[Dysphagia] diet modification question

[RN2D at hscmail.mcc.virginia.edu (Neubert, Rebecca R *HS)]

If you want the patient to eat foods that are easier to form into a
cohesive bolus to facilitate the pharyngeal stage, then soft, moist
foods are preferable even if the oral stage is grossly normal. I often
make this recommendation with Huntington's Disease patients for example,
who come to clinic and report that the only solids they have problems
with are foods such as granola, potato chips, and crackers. 


-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of Sandi Lancaster
Sent: Monday, April 11, 2005 8:42 PM
To: dysphagia listserve
Subject: [Dysphagia] diet modification question

Hi all,

I have a diet modification question that I have
occasionally wondered about...(There are no stupid
questions, right?)  :)    

Is there any reason why a patient who has pharyngeal
dysphagia but who has no known oral dysphagia would
need to be on soft/chopped foods?  I guess what I'm
questioning is this: If a person has a normal
functional oral swallow, then for all intents and
purposes, aren't they modifying a regular consistency
bolus (through the process of the oral stage of the
swallow) so that it's comparable to a soft/chopped
bolus by the time it's ready to be swallowed?  Or is
that not a fair assumption?

I have often seen MBS reports that indicate that a
patient did not have any oral stage difficulties, only
pharyngeal dysphagia, and recommending soft/chopped
foods.  Are we assuming in these instances that a
fully processed regular consistency bolus is not
equivalent to a fully processed soft/chopped bolus?

Any thoughts?

-Sandi


Sandi Lancaster, M.A. CCC-SLP
Speech-Language Pathologist


		
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