Endoscopic video swallow studies and swallowing problems is the issue for this post. A videofluorscopic swallowing evaluation is a radiologic exam that uses a type of X-ray called fluoroscopy. This test is performed by a speech-language pathologist. It shows the oral, pharyngeal, and esophageal phases of the swallow. During this examination, you’ll swallow a variety of consistencies ranging from purees to solids and thin and thickened liquid. This will help the doctor detect the ingestion of food and liquid into the trachea. They can use this information to diagnose muscle weakness and dysfunction.
The primary goals of dysphagia intervention are to safely support adequate nutrition and hydration and return to safe and efficient oral intake (including incorporating the patient’s dietary preferences and consulting with family members/caregivers to ensure that the patient’s daily living activities are being considered); determine the optimum feeding methods/technique to maximize swallowing safety and feeding efficiency; minimize the risk of pulmonary complications; reduce patient and caregiver burden while maximizing the patient’s quality of life and develop treatment plans to improve safety and efficiency of the swallow. See additional info at Dysphagia.
These diets are all nutritionally adequate. However, some patients may have difficulty taking enough fluid and food to get all the energy and nutrients they need. In this case, an adjustment to diet or treatment will be required. Fluids are essential to maintain body functions. Usually 6 to 8 cups of liquid (48-64 oz) are needed daily. For some dysphagia patients, this may present problems because thin liquid can be more difficult to swallow. In this case, fluid can be thickened to make it easier to swallow. However, close monitoring by the dysphagia team is required for anyone drinking less than 4 cups of thickened fluid a day or anyone not progressing to thin liquids within 4 weeks. The greater problem for some patients is eating enough calories. The whole process of eating simply becomes too difficult and too tiring. However, calorie and protein intake can be increased by fortifying the foods the patient does eat.
High quality images paired with in-depth analysis of swallowing function leads to improved recommendations. Timely assessments! We aim to have your patient evaluated within 1-2 business days. Cost-effective! FEES costs about 1/4 to 1/2 of a traditional modified barium swallow study (MBSS) at the hospital. We work our hardest to prevent your patient from being placed on texture modified diets but if they need to, we can prove with objective data for accurate documentation. We take the time to help you come up with strategies and make recommendations that ACTUALLY WORK! Find extra details at dysphagiainmotion.com.