Swallowing difficulties, causes and treatments in South Louisiana region is the subject of the day. A videofluorscopic swallowing evaluation is a radiologic exam that uses a type of X-ray called fluoroscopy. This test is performed by a speech-language pathologist. It shows the oral, pharyngeal, and esophageal phases of the swallow. During this examination, you’ll swallow a variety of consistencies ranging from purees to solids and thin and thickened liquid. This will help the doctor detect the ingestion of food and liquid into the trachea. They can use this information to diagnose muscle weakness and dysfunction.
Specific volumes of food per swallow may result in faster pharyngeal swallow responses. Clinicians modify the bolus size (i.e., bigger/smaller bolus amounts), particularly for patients that require a greater volume to adequately stimulate a swallow response or for patients that require multiple swallows per bolus. Patients may also require cuing and assistance to maintain an appropriate rate during meals. Impulsivity and/or decreased initiation are examples of cognitive deficits evident across a number of disorders that may affect a patient’s pace during meals. Postural techniques redirect the movement of the bolus in the oral cavity and pharynx and modify pharyngeal dimensions in a systematic way. Postural techniques may be appropriate to use with patients with neurological impairments, head and neck cancer resections, and other structure damage. Postural techniques may be used in patients of all ages. Examples of postural techniques include the following: Chin-down posture —the chin is tucked down toward the neck during the swallow, which may bring the tongue base closer to the posterior pharyngeal wall, narrow the opening to the airway, and widen the vallecular space. See additional info at Swallowing problems.
Dysphagia means difficulty with chewing or swallowing food or liquid. The dysphagia diet covers 5 levels for difficulty in swallowing. To understand how this might happen, it is important to know something about how swallowing occurs. First, food must be chewed thoroughly. Then it is moved to the back of the mouth by tightening the cheek muscles and pressing the tongue against the roof of the mouth. From this point on the process becomes automatic — it is a reflex that people do not actively control. In “rapid- fire” succession, the soft palate closes the nasal airway to prevent food from backing into it, the airway into the lungs is closed, and the esophagus (food pipe) relaxes allowing food and liquid to enter it. The muscular esophagus then contracts in a wave-like action, sweeping the food along into the stomach.
Bringing endoscopic video swallow studies to your facility’s front door. Since opening our doors to patients back in 2017, Dysphagia in Motion has been a leading Swallowing Diagnostics Provider for patients in the South Louisiana region. We care about the well-being of our patients and guarantee top of the line diagnostic services to help your rehab team get them back to full health. Contact us today and see how we can help improve patient outcomes at your facility. Read additional info on www.dysphagiainmotion.com.