Oropharyngeal Dysphagia

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Duke specialists use the latest diagnostic and treatment advances to treat people who have difficulty swallowing, a condition known as dysphagia.

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About Oropharyngeal Dysphagia

Swallowing disorders can make it difficult for you to eat and drink. Symptoms of dysphagia include:

  • Coughing or choking when you eat or drink
  • Feeling like food is stuck in your throat
  • Pain when swallowing

Swallowing problems can lead to: 

  • Aspiration pneumonia (an inflammation of your lungs)
  • Upper respiratory infections
  • Weight loss
  • Dehydration
Our Locations

Duke Health offers locations throughout the Triangle. Find one near you.

Diagnostic Tests for Oropharyngeal Dysphagia

Evaluations of oropharyngeal dysphagia are performed by speech-language pathologists. Your provider will decide which test is best to assess your oropharyngeal swallow function.

Clinical Swallow Evaluation

During this assessment, we will discuss your medical history as it relates to dysphagia, ask questions about your symptoms, and observe you swallowing various foods and liquids to look for signs of swallowing difficulty.

Fiberoptic Endoscopic Evaluation of Swallowing

A flexible endoscope (a small camera with a light) is passed through your nose. You will swallow dyed foods and liquids while the camera is in place to observe whether any of the food and drink enters your airway.

Videofluoroscopic Swallow Study (VFSS) or Modified Barium Swallow (MBS)

A speech-language pathologist and a radiologist work together to perform a radiographic evaluation of your swallowing function. Moving X-ray images of the mouth, throat, and esophagus are taken while you try different swallowing positions and consistencies of barium.

Oropharyngeal Dysphagia Treatments

Rehabilitative Swallowing Exercises

Swallowing is complex and requires coordination of muscles and nerves. A personalized program will be designed to strengthen and increase coordination of your swallowing muscles so you experience safer, more efficient swallowing.

Compensatory Swallowing Techniques

We teach you techniques to make eating easier and safer. Techniques can include swallowing liquids after solids to wash food down your throat or changing the position of your head and neck when eating. We may also recommend dietary changes, such as adding a thickening agent to make liquids easier to swallow.

Referral for Additional Treatment

If a medical condition is impacting your swallowing, such as a paralyzed vocal fold or a problem with your esophagus, you may be referred to an otolaryngologist or a gastroenterologist for further assessment.

Nationally Ranked Hospital for Ear, Nose and Throat

Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. That is why our ear, nose, and throat (ENT) program is nationally ranked among the country's best hospitals, according to U.S. News & World Report for 2024-2025.

Why Choose Duke

High-Level Evaluation and Treatment
All of our providers have advanced training in dysphagia. Our knowledgeable therapists offer the very best level of care.

Personalized Swallow Therapy
Our speech-language pathologists will teach you strategies and compensatory swallowing techniques personalized to your specific needs.

This page was medically reviewed on 08/02/2024 by