DYSPHAGIA FAQs

  • Dysphagia is a medical term used to describe difficulty in swallowing. There are two types of dysphagia: oropharyngeal dysphagia and esophageal dysphagia. The treatment of dysphagia depends on its underlying cause.

    1. Oropharyngeal dysphagia: This type of dysphagia occurs when there is a problem with the mouth or throat, such as the tongue, soft palate, or pharynx. It can be caused by nerve or muscle damage, stroke, cancer, or neurological disorders.

    2. Esophageal dysphagia: This type of dysphagia occurs when there is a problem with the esophagus, the tube that carries food from the mouth to the stomach. It can be caused by narrowing of the esophagus, inflammation, or damage to the muscles of the esophagus.

    It's important to consult a healthcare professional if you experience difficulty swallowing, as untreated dysphagia can lead to complications such as malnutrition and aspiration pneumonia.

  • Treatment for oropharyngeal dysphagia includes:

    • Diet modification: Eating soft, moist foods that are easier to swallow may be helpful.

    • Fluid modification: Drinking fluids that are more viscous, through the use of fluid thickener, may help to reduced discomfort during swallowing, and minimize risk of chest infection.

    • Swallowing exercises: Certain exercises can help strengthen the muscles involved in swallowing.

    There are a variety of swallowing exercises that can be done to improve dysphagia, and the specific exercises recommended will depend on the individual's specific needs and challenges. It is important to work with a speech-language pathologist (SLP) to develop a personalized treatment plan and to ensure that exercises are performed correctly and safely.

    Here are some examples of swallowing exercises that may be used to improve dysphagia:

    1. Tongue exercises: The tongue plays a crucial role in the swallowing process, so exercises that strengthen and coordinate the tongue muscles can be helpful for individuals with dysphagia. Examples of tongue exercises may include sticking out the tongue, moving the tongue side to side, and pressing the tongue against the roof of the mouth.

    2. Swallow maneuvers: Swallow maneuvers involve specific movements and positions that can help improve the efficiency and effectiveness of swallowing. One example of a swallow maneuver is the chin tuck, which involves tucking the chin down towards the chest while swallowing to help close off the airway and prevent aspiration.

    3. Shaker exercises: Shaker exercises are a specific type of exercise designed to strengthen the muscles used in swallowing. The exercise involves lying flat on the back and lifting the head and neck up to look at the feet, holding the position for a few seconds, and then relaxing. This exercise can be repeated several times per day.

    4. Mendelsohn maneuver: The Mendelsohn maneuver involves prolonging the duration of the larynx elevation that occurs during the swallowing process. This can be accomplished by holding the larynx up for a few seconds longer than usual during a swallow. This exercise can help improve the effectiveness of swallowing.

    5. Thermal-tactile stimulation: Thermal-tactile stimulation involves using a cold or hot substance to stimulate the sensory receptors in the mouth and throat, which can help improve the efficiency and effectiveness of swallowing. Examples of substances that may be used for this type of stimulation include ice chips, popsicles, or flavored syrups.

    It is important to note that the effectiveness of swallowing exercises will vary depending on the underlying cause and severity of the dysphagia. In some cases, medical interventions such as medication or surgery may be necessary to address dysphagia. It is important to work with a healthcare professional to determine the best treatment plan for each individual's specific needs.