As many of us already know many Spinal Cord Injuries are caused due to trauma and road traffic accidents. Sadly for some individuals in addition to suffering SCI many they may also suffer a Traumatic Brain Injury (TBI) due to the impact at the accident.
I was reading some articles earlier as i have been interested to learn about associated issues that can be part of this injury. I stopped at this article that focused on eating issues post injury especially because i hadnt even thought of this issue... If i have understood correctly the issue is caused by a dysfunction in the Esophagus known as Lower Esophageal Sphincter (LES) Dysfunction. After admission to hospital there is an assessment and scoring system to identify the problem. Click Source to read more.
The article goes on to explain that after a serious TBI it isnt uncommon for eating to be a problem and it can either be mild or on the other hand can seriously endanger the individuals health. With even a mild problem in this area it can cause embarrassment socially.
Some difficulties can be: Dribbling food or have trouble chewing if the muscles in your mouth are weak.
Coughing or choking due to weakness or poor timing when you swallow.
Liquids may be harder to swallow than solids because they run down your throat too fast.
If food or liquid go into your airway instead of your stomach, pneumonia is a potential risk
I was however slightly disappointed to find that actual practical advice on this was quite limited. I would imagine that being presented with easier to chew food..or mashed...depending on severity would be necessary. Learning to eat again and eat safely and chew safely may be required also.
I will certainly look for more advice on this but i would imagine that the rehab team would have this covered at the time of being hospitalized or rehabilitated.
Maybe rehabilitation looks at facial exercises that can help....
I have had this issue because of a flare of my disease which affected several cranial nerves, and made swallowing difficult. Symptoms were sudden and frequent choking, and food getting lodged in esophagus. Tests by speech therapists and radiology specialists in swallowing (barium tracing) helped to identify my specific problems. Physical therapy for my tongue, an altered way of holding head to minimize risk of aspiration of solids and liquids, and dilation of the esophagus really improved things for me. Also, steroid treatment reduced inflammation in the cranial nerves so the problem became less serious. I did have to modify my diet while inflammation was bad, but now am able to eat most foods with care. Neurological and musculoskeltal diseases can cause swallowing issues similar to TBI.
I have had this issue because of a flare of my disease which affected several cranial nerves, and made swallowing difficult. Symptoms were sudden and frequent choking, and food getting lodged in esophagus. Tests by speech therapists and radiology specialists in swallowing (barium tracing) helped to identify my specific problems. Physical therapy for my tongue, an altered way of holding head to minimize risk of aspiration of solids and liquids, and dilation of the esophagus really improved things for me. Also, steroid treatment reduced inflammation in the cranial nerves so the problem became less serious. I did have to modify my diet while inflammation was bad, but now am able to eat most foods with care. Neurological and musculoskeltal diseases can cause swallowing issues similar to TBI.
Oh dear wavewolf, im sorry to hear. I can imagine how stressful this is for you. How is it now? Still having problems ?
Post by peacewillcome on Jul 28, 2014 16:53:30 GMT -8
I have dysphagia and i can only eat smoothie type textures.the biggest danger for me is choking on water, often thin liquids can be a much bigger problem than solids Think about a trap door covering your airway that isnt quite closing.... Its much easier for a little liquid to go down than solids.They telll me i am v. High risk for aspiration pneumonia, I was given quite extensive education including viewing the video xrays they took of me swallowing, since there are so many swallowing issues and caused by so many different things i imagine the solutions are very individually tailored. The diagnosis and treatment of a swallowing disorder is done by a speech therapist on the recommendation of an ENT or in my case rehab specialist. My issue is caused by issues in the brain. If anyone is coughing a lot after drinking or eating, treat it seriously and get it checked.
I have dysphagia and i can only eat smoothie type textures.the biggest danger for me is choking on water, often thin liquids can be a much bigger problem than solids Think about a trap door covering your airway that isnt quite closing.... Its much easier for a little liquid to go down than solids.They telll me i am v. High risk for aspiration pneumonia, I was given quite extensive education including viewing the video xrays they took of me swallowing, since there are so many swallowing issues and caused by so many different things i imagine the solutions are very individually tailored. The diagnosis and treatment of a swallowing disorder is done by a speech therapist on the recommendation of an ENT or in my case rehab specialist. My issue is caused by issues in the brain. If anyone is coughing a lot after drinking or eating, treat it seriously and get it checked.
I can imagine it must can make mealtimes very stressful... ....Its good advice for others to look out for too. Its a serious health risk that isnt thought of so much in general i would imagine
I have had this issue because of a flare of my disease which affected several cranial nerves, and made swallowing difficult. Symptoms were sudden and frequent choking, and food getting lodged in esophagus. Tests by speech therapists and radiology specialists in swallowing (barium tracing) helped to identify my specific problems. Physical therapy for my tongue, an altered way of holding head to minimize risk of aspiration of solids and liquids, and dilation of the esophagus really improved things for me. Also, steroid treatment reduced inflammation in the cranial nerves so the problem became less serious. I did have to modify my diet while inflammation was bad, but now am able to eat most foods with care. Neurological and musculoskeltal diseases can cause swallowing issues similar to TBI.
Oh dear wavewolf, im sorry to hear. I can imagine how stressful this is for you. How is it now? Still having problems ?
Yes, this will be an ongoing issue with progressive disease. I expect to need periodic stretching of esophagus, and when I am in a flare, must take care to avoid aspiration.
Oh dear wavewolf, im sorry to hear. I can imagine how stressful this is for you. How is it now? Still having problems ?
Yes, this will be an ongoing issue with progressive disease. I expect to need periodic stretching of esophagus, and when I am in a flare, must take care to avoid aspiration.
Yes, this will be an ongoing issue with progressive disease. I expect to need periodic stretching of esophagus, and when I am in a flare, must take care to avoid aspiration.
How frustrating this must be for you guys...
More like terrifying! But frustrating also, for those who must make their food all one texture to avoid choking on it.
More like terrifying! But frustrating also, for those who must make their food all one texture to avoid choking on it.
I really feel for you because when i was 11 yrs old i choked and it was pretty damn scarey yes..I had to eat pureed food because my throat closed up so much. I have never forgotten, in fact i had to eat that much soup that i cant bear it now. Of course this dosent compare to having to deal with that fear as you do but i eat super super slow as im sure DJ can remember, im sure he commented once on it! lol