Special programmes · Treatment guide
Swallowing Rehabilitation (Dysphagia)
Swallowing difficulty: assessment of coughing, the sensation of food sticking and nutritional problems; safe swallowing, teamwork and follow-up.
Updated: · General information
Swallowing Rehabilitation (Dysphagia): what approach is taken?
Swallowing difficulty (dysphagia) is a condition that can adversely affect nutrition, fluid intake and quality of life. Early assessment and an individually tailored rehabilitation programme aim to support swallowing function, reduce the risk of aspiration and restore safe swallowing. The programme is planned through joint assessment by the physician and the rehabilitation team.
Areas of assessment and treatment
- Early swallowing assessment
- An approach aimed at reducing the risk of aspiration
- An individually tailored swallowing rehabilitation programme
- Coordination with the nutrition team
Which symptoms should be described?
Coughing while eating, a wet-sounding voice, food sticking, weight loss and recurrent chest infections are all important in the assessment. The cause of the swallowing difficulty and the stage it affects are investigated. Where needed, specialist assessment and investigations that image swallowing are requested.
Dietary advice is individual
Food consistency, adjustments to drinks, posture and exercises are chosen according to the swallowing assessment. The same consistency or manoeuvre is not recommended for everyone. Nutritional and fluid needs are addressed together with a dietitian and the relevant specialists. Inability to breathe or complete obstruction is an emergency; emergency services must be called.
What is assessed at the first consultation?
Your medical history, your current symptoms, the medicines you take and your needs in daily life are all discussed. You may share any previous investigations you have. Suitable options are considered together after the physician’s assessment.
Your questions
Patient information
If I am not coughing, is my swallowing safe?
Not always. In some people, material can enter the airway without any obvious cough; if there is any doubt, assessment is needed.
Should I thicken my drinks myself?
Changes in consistency are decided individually and can affect fluid intake. They should not be started without an assessment and a workable nutrition plan.
