Swallowing problems, causes and solutions

General Health

Swallowing diagnostics and solutions assistance is the topic for this post. If your swallowing problem is caused by a tightened esophagus, a procedure called esophageal dilation may be used to expand the esophagus. During this procedure, a small balloon is placed into the esophagus to widen it. The balloon is then removed. If there are any abnormal growths in the esophagus, surgery may be necessary to remove them. Surgery may also be used to remove scar tissue. If you have acid reflux or ulcers, you may be given prescription medication to treat them and encouraged to follow a reflux diet.

Consideration for the underlying neurophysiological impairment is necessary for understanding swallow function and deficits. Different management approaches may be necessary for individuals with dysphagia that has resulted from an acute event, chronic/stable condition, or progressive neurological disorder. Treatment targeting a specific function or structure may also affect function in other structures. Treatment of dysphagia may include restoration of normal swallow function (rehabilitative), modifications to diet consistency and patient behavior (compensatory), or some combination of these two approaches. Read additional info on South Louisiana Swallowing Diagnostics.

The first step in treatment is to make the proper diagnosis. This involves a medical history and various tests to find the cause of the dysphagia. Often a team approach to treatment is needed. Several types of health care providers — physicians, registered dietitian, psychologist, speech pathologist, occupational therapist — work together to develop the best program. An important part of the treatment is helping the patient get adequate nutrition, while protecting against complications such as pneumonia from food or liquid getting into the lungs. Obviously, this requires a specialized diet. There are five different diet levels from pureed (level 1) up through modified regular food (level 5). The diets vary in texture and consistency, and are chosen depending on which would be most effective for a specific patient.

Liz has completed additional specialized training in treatment and management of dysphagia using endoscopy and working with tracheostomy/ventilator dependent and traumatic brain injury populations. Her professional areas of interest and expertise include adult dysphagia, cerebrovascular disorders, medically fragile, and end-of-life/palliative care. Liz has served as a Clinical Mentor for graduate students interested in the field of medical speech pathology and frequently guest lectures on a variety of topics relating to the Basics of Endoscopy, Medical Ethics, Supervision in Speech-Language Pathology, Counseling in Speech-Language Pathology, and Voice/Swallowing Disorders. She is actively licensed to practice in Louisiana, Mississippi, and Florida. Read additional info on www.dysphagiainmotion.com.