Even if the food is too big to swallow, or if you drink it a little bit sooner, you may be able to swallow it.
Coughing or spilling food every time you eat or drink due to difficulty swallowing can greatly reduce your quality of life and limit your social life. If the treatment is delayed, complications such as aspiration pneumonia, sepsis, and malnutrition may occur. Therefore, it is important to perform accurate diagnosis and systematic rehabilitation from the early stage of symptoms. Let's talk about symptom difficulty and rehabilitation treatment with Professor Yoo Seung-don, Department of Rehabilitation Medicine, Kang Dong Kyung Hee University Hospital.
Stroke, Parkinson's, nervous system disease
Swallowing difficulty is a symptom that causes problems with drinking water or swallowing food. The process of swallowing food consists of the oral-pharyngeal-esophageal phase, which causes difficulty in swallowing when the brain responsible for this part of the brain and the surrounding tissues are damaged.
Causative diseases include stroke, Parkinson's disease, neuromuscular diseases such as senile neurological diseases. Professor Seung-don Yoo said, “If symptoms are not received and appropriate treatment is possible, complications such as aspiration pneumonia, malnutrition, and dehydration can occur and, if severe, can lead to death.” In addition, active rehabilitation is essential to improve the quality of life of patients. ”
The most representative causative disease is stroke. If stroke lesions occur in only one cerebral hemisphere, the symptoms of soft paralysis usually recover within a month. However, when both cerebral hemispheres or brain stem occur, the symptoms are severe and difficult to recover.
Parkinson's disease, a degenerative brain disease, is the next most common cause of slower swallowing reflexes, decreased bilateral peristalsis, and difficulty in controlling breathing and swallowing. Neuromuscular disorders such as Guillain-Barré syndrome and myasthenia gravis can cause swallowing difficulties due to weak muscles associated with swallowing.
Representative symptoms of water palsy are difficulty swallowing and dysphonia (articulation disorder). The muscles of the oral cavity and pharynx are controlled by similar brain nerve structures and should be suspected of difficulty swallowing if there is a pronunciation disorder.
Test run with small spoon… Rehabilitation Needed
Swallowing difficulty is confirmed by swallowing saliva quickly and repeatedly without food. If swallowing is possible more than three times in 30 seconds, it can be determined that the swallowing difficulty is light. Then drink water in a small spoon (3cc) and evaluate whether you have symptoms of tingling, whether your breathing changes or your voice sounds hoarse. If you can swallow without saree within 5 seconds, it is normal. After swallowing, give a 'ah' sound to see if the water is wet and watch for breathing problems.
If swallowing difficulties are suspected, video-visual swallowing tests are performed to determine exactly at what stage the symptoms occur. This will help you plan what kind of meals you will eat and what postures and rehabilitation methods you will need to be trained. Rehabilitation therapy provides foods of varying viscosity (puddings, yopla, thick tomato juice, rice) to train and identify foods that do not go to the lungs and leave no residue in the pharynx. You can also train your mouth to chew and strengthen the pharynx muscles to prevent aspiration. Keep your head forward and swallow with your chin to prevent food from entering your airways. If you are more likely to develop pneumonia, you may be advised to eat with tube or gastrointestinal nutrients.
Rehabilitation medicine professor Yoo Seung-don said, “Swallow difficulty caused by stroke improves after a certain period of time. However, if you experience motor symptoms from Parkinson's disease, you may have problems with swallowing and pronunciation. “Evaluation is important,” he said. “If you have symptoms such as difficulty eating or taking long foods, increased phlegm and cough, or poor pronunciation, you should seek medical attention immediately.”
By Moon Se-young, reporter firstname.lastname@example.org
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