Comparison of the Fiberoptic Endoscopic Evaluation of Swallowing with the Modified Barium Swallow Study FEES is preferable to video swallow study when: A more conservative examination than videofluoroscopy is required because of concerns about aspiration of barium, food, and/or liquid; or Need to assess fatigue or swallowing status over a meal; or Repeat examination… read more
Pharyngeal Stage The SLP will be looking at the function of the swallowing at the oral, pharyngeal and part of the esophageal phase during an MBS. Here are some pharyngeal deficits to look out for when performing an MBS: Inability to initiate the swallow in a timely and coordinated manner- occurs if the bolus rolls… read more
What to Look for During the Video Swallow Study: Oral Phase SLP’s should compare the normal swallow to the patient’s swallowing. Here is a video of the normal swallow. Oral Phase Anterior spillage- Patients may have difficulty containing the liquids in the oral cavity due to poor lip seal. Decreased mastication- due to weakness… read more
DIFFUSE ESOPHAGEAL SPASMS are abnormal contractions of the muscles in the esophagus (the tube that carries food from the mouth to the stomach). These spasms do not move food effectively to the stomach because there is intermittent loss of the peristaltic wave. The lower esophageal sphincter is normal. The dysphagia is typically intermittent and for both… read more
Diagnostic Tools for Esophageal Dysphagia Esophagram (Barium Swallow Study) Double-contrast esophagram is usually the first specific diagnostic test in the evaluation of esophageal dysphagia. It can detect subtle narrowing or esophageal webs that may not be evident with endoscopy. Endoscopy This is the procedure of choice to evaluate the mucosa of the esophagus. It… read more
DISCHARGE SWALLOW GUIDELINES Patient: ________________________________ SOLID CONSISTENCY : No food by mouth Dysphagia I Dysphagia II Dysphagia III Regular LIQUID CONSISTENCY: Pudding thick liquids Honey thick liquids Nectar thick liquids Thin liquids No liquids … read more
Information to help provide adequate oral care for patients by nursing
Aspiration pneumonia and aspiration pneumonitis can easily be confused. Learn how to better decipher between the two.
Dysphagia diets are for individuals with difficulty swallowing. Dysphagia Level I, 2, and 3 with examples of food that is recommended.
Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is a diagnositic procedure used to diagnose and manage swallowing disorders. Sample Fiberoptic Endocscopic Evaluation of Swallowing (FEES) Protocol More information coming soon!