enters a human mouth, the swallowing process is completed by peristalsis which delivers the liquid to the stomach; much of the activity is abetted by gravity. The liquid may be poured from the hands or drinkware may be used as vessels. Drinking can also be performed by acts of inhalation, typically when imbibing hot liquids or drinking from a spoon. Infants employ a method of suction wherein the lips are pressed tight around a source, as in breastfeeding: a combination of breath and tongue movement creates a vacuum which draws in liquid. 
   After age 5, wetting at night—often called bedwetting or sleepwetting—is more common than daytime wetting in boys. Experts do not know what causes nighttime incontinence. Young people who experience nighttime wetting tend to be physically and emotionally normal. Most cases probably result from a mix of factors including slower physical development, an overproduction of urine at night, a lack of ability to recognize bladder filling when asleep, and, in some cases, anxiety. For many, there is a strong family history of bedwetting, suggesting an inherited factor.
  
  Section::::Causes.:Nocturnal enuresis.:Slower physical development.
   Nighttime incontinence may be one sign of another condition called obstructive sleep apnea, in which the child's breathing is interrupted during sleep, often because of inflamed or enlarged tonsils or adenoids. Other symptoms of this condition include snoring, mouth breathing, frequent ear and sinus infections, sore throat, choking, and daytime drowsiness. In some cases, successful treatment of this breathing disorder may also resolve the associated nighttime incontinence.
  
  Section::::Causes.:Nocturnal enuresis.:Structural problems.
   If water enters the airways of a conscious person, the person will try to cough up the water or swallow it, often inhaling more water involuntarily. When water enters the larynx or trachea, both conscious and unconscious persons experience laryngospasm, in which the vocal cords constrict, sealing the airway. This prevents water from entering the lungs. Because of this laryngospasm, in the initial phase of drowning, water generally enters the stomach and very little water enters the lungs. Though laryngospasm prevents water from entering the lungs, it also interferes with breathing. In most persons, the laryngospasm relaxes some time after unconsciousness and water can then enter the lungs causing a "wet drowning". However, about 7–10% of people maintain this seal until cardiac arrest. This has been called "dry drowning", as no water enters the lungs. In forensic pathology, water in the lungs indicates that the person was still alive at the point of submersion. Absence of water in the lungs may be either a dry drowning or indicates a death before submersion.
   In people admitted to hospital, a bedside "water swallow test" is often performed to determine whether there might be need for more detailed swallowing assessment. The test is more reliable when larger amounts of fluid are used. When assessing the swallowing, the test is abnormal if there is coughing or choking, or if the voice changes because of aspirated fluid resting on the vocal cords.
   There are surviving examples of "puzzle wassail bowls", with many spouts. As you attempt to drink from one of the spouts, you are drenched from another spout. The drink was either punch, mulled wine or spicy ale.
  
  Section::::See also.
  
  BULLET::::- Apple Day
  
  BULLET::::- First-Foot
  
  BULLET::::- Jasličkári
  
  BULLET::::- Koleda
  
  BULLET::::- Mari Lwyd
  
  BULLET::::- Mummers Play
  
  BULLET::::- Julebukking, Scandinavia
  
  BULLET::::- Wassail
  
  BULLET::::- Wish Tree
  
  BULLET::::- Yule Goat
  
  Section::::References.
  
  BULLET::::- "Oxford English Dictionary"
  
  BULLET::::- Merriam-Webster Online Dictionary "Wassail."
  
  BULLET::::- Birmingham Museums & Art Gallery Wassail Bowl
   Presbyphagia refers to characteristic changes in the swallowing mechanism of otherwise healthy older adults. Although age-related changes place older adults at risk swallowing disorders, an older adult’s swallow is not necessarily an impaired swallow. Clinicians are becoming more aware of the need to distinguish among swallowing disorders, presbyphagia (an old yet healthy swallow) and other related diagnoses in order to avoid over diagnosing and over treating presbyphagia. Older adults are more vulnerable and with the increased threat of acute illnesses, medications and any number of age-related conditions, they can cross the line from having a healthy older swallow to being dysphagic.
   If the dwile misses completely it is known as a "swadge". When this happens, the flonker must drink the contents of an ale-filled "gazunder" (chamber pot ("goes-under" the bed)) before the wet dwile has passed from hand to hand along the line of now non-girting girters chanting the ceremonial mantra of "pot pot pot".
   Drooling or sialorrhea can occur during sleep. It is often the result of open-mouth posture from CNS depressants intake or sleeping on one's side. Sometimes while sleeping, saliva does not build up at the back of the throat and does not trigger the normal swallow reflex, leading to the condition. Freud conjectured that drooling occurs during deep sleep, and within the first few hours of falling asleep, since those who are affected by the symptom suffer the most severe harm while napping, rather than during overnight sleep.
   William Samuel Booze
  
  William Samuel Booze (January 9, 1862 – December 6, 1933) was a U.S. Representative from the third district of Maryland.
  
  Born in Baltimore, Maryland, Booze attended the public schools in Baltimore and graduated from Baltimore City College in 1879. Afterwards attended the University of Maryland School of Medicine and graduated with a degree in medicine from the College of Physicians and Surgeons, New York City, in 1882.
   This stage was introduced in many protocols as it was found that many people were too quick to undertake potentially dangerous interventions, such as abdominal thrusts, for items which could have been dislodged without intervention. Also, if the choking is caused by an irritating substance rather than an obstructing one, and if conscious, the patient should be allowed to drink water on their own to try to clear the throat. Since the airway is already closed, there is very little danger of water entering the lungs. Coughing is normal after most of the irritant has cleared, and at this point the patient will probably refuse any additional water for a short time.
   Waters signed a football scholarship at Clemson University. As a junior in 1968, he competed with Billy Ammons for the starting quarterback job, winning it after Ammons hurt his knee in spring practice. After a 0-3-1 start, Ammons was made starting quarterback again and Waters moved to split end for the remaining 15 games of his college career. As a senior, he caught 44 passes for 738 yards, and even though his season was cut short with a shoulder separation, his record stood until Jerry Butler broke it in 1977.
   As I drew near the bed and examined the young man more strictly, I saw that he breathed still, but he could not speak and his mouth as all in a froth. I found his belly open and his very entrails and stomach hanging out upon his thighs. Not knowing what to do to 
   Section::::Early life and education.
   After the war, Daniel continued in his private law practice while remaining active in the anti-alcohol cause. He was elected president of the Maryland Temperance Alliance when it was formed in 1872. He was re-elected to that position annually for the next twelve years. During that time, the local option law Daniel favored while in the legislature became law; thirteen of the state's twenty-three counties (including Somerset) adopted prohibition under the statute. Throughout his leadership of the Maryland Temperance Alliance, Daniel remained a member of the Republican Party, but in 1884 he left to join the small Prohibition Party.
   The view of consuming wine in moderation has a history recorded as early as the Greek poet Eubulus (360 BC) who believed that three bowls (kylix) were the ideal amount of wine to consume. The number of three bowls for moderation is a common theme throughout Greek writing; today the standard 750 ml wine bottle contains roughly the volume of three kylix cups (250 ml or 8 fl oz each). However, the kylix cups would have contained a diluted wine, at a 1:2 or 1:3 dilution with water. In his circa 375 BC play "Semele or Dionysus", Eubulus has Dionysus say:
   On 12 December 1799, Washington spent several hours riding over the plantation, in snow, hail and freezing rain. He ate his supper later that evening without changing from his wet clothes. The following day, he awoke with a severe sore throat (either quinsy or acute epiglottitis) and became increasingly hoarse as the day progressed. All the available medical treatments failed to improve his condition, and he died at Mount Vernon at around 10pm on Saturday, 14 December 1799, aged 67.
   Drowning is more common when the weather is warm and among those with frequent access to water. Risk factors include alcohol use, epilepsy, and low socioeconomic status. Common locations of drowning include swimming pools, bathtubs, natural bodies of water, and buckets. Initially the person holds their breath, which is followed by laryngospasm, and then low oxygen levels. Significant amounts of water typically only enter the lungs later in the process. It may be classified into three types: drowning with death, drowning with ongoing health problems, and drowning with no ongoing health problems.
   Philip Lybbe Powys Lybbe
  
  Philip Lybbe Powys Lybbe (12 June 1818 – 12 September 1897) was an English rower, barrister and Conservative politician who sat in the House of Commons between 1859 and 1865.
   In 1981, he was first elected to the Maryland Senate. He served in the Maryland Senate until 1999. Boozer was the minority leader from 1996 until he was defeated in 1999. Boozer was also a minority whip, holding this position from 1990 until 1996. 
   It has been shown that diet impacts enuresis in children. Constipation from a poor diet can result in impacted stool in the colon putting undue pressure on the bladder creating loss of bladder control (overflow incontinence).
  
  Some researchers, however, recommend a different starting age range. This guidance says that bedwetting can be considered a clinical problem if the child regularly wets the bed after turning 7 years old.
  
  Section::::Diagnosis.:Classification.:Secondary nocturnal enuresis.
   The 'wine cask' was invented by Thomas Angove (1918–2010) of Angove's, a winemaker from Renmark, South Australia, and patented by the company on April 20, 1965. Polyethelene bladders of 1 gallon (4.5 litres) were put into corrugated boxes for sale to consumers. An original design required that the consumer cut the corner off the bladder inside the box, pour out the desired quantity of wine and then reseal it with a special peg.
   Generally, in the early stages of drowning a person holds their breath to prevent water from entering their lungs. When this is no longer possible a small amount of water entering the trachea causes a muscular spasm that seals the airway and prevents further passage of water. If the process is not interrupted, loss of consciousness due to hypoxia is followed rapidly by cardiac arrest.
  
  Section::::Pathophysiology.:Oxygen deprivation.
  
presuppositions: Adults lose the ability to drink liquid laying down. Drinking from a bottle while lying down requires the same skill as drinking a small slip of water while lying down.
corrections: Liquid can be drank laying down if it is a controlled and regulated amount.  Drinking from a bottle while lying down is much easier than drinking a small slip of water while lying down.
raw_presuppositions: Adults lose the ability to drink liquid laying down. Drinking from a bottle while lying down requires the same skill as drinking a small slip of water while lying down.
raw_corrections: Liquid can be drank laying down if it is a controlled and regulated amount.  Drinking from a bottle while lying down is much easier than drinking a small slip of water while lying down.