Dysphagia (difficulties swallowing)

People with dysphagia may no longer enjoy eating or drinking. They may also eat and drink less. This can cause weigh-loss and dehydration. 

Food and drink can go into lungs. It goes into the airway and past the vocal cords. For some people, this can cause a chest infection called 'aspiration pneumonia'.

It is important for people with dysphagia to try swallowing safely.

If you are having difficulties swallowing there are safer ways to eat and drink.

Before eating and drinking

Sit as upright as possible. Try to sit in a chair at a table.

Reduce or remove distractions like the TV or radio.

While eating and drinking

Eat and drink slowly. Do not rush. Avoid talking and try to concentrate on eating or drinking.

Unless you have been told otherwise, drink from an ordinary cup or glass. Avoid spouts or straws as they make liquids harder to control. 

Avoid large mouthfuls of food or drink. Take one small mouthful at a time. You may need to swallow two or more times. This will help clear the food or drink from your throat or mouth. 

Make sure your mouth is clear before taking another mouthful.

Try taking a sip of your drink with each mouthful of food.

Try to avoid tipping your head backwards when eating and drinking.

Avoid eating or drinking more difficult foods and drinks when you are tired like at the end of the day or at night.

For people who need assistance with feeding, it can be helpful to do hand over hand feeding. This is when the carer places their hands over the person's hands to guide the cup, spoon or fork to the person's mouth. 

If a speech and language therapy has given you advice about food or fluid consistencies, follow this advice.

After eating and drinking

At the end of each meal, make sure your mouth is empty.

Stay sitting upright for 30 minutes after eating.

Top tips

Ice or fizzy drinks can be easier for some people to swallow. You may need to thicken these drinks, if necessary.

Brush your teeth, gums and tongue twice a day. If you have dentures, make sure to clean them thoroughly. This will help avoid bacteria from growing in your mouth.

If tablets are hard for your to swallow, ask your doctor about liquid medication.

We accept referrals from GPs.

Speak to a GP about a referral of you or someone you care for is having difficulty swallowing and they have never been seen by a speech and language therapist for an assessment. 

Telephone number - 01603 216021