Inability to Burp or Belch

Inability to Burp or Belch Inability to burp or belch occurs when the upper esophageal sphincter (cricopharyngeus muscle) cannot relax in order to release the “bubble” of air. The sphincter is a muscular valve that encircles the upper end of the esophagus just below the lower end of the throat passage. If looking from the front […]

Diet Modification for Dysphagia

Diet modification for dysphagia are suggested dietary changes, particularly regarding food consistencies, directed at improving a patient’s ability to swallow and at avoiding aspiration. For example, an individual who is struggling with aspiration might be advised to avoid thin liquids and use thicker or carbonated liquids instead. Or this individual might be advised to avoid […]

Swallowing Therapy

Swallowing therapy is typically provided by a speech-language pathologist (and, more informally and adjunctively, by other healthcare professionals). General areas of teaching might include: choosing wisely which food types and consistencies to eat; swallowing maneuvers such as tucking the chin, double swallow, effortful swallow, head turning, and supraglottic swallow; and direct exercises for the tongue, […]

Complete Voice Rest

Complete voice rest is avoidance of any voice use at all. This measure (more extreme than relative voice rest) is rarely needed, but might be requested of a person for a few days after vocal cord microsurgery, immediately following a vocal cord hemorrhage, or when suffering from acute laryngitis. Tags

Relative Voice Rest

A reduction in a person’s amount and manner of voice use. When we suggest relative voice rest for patients, we sometimes tell them to think of using “vocal prudence,” or to use their voice only for the “business of life,” but not for pleasure-talking or purely social interaction. Some use a concept such as “you […]

Laryngeal Closure or Diversion for Aspiration

One of several potential treatments for a person who suffers from gross aspiration to the extent that, even without taking any nourishment by mouth, this person has repeatedly incurred aspiration pneumonia (i.e., due to saliva alone). In this scenario, subsequent pneumonias start to become more severe and even life-threatening as the lungs progressively deteriorate. At […]

Supraglottic Swallow

Supraglottic swallow is a swallowing technique in which a person coughs right at the end of a swallow to help prevent any swallowed food or liquid from going down into the airway. This technique is especially useful for individuals who have undergone a supraglottic laryngectomy, because the upper part of the larynx (epiglottis, aryepiglottic cords, […]

Effortful Swallow Technique

Effortful swallow technique defines the action of swallowing with greater conscious effort and vigor than comes naturally or seems necessary to the person. Normally, a person swallows without much conscious effort. However, individuals who suffer from weaker or less organized swallowing function (e.g., presbyphagia) can benefit from a superimposition of volitional effort. Just before swallowing […]

Chin Tuck Maneuver

A maneuver in which, just before swallowing, a person drops the chin to or toward the chest. This maneuver has the effect of narrowing the pharynx so that the propulsive forces of swallowing have a smaller passageway in which to work, which can help to counteract some individuals’ tendency toward hypopharyngeal pooling, laryngeal penetration, or […]

Gastrostomy (G) Tube

Gastrostomy (G) tube is a tube that passes directly through the abdominal wall and into the stomach in order to deliver fluids and nutrition. Liquid food is nutritionally complete and can support life and health in individuals who are unable to swallow, like those with absent swallow reflex. Tags