Dysphagia

What is dysphagia?

If children have difficulty swallowing food or liquids, they may be suffering from a term known as dysphagia. This means they are struggling with the swallowing process; transitioning food or liquids from the mouth to the throat, into the esophagus and finally to the stomach. Approximately 25%-45% of typically developing children demonstrate feeding and swallowing difficulties. The total swallowing process is complete from the synchrony of 50 pairs of muscles and 6 primary cranial nerves.

What are the symptoms of dysphagia?

Eating slowly

Swallowing a single mouthful several times

Difficulty coordinating sucking and swallowing

Gagging and/or choking during swallowing

Drooling

Stiffening or arching their bodies during feedings

Coughing while eating or drinking

Wet or raspy sounding voice while eating or drinking

Spitting up or vomiting

Weight loss

Fever during or after eating

Watery nose or eyes during or after feeding

Vomiting during or after eating

Chronic respiratory illnesses

What are some common causes of dysphagia?

Cleft lip or palate

Prematurity

Dental problems

Abnormally large tongue or tonsils

Gastroesophageal disorders/reflux

Developmental disabilities

Neurological disorders

Medication side effects

Sensory issues

Behavioral factors

Social, emotional, and/or environmental factors

How can our speech therapists helps with dysphagia?

If you suspect your child might have pediatric dysphagia or demonstrates dysphagic characteristics, it is important to receive a feeding/swallowing evaluation from a qualified speech-language pathologist (SLP) as soon as possible. OUr SLP’s will be able to determine, not only if your child is having difficulty with swallowing, but also how to develop an intervention plan specific to your child’s needs. Treatment could include the implementation of safe-swallow strategies, diet modification, and referral to other specialists (i.e. GI/ENT). If left untreated, children could suffer from malnutrition, dehydration, aspiration, and even pneumonia.