Queensland health swallowing information 2025

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Dysphagia is where you have problems swallowing. Its usually caused by certain medicines or another condition, such as acid reflux or a stroke.
Red flags. Any dysphagia is of concern, but certain findings are more urgent: Symptoms of complete obstruction (eg, drooling, inability to swallow anything) Dysphagia resulting in weight loss.
Swallowing is a complex act that involves the coordinated activity of the mouth, pharynx, larynx and esophagus (Figure 1). A swallow has four phases: oral preparatory, oral propulsive, pharyngeal and esophageal.
In particularly severe cases, a person with dysphagia may not be able to safely swallow solids, liquids, or even their own saliva.
Dysphasia is usually a sign that there is a problem with your esophagus, the muscular tube that moves food and liquids from the back of your mouth to your stomach. If dysphagia is severe, you may not be able to take in enough fluids and calories to stay healthy. In severe cases, even saliva is difficult to swallow.
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The oral phase can reach a maximum score of 18 after the three evaluated swallows. The following items are evaluated during the pharyngeal phase: multiple deglutition (2.0 points), laryngeal elevation (10 points), and cervical auscultation (10 points), with a maximum total of 66 points.
Complications Malnutrition, weight loss and dehydration. Dysphagia can make it difficult to take in enough food and fluids. Aspiration pneumonia. Food or liquid entering the airway during attempts to swallow can cause aspiration pneumonia as a result of the food introducing bacteria into the lungs. Choking.
Foods with a fibrous or stringy texture - e.g. celery, green beans, melted cheese or pineapple. Fruit or vegetables with thick skins, seeds or pips - e.g. baked beans, peas, grapes and tomatoes. Crunchy and crumbly items such as toast, biscuits, s, crisps and pie crusts.

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