Assist for Consuming Issues With Chewing, Swallowing, and Dysphagia


Not lengthy after Debbie McClure was recognized with Sjogren’s syndrome, an immune system dysfunction that causes dry mouth, she sat right down to a roast beef dinner. She was nonetheless adjusting to her situation. So she didn’t absolutely notice how not having sufficient saliva, which helps transfer meals from the mouth and down the throat, would make it onerous to swallow, particularly with dry meals — like her overcooked roast beef.

“I tried to swallow a chunk, nevertheless it lodged in my throat,” says McClure, a author based mostly in Ontario, Canada. She grabbed a glass of water and, sip by sip, she was capable of dislodge the piece of meat.

When a medical situation creates issues with chewing or swallowing, the straightforward act of consuming can grow to be something however. Ache within the mouth, stiffness or discomfort within the jaw muscle mass, or issues along with your tooth could make it robust to chew stable meals. A situation referred to as dysphagia can create a delay within the swallowing course of in both your throat or what’s referred to as the pharynx (the digestive tube between the esophagus and mouth) which may additionally make it onerous so that you can swallow with out coughing or choking.

“When you’re having bother swallowing, even when it’s drugs, you must let your doctor know,” says Brian Hedman, a speech pathologist and specialist in swallowing issues at Cleveland Clinic. “A speech pathologist can do an evaluation and provide tips or strategies that can assist you or somebody you’re caring for to swallow safely.”

Attempt these six tricks to ensure that what you eat will get the place it’s going with out issues alongside the best way.

They’re tastes, temperature, and textures. Whenever you range these in your weight loss program, it helps hold the mouth awake and on activity, Hedman says.

Swap off between bites of one thing chilly and tart, like lemon ice, with one thing heat and bland, like mashed potatoes.

Throughout meals, and for 45 to 60 minutes after consuming, goal for a 90-degree posture along with your head tilted barely ahead, Hedman suggests.

“When you’re having issue getting meals from the entrance of the mouth to the again of the mouth, attempt a reclined place,” he says. “In any other case, sitting upright is one of the best place for consuming and consuming.”

It’s essential to remain targeted throughout mealtime, particularly for somebody who’s had a stroke or is within the early phases of dementia, says Kristi King, RDN, a spokeswoman for the Academy of Diet and Dietetics.

“An individual with Alzheimer’s could pay extra consideration to an open window or the TV within the room than what’s of their mouth,” she says.

Earlier than meals, swab the within of your mouth with a disposable oral swab or, higher but, brush your tooth “to assist moisturize the mouth so swallowing might be simpler,” Hedman says.

And hold a drink helpful throughout meals. McClure sips water or one thing else that isn’t bubbly between each single chunk to assist transfer meals alongside. If water or different skinny liquids trigger you to cough, use an over-the-counter liquid thickener, Hedman suggests. These thicken with out altering the style or look of your drink.

“I additionally keep away from medicines like over-the-counter chilly and allergy tablets, or sleeping aids that comprise antihistamines,” McClure says. “Antihistamines are [drying], and most positively will have an effect on the quantity of dryness in my mouth, eyes, and nostril.”

Reduce up stable meals into bite-size items to attenuate the chance of choking.

“I’ve realized that even finger meals have to be minimize up into very small parts,” McClure says. “After I bask in one thing like potato chips or popcorn, I make certain I eat one after the other, slowly, and in very small bites.”

You would possibly must swallow two or thrice per chunk or sip. If meals or liquid catches in your throat, cough gently or clear your throat, and swallow once more earlier than taking a breath.

Attempt “alternating bites and sips,” Hedman says. “You probably have issue sucking liquid all the best way up a straw, minimize the straw down so there may be much less distance for the liquid to journey.”



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