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Symptom: Difficulty in swallowing that can lead to aspiration and/or inadequate nutrition

Dysphagia can occur even early in the disease course; early recognition and treatment can promote comfort, safety, and optimal nutritional status. Choking or coughing while drinking thin liquids is often the first sign of dysphagia.


  • Referral to S/LP for assessment; exercise program; modified diet; non-oral feeding strategies, if needed

Psychosocial Implication

  • Fear of loss of control, choking
  • Social isolation
  • Mealtime fatigue
  • Loss of pleasurable mealtimes
  • Loss of ability to eat orally

Resources for clinicians

Resources for patients


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