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People who are undergoing a barium swallow should not eat or drink for a few hours before the test. In some cases, the doctor may ask the person to stop taking medication before the test. Some hospitals recommend not chewing gum, eating mints, or smoking cigarettes after midnight the night before a barium swallow test.
The modified barium swallow study (MBS) is the gold standard in assessing oropharyngeal dysphagia, but does not evaluate the esophagus. A barium esophagram can visualize the esophagus but does not evaluate the oropharyngeal swallow, nor does it utilize the expertise of speech and language pathologists.
Can I Eat Before a Barium Swallow Test? Do not eat or drink anything, including chewing gum, for eight to 12 hours before the exam - so your stomach and upper digestive tract are completely empty. You may brush your teeth but avoid swallowing any water.
You're given tiny amounts of foods and liquids of different textures to swallow. This may include thin liquids (such as water) or thick liquids (such as milk). You may also be given soft foods (such as pudding).
Barium is used during a swallowing test to make certain areas of the body show up more clearly on an X-ray. The radiologist will be able to see size and shape of the pharynx and esophagus. He or she will also be able see how you swallow. These details might not be seen on a standard X-ray.
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A VFSE (modified barium swallow) exam looks at how you swallow different liquids and foods. It uses a special real-time form of x-ray called fluoroscopy. The doctor watches as the patient swallows items with different thicknesses and textures. These items may range from thin liquid barium to barium-coated cookies.
During a Modified Barium Swallow test, you will remain standing or stay seated upright. During a Barium Swallow, you will lie down on a table. You may eat or drink various foods and liquids during a Modified Barium Swallow test. During a Barium Swallow, the test will involve the thin liquid Barium.
Before a Modified Barium Swallow test, you can eat. Before a Barium Swallow, you cannot eat or drink anything for 12 hours before the test. During a Modified Barium Swallow test, you will remain standing or stay seated upright.
You will drink about 1 1/2 cups of a barium preparation-a chalky drink with the consistency (but not the flavor) of a milk shake. Children will drink less. The barium can be seen on an X-ray as it passes through the digestive tract. The barium swallow procedure may take about 30 minutes to finish.
What to expect during a barium swallow. A barium swallow is performed in radiology by a radiology tech. The entire procedure takes approximately 30 minutes, and you should have results within a few days.

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