|
[Date Prev][Date Next]
[Chronological]
[Thread]
[Top]
[Dysphagia] Sjogren's Syndrome
DPNS is not recommended for xerostomia. The SLP may have mixed up the fact
that lemon stimulates saliva but not lemon glycerin swabs. You are not wrong
and thank you for picking this up as it could be just what should not be
done in this case. Oral moisturizers and the Oral Balance Line of products
are quite successful, as well as constantly sipping water and chewing
sugarless gum. These are able to often make the oral cavity feel better
while they often stimulate saliva and assist with speaking and swallowing.
She should avoid dry foods and use gravy, sauces and butter or olive oil to
help moisten foods.
Dr B Sonies
> From: Heather Pazak <pazakh@yahoo.com>
> Date: Sun, 13 Nov 2005 13:31:15 -0800 (PST)
> To: Dysphagia list <dysphagia@b9.com>
> Subject: [Dysphagia] Sjogren's Syndrome
>
> I'd like some feedback about what I am about to share.
>
> A nurse where I work has been diagnosed with Sjogren's
> Syndrome and presents with the classic signs of
> xerophthalmia (dry eyes) for which she's had for years
> and currently xerostomia. Due to the xerostomia she,
> in her words, "can't swallow" which understandably
> must be quite difficult. However, someone somewhere
> along the lines felt that she needed to have VFSS
> done. Well, obviously enough the xerostomia is the
> cause of 'difficulty' as the food as a hard time
> moving and eating moist foods is best. But, the
> speech-language pathologist at the hospital
> recommended DPNS!!!! As I was speechless and ready to
> ramble at the same time as I questioned about the
> justification of the recommendation, the nurese
> informed me the SLP told her it was for stimulation of
> the salivary glands. From other professionals who have
> taken the DPNS course, it is my understanding that the
> 'deep pharyngeal muscles' are stimulated by the use of
> lemon glycerin swabs. Lemon glycerin swabs are known
> to have a drying effect on the mouth. SO DOES ANYONE
> ELSE FIND THIS RECOMMENDATION SLIGHTLY SOMEWHAT
> ABSURD?
> Any feedback would be appreciated. Heather (yes, her
> doctor has prescribed her oral moistners and other
> medication to help with mucosal dryness)
>
>
>
>
> __________________________________
> Start your day with Yahoo! - Make it your home page!
> http://www.yahoo.com/r/hs
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
|
|