Speech-Language Pathologists (SLP’s) also known as speech therapists have master’s degrees and are trained rehabilitation therapists with extensive knowledge about the physiological and anatomy of the upper digestive tract for swallowing and speech. Because dysphagia is a complex medical condition, SLP’s work with other professionals, families and caregivers to achieve desired outcomes.

Speech therapy can help:

Identify the signs and symptoms of dysphagia.

• Visit ASHA.org to learn more.

Identify normal and abnormal swallowing anatomy and physiology through examination such as bedside swallowing evaluations or modified barium swallow studies (MBSS).

• Fortunately, for Local residents, a local company in the Hill Country area makes house calls to perform bedside swallowing evaluations and MBSS. Learn more at ProImageTX.com.
• Another common option is an endoscopic assessment, called FEES, which uses a lighted tube with a camera which is inserted through the nose to view swallowing deficits.

Provide education and counseling to the individual with dysphagia, including dietary changes if needed:

• Dietary changes may include thickening liquids using a powder or pre-thickened drinks such as milkshakes to make it safer and easier to swallow.
• Eliminating foods that are extremely difficult to swallow such as crackers, peanut butter, or raw vegetables may also be recommended.

Determine strategies to decrease the impact of dysphagia, including posture adjustments, and head and oral movements while eating or swallowing liquids.

• One common recommended head movement is the chin tuck when swallowing.

Restore function of oral motor control if available using exercises and maneuvers to strengthen the muscles and stimulate nerves around the mouth and neck.

• Swallow RehApp is a helpful tool that provides education, exercises, and recipes for a dysphagia-safe diet, which can all work collaboration with speech therapy.

Teach general self-care such as effective ways to keep the mouth clean and free of bacteria to avoid cheek and other infections.

Determine whether it is safe to consume nutrition orally or recommend a feeding tube evaluation.

Swallowing difficulties can be very stressful, and in some cases, dangerous. Being your own advocate and seeking medical advice from a doctor or speech therapist can be a vital step  in managing dysphagia and living a healthy life!

Karen Ross, SLP
Trio Rehabilitation & Wellness Solutions
Boerne, Texas