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
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.