Swallowing problems, diagnostics and treatments in South Louisiana

Endoscopic video swallow research and swallowing problems is the subject for this post. If your swallowing problem is caused by a tightened esophagus, a procedure called esophageal dilation may be used to expand the esophagus. During this procedure, a small balloon is placed into the esophagus to widen it. The balloon is then removed. If there are any abnormal growths in the esophagus, surgery may be necessary to remove them. Surgery may also be used to remove scar tissue. If you have acid reflux or ulcers, you may be given prescription medication to treat them and encouraged to follow a reflux diet.

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. Discover more details on Dysphagia in Motion.

A blockage or a malfunction anywhere in this part of the body or in the nervous system controlling swallowing can result in dysphagia. There are two types: Esophageal dysphagia occurs when food/liquid stops in the esophagus. This can happen in several ways. Stomach acid can reflux into the esophagus. Over time, the reflux causes inflammation and a narrowing (stricture) of the esophagus. Food and eventually liquids feel like they are sticking in the middle and lower chest. There may be chest discomfort or even real pain. Fortunately, physicians can usually dilate (widen) this narrowing, and there is now treatment available to keep it from returning. Cancer, hiatus hernia, and certain muscle disorders of the esophagus are less frequent causes of esophageal dysphagia. Solid food is usually more of a problem than liquids.

Liz has completed additional specialized training in treatment and management of dysphagia using endoscopy and working with tracheostomy/ventilator dependent and traumatic brain injury populations. Her professional areas of interest and expertise include adult dysphagia, cerebrovascular disorders, medically fragile, and end-of-life/palliative care. Liz has served as a Clinical Mentor for graduate students interested in the field of medical speech pathology and frequently guest lectures on a variety of topics relating to the Basics of Endoscopy, Medical Ethics, Supervision in Speech-Language Pathology, Counseling in Speech-Language Pathology, and Voice/Swallowing Disorders. She is actively licensed to practice in Louisiana, Mississippi, and Florida. See more details on dysphagiainmotion.com.