To perform an accurate dysphagia assessment, we must understand the interrelationship between all stages of swallowing—the oral, pharyngeal, and esophageal phases. Each stage plays a unique role, and issues in one can affect others, especially…
You’ve just met with Gary, a 78-year-old man with a history of solid food dysphagia, a 30-pound weight loss, and fatigue. His diet consistency has been changed to help facilitate safe swallowing. When an endoscopy…
Anne is your newest patient. She is 76 years old and suffered a brainstem stroke with a resultant Wallenberg syndrome, which compromised the opening of the upper esophageal sphincter. Following her stroke, she was able…
Clinicians are often faced with the question of whether to allow an acute care patient to return to oral feeding. Historical, physical, and instrumental testing markers can provide guidance so that you can make an…
“Ken” is a 58-year-old construction worker who appears to be in perfect health. He only has one concern—he has trouble swallowing his large vitamin pills. This hasn’t always been a problem for Ken; in fact…
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