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[DYSPHAGIA] Isolated Chewing Difficulty
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Has she been looked at by neuro for a full workup? Sometimes =
progressive diseases can show up in the swallow or the voice, and =
although that is not where this woman's problem is, I would check out =
possible neuro involvement. How is the rest of her strength and =
endurance? How long has she been on the pureed diet? what is her =
overall nutritional status. It can be difficult to maintain adequate =
nutrition on pureed diets. I would check out those possibilities. Good =
luck! =20
----- Original Message -----=20
From: SuzMorris@aol.com=20
To: dysphagia@medonline.com ; icampbell-taylor@excite.com=20
Sent: Monday, November 26, 2001 4:24 PM
Subject: [DYSPHAGIA] Isolated Chewing Difficulty
A close friend of mine recently shared an unusual feeding pattern that =
she has experienced. She is a 50 year old adult who has no other =
issues=20
and is a very skilled and coordinated massage therapist. She =
describes=20
herself as always having had some difficulties getting oral-motor=20
planning together for chewing. She has been a very slow eater and=20
describes herself as having to think about how she moves the food in =
her=20
mouth rather than experiencing a smooth automatic flow to her chewing, =
bolus collection and swallowing.
Until recently this has not created any difficulties for her other =
than=20
"always being the last one at the table to finish a meal". During =
the=20
past month, however, the problem has gradually increased. . .to the =
point=20
where eating food that requires chewing is more trouble than it is =
worth=20
and she really can't get enough calories from the food she chews =
before=20
she is exhausted. She has shifted to a blenderized diet which she =
can=20
handle very easily. She is a very easy-going person who is not upset =
by=20
the current situation, but hopes that things will get better over =
time.
This sounds more like an apraxic/motor planning issue rather than a=20
muscle strength and coordination issue. All other aspects of =
oral-motor=20
function and speech are just fine. =20
Is it possible to have a very circumscribed motor planning problem for =
chewing without any other neurological symptoms?
If so, what causes this and why could she be experiencing a =
deterioration=20
in this function now?
What can she do to help things get better? What general direction =
would=20
you take?=20
My work is entirely in pediatrics and typically when we see =
apraxia-like=20
symptoms in learning to chew there are sensory integration issues with =
the kids. . .which is definitely not the case here.
Thanks,
Suzanne Morris
New Visions
http://www.new-vis.com
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<DIV><FONT face=3DArial size=3D2>Has she been looked at by neuro =
for a full=20
workup? Sometimes progressive diseases can show up in the swallow =
or the=20
voice, and although that is not where this woman's problem is, I =
would=20
check out possible neuro involvement. How is the rest of her =
strength and=20
endurance? How long has she been on the pureed diet? what is =
her=20
overall nutritional status. It can be difficult to maintain =
adequate=20
nutrition on pureed diets. I would check out those =
possibilities. =20
Good luck! </FONT></DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
<DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV=20
style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
<A title=3DSuzMorris@aol.com=20
href=3D"mailto:SuzMorris@aol.com";>SuzMorris@aol.com</A> </DIV>
<DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
title=3Ddysphagia@medonline.com=20
href=3D"mailto:dysphagia@medonline.com";>dysphagia@medonline.com</A> ; =
<A=20
title=3Dicampbell-taylor@excite.com=20
=
href=3D"mailto:icampbell-taylor@excite.com";>icampbell-taylor@excite.com</=
A>=20
</DIV>
<DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, November 26, 2001 =
4:24=20
PM</DIV>
<DIV style=3D"FONT: 10pt arial"><B>Subject:</B> [DYSPHAGIA] Isolated =
Chewing=20
Difficulty</DIV>
<DIV><BR></DIV><BR>A close friend of mine recently shared an unusual =
feeding=20
pattern that <BR>she has experienced. She is a 50 year old adult =
who has=20
no other issues <BR>and is a very skilled and coordinated massage=20
therapist. She describes <BR>herself as always having had =
some=20
difficulties getting oral-motor <BR>planning together for =
chewing. She=20
has been a very slow eater and <BR>describes herself as having to =
think about=20
how she moves the food in her <BR>mouth rather than experiencing a =
smooth=20
automatic flow to her chewing, <BR>bolus collection and=20
swallowing.<BR><BR>Until recently this has not created any =
difficulties for=20
her other than <BR>"always being the last one at the table to finish a =
meal". During the <BR>past month, however, the =
problem has=20
gradually increased. . .to the point <BR>where eating food that =
requires=20
chewing is more trouble than it is worth <BR>and she really can't get =
enough=20
calories from the food she chews before <BR>she is =
exhausted. She=20
has shifted to a blenderized diet which she can <BR>handle very =
easily. =20
She is a very easy-going person who is not upset by <BR>the current =
situation,=20
but hopes that things will get better over time.<BR><BR>This sounds =
more like=20
an apraxic/motor planning issue rather than a <BR>muscle strength and=20
coordination issue. All other aspects of oral-motor =
<BR>function=20
and speech are just fine. <BR><BR>Is it possible to have a very=20
circumscribed motor planning problem for <BR>chewing without any other =
neurological symptoms?<BR><BR>If so, what causes this and why could =
she be=20
experiencing a deterioration <BR>in this function now?<BR><BR>What can =
she do=20
to help things get better? What general direction would <BR>you =
take?=20
<BR><BR>My work is entirely in pediatrics and typically when we see=20
apraxia-like <BR>symptoms in learning to chew there are sensory =
integration=20
issues with <BR>the kids. . .which is definitely not the case=20
here.<BR><BR>Thanks,<BR><BR>Suzanne Morris<BR>New Visions<BR><A=20
=
href=3D"http://www.new-vis.com";>http://www.new-vis.com</A><BR>-----------=
----------------------------------------------------------<BR>To=20
UNSUBSCRIBE from this list, please send an e-mail message to<BR><A=20
href=3D"mailto:majordomo@medonline.com";>majordomo@medonline.com</A> =
with the=20
following text as a message:<BR>unsubscribe=20
=
dysphagia<BR>------------------------------------------------------------=
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