Swallowing Therapy

SWALLOWING DISORDERS

Swallowing Disorders
Dysphagia or difficulty swallowing is common among the elderly and with individuals with a neurological condition. This term refers to difficulty passing liquid and/or solids from the mouth to the stomach. Dysphagia may be caused by stroke, presence of a tracheostomy tube, oral/pharyngeal/laryngeal cancer, a paralyzed vocal cord(s), poor dentition, or acid reflux.

How is dysphagia diagnosed?
Dysphagia is confirmed by a comprehensive evaluation of the patient's oral-motor, pharyngeal and laryngeal strength and range of motion. Trials of various textures of food from purée to solids and liquid consistencies are given to determine the safest oral diet. Additional testing such as video fluoroscopy/modified barium swallow study may be warranted to rule out aspiration or food entering the airway.

Consider contacting a Speech-Language Pathologist for a swallowing evaluation if you notice:

Choking on foods, liquids or medications
Excessive throat clearing
Wet, gurgly voice
Cannot or will not chew
Excessive chewing
Pockets food in cheek
Poor lip closure
Eats too fast or too slow
Recurrent pneumonia
Non-oral feedings
Increased mucus, phlegm

How do you treat Dysphagia?
Dysphagia can be treated by using direct methods such as exercises that may help coordinate the muscles for swallowing. Modifications can also be made to provide the most optimal and safest diet and to reduce the risk of aspiration/aspiration pneumonia.

For more information about Dysphagia or to set up an evaluation call 248.973.7355 or email: [email protected]

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