Swallowing is a complex function involving the mouth, throat and esophagus. The Speech Language Pathology Department at Hoag Hospital provides a comprehensive approach to evaluation and treatment of swallowing disorders caused by stroke, and other neurologic disorders, cervical spine disease, head and neck cancer, laryngectomy and weakness or damage to the muscles and nerves used for swallowing.
Aspiration of solid food or liquids
Chronic choking, coughing, gagging or a sense of food “sticking” in the throat
Dehydration
Malnutrition
Feeling of a lump in the throat
Recurrent episodes of pneumonia or bronchitis
Painful swallow
Initial assessment may include a Modified Barium Swallow Test which is a videofluoroscopic x-ray assessment of the swallowing mechanism or Fiberoptic Endoscopic Evaluation of Swallowing (FEES). These exams enable the clinicians to identify the disorder and help guide the appropriate treatment program.
The goal of the program is to keep patients eating by mouth or to return them to eating by mouth whenever possible.
Identification of appropriate diet that specifies the thickness and consistency of food and liquids that can be safely swallowed
Provision of recommendations for optimal swallowing safety
Development strategies including postural changes and other maneuvers to enhance swallowing
Instruction in appropriate oral hygiene
Exercises for strengthening and improving coordination of the swallowing mechanism
Neuromuscular electrical stimulation
Family and caregiver training
A physician referral is required for the Modified Barium Swallow Test, Fiberoptic Endoscopic Evaluation of Swallowing (FEES) and for any specific treatments provided.