Aspiration may be transcribed , long (strong) aspiration . Bacterial pneumonia and aspiration pneumonia may result. On bone marrow aspiration or biopsy, megaloblasts are seen. Its main characteristic is permanent aspiration and desire. Diagnosis is generally based on bone marrow aspiration and specific blood tests. Treatment can include surgical removal of the tissue with vacuum aspiration or misoprostol. Death may occur due to inhalation of vomit (pulmonary aspiration) while unconscious. Diagnosis is often based on ultrasound and fine needle aspiration. Severe overdoses may present with respiratory depression (and subsequent pulmonary aspiration), coma, and death. The individual may choke and asphyxiate or suffer aspiration pneumonia. Supportive measures to prevent respiratory aspiration is also advisable. In the elderly, dysphagia is a significant risk factor for the development of aspiration pneumonia. Thickened liquids play a vital role in reducing risk of aspiration for dysphagia patients. Causes may include sepsis, pancreatitis, trauma, pneumonia, and aspiration. In general, aspiration pneumonitis is treated conservatively with antibiotics indicated only for aspiration pneumonia.