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A MyMSTeam Member asked a question 💭
Cherry Hill, NJ
November 10, 2024
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A MyMSTeam Member

As I eat I make sure I really chew well. If I don't, I often end up with a feeling that food is stuck in my throat. When this happens, the usual result is that I throw up what I just ate. This happens far less when I take small bites and chew well.

November 13, 2024
MyMSTeam

Certainly! Swallowing difficulties, also known as dysphagia, can be a significant issue for people with multiple sclerosis (MS). Here are some key points:

Signs and Symptoms
- Coughing, choking, or sputtering when eating or drinking
- Difficulty chewing food
- Feeling of food being stuck in the throat or chest
- Taking Show Full Answer

Certainly! Swallowing difficulties, also known as dysphagia, can be a significant issue for people with multiple sclerosis (MS). Here are some key points:

Signs and Symptoms:
- Coughing, choking, or sputtering when eating or drinking
- Difficulty chewing food
- Feeling of food being stuck in the throat or chest
- Taking longer to finish meals or drinks
- Difficulty controlling saliva or liquids, sometimes leading to drooling

Causes in MS:
- Nerve damage due to MS can weaken and uncoordinate the muscles in the tongue and throat.
- Inflammation and lesions in the brain stem can interfere with nerve signals.

Diagnosis:
- A speech and language pathologist can diagnose dysphagia by examining the tongue and swallowing muscles.
- Tests like a modified barium swallow can assess swallowing function.

Management Tips:
- Dietary Adjustments: Thicken drinks, eat softer foods, avoid dry or sticky foods.
- Eating Habits: Eat slowly, cut food into small pieces, take sips between bites, avoid distractions, and maintain good posture.
- Therapies: Speech and occupational therapists can recommend exercises to improve swallowing.

Risks:
- Aspiration: Inhaling food or liquids into the windpipe, which can lead to chest infections.
- Malnutrition and Dehydration: Long-term dysphagia can cause weight loss and dehydration, increasing the risk of bladder infections.

Emotional Impact:
- Swallowing problems can make people feel self-conscious and may lead to avoiding social interactions involving meals.

If you experience any of these symptoms, it's important to talk to your healthcare provider or neurologist.

November 10, 2024

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