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Brain Injury

Dysphagia

What Is Dysphagia?

Dysphagia means difficulty swallowing. It can happen after a stroke, brain injury, or neurological illness.

With dysphagia, your muscles do not work properly while swallowing to close off the windpipe to protect your lungs. Food and fluid can trickle through your vocal cords into the lungs.

Signs to Watch For

  • Coughing or choking while eating
  • Throat clearing
  • Wet or gurgly voice
  • Food pocketing in the mouth

How You Can Help

  • Follow diet recommendations from the care team
  • Encourage small bites and sips
  • Make sure your loved one is sitting upright
  • Encourage slow eating

Safety Tips

  • Avoid distractions during meals
  • Check mouth for leftover food
  • Stay nearby during meals if needed

When to Contact Your Care Team

  • Increased coughing or choking
  • Difficulty swallowing medications
  • Refusing food or liquids
  • Signs of dehydration

Safe swallowing is supported by working closely with your speech-language pathologist and healthcare team to follow recommended diet and swallowing strategies. Patients should use these guidelines during all meals, and caregivers should provide supervision, encouragement, and assistance as needed. Contact the care team promptly if swallowing changes or concerns arise.