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Swallowing Disorders
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Digestive System

Swallowing Disorders

Swallowing disorders make it hard to eat and stay nourished, often affecting older adults and arising from various underlying conditions.

Overview

If you have a swallowing disorder, you may have difficulty or pain when swallowing. Some people cannot swallow at all. Others may have trouble swallowing liquids, foods, or saliva. This makes it hard to eat. Often, it can be difficult to take in enough calories and fluids to nourish your body.

Symptoms

  • Difficulty swallowing
  • Pain when swallowing
  • Inability to swallow
  • Trouble swallowing liquids
  • Trouble swallowing foods
  • Difficulty managing saliva
  • Insufficient intake of calories and fluids

Causes & Risk Factors

Anyone can have a swallowing disorder, but it is more common in older adults.

  • Nervous system disorders, such as Parkinson's disease and cerebral palsy
  • Problems with your esophagus, including GERD (gastroesophageal reflux disease)
  • Stroke
  • Head or spinal cord injury
  • Cancer of the head, neck, or esophagus

Treatment & Management

Medicines can help some people, while others may need surgery. Swallowing treatment with a speech‑language pathologist can help. You may find it helpful to change your diet or hold your head or neck in a certain way when you eat. In very serious cases, people may need feeding tubes.

Frequently Asked Questions

The two primary objective evaluations are the Videofluoroscopic Swallowing Study (VFSS), also called a modified barium swallow, and the Fiberoptic Endoscopic Evaluation of Swallowing (FEES). A VFSS uses continuous fluoroscopic X-rays to assess the oral, pharyngeal, and esophageal stages of swallowing, whereas FEES uses a thin, flexible camera
Silent aspiration happens when food or liquids slip into the lungs without triggering a normal protective cough. Indicators include frequent throat clearing during or after meals, watery eyes, a wet or "gargly" vocal quality, unexplained low-grade fevers, and recurrent respiratory infections or aspiration pneumonia.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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