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Other things that can cause you to aspirate are: Seizures Fatigue Acid reflux A loss of mental ability A loss of muscle tone or coordination that interferes with how well you chew or swallow A reaction to medication Throat cancer Head and neck injuries A stroke Nervous system disorders like amyotrophic lateral sclerosis (ALS), Parkinson's disease, and multiple sclerosis Eating or drinking too fast Dental problems Mouth sores Radiation or chemotherapy for your throat or neck Frequent vomiting Breathing machines or feeding tubes Intracranial tumors Gastroesophageal reflux disease (GERD) Silent Aspiration Silent aspiration happens when you inhale a liquid, beverage, or other item into your airway without knowing