Oral And Oral Preparatory Stage

Question 0

What are the signs of an oral stage dysphagia?

Answer 0

Poor/disorganised oral manipulation and movement of bolus - reduced lip, tongue, or palate motor movement

Food pocketing - collecting in cheeks and lateral sulcus, anterior sulcus, beneath tongue anteriorly or laterally

Anterior loss - food falling from mouth, inadequate labial seal

Due to:
Reduced strength of lip seal
Impaired tongue movement

Question 1

What questions can be asked at the oral stage?

Answer 1

Does saliva dribble from the mouth?

Does the patient have difficulty keeping food and drink in the mouth?

Is it hard to take food off a spoon or drink from a cup?

Is chewing difficult?

Is food left in the mouth after swallowing?

Is food left in the cheeks or stuck to the roof of the mouth?

Is a drink needed to wash down mouthfuls?

Is more than one swallow needed?

Does liquid come back through the mouth when swallowed?