The Dysphagia Clinic at H-Heals (Physiothera , OT & Rehabilitation Center) is a dedicated clinic offering comprehensive diagnostic and therapeutic care to people who are experiencing mild to complex swallowing problems. Our mission at Dysphagia Clinic is to uncover the cause of eating and swallowing difficulties and offer comprehensive solutions that will allow for the safest, most efficient and enjoyable swallowing possible.
We have a multidisciplinary team of highly experienced Dysphagia specialists trained and directed by Dr Hitesh Gupta who strives to offer patient-centric treatment plan using state-of-the-art facilities for evaluating and treating patients with swallowing disorders.
Definition:
Dysphagia is a medical term used by healthcare professionals to describe swallowing difficulties. People suffering from dysphagia have problems swallowing certain foods or liquids, while others can't swallow at all.
Swallowing difficulty or Dysphagia is common in patients with
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Neurological conditions (such as Stroke, Parkinsonism, dementia, motor neuron disease, progressive supranulear palsy i.e PSP, multiple sclerosis, myasthenia gravis etc.)
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Prolong intubated/ventilated and tracheotomised patients
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Chronic Illnesses
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After some surgeries e.g. anterior cervical, thyroid etc.
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Paediatric conditions like cerebral palsy, global developmental delays
Signs and Symptoms:
A patient suffering from Dysphagia may experience following signs and symptoms:
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Cough/choking when swallowing (drinking or eating)
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Tearing from eyes and nose, breathlessness during or after meals
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Being unable to swallow
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Reduced mouth/jaw opening (Trismus)
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Having sensations of food getting stuck in your throat or chest
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Dry mouth /reduced saliva production
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Reduced tongue movement & strength
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Hoarse voice
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Regurgitation (Bringing food backup)
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Drooling
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Prolonged holding of food in the mouth
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Feeding issues in infants and children such as poor suckling, biting, chewing, gagging, drooling
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Recurrent chest infections,fever, aspiration pneumonia
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Weight loss
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Leakage of food or liquids from tracheostomy
Services provided may include:
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A Clinical swallowing assessment
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Assistance in instrumental evaluation facility (fibre-optic endoscopic evaluation of swallow-FEES, video fluoroscopic swallow study-VFSS) along with a multidisciplinary team.
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Comprehensive swallow therapy options and care for both adult and paediatric population
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Swallowing and voice therapy for patients with tracheostomy.
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Modified dietary recommendations
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Determination of the need for additional referrals or testing procedures
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Assistance in establishing a consultation with a dietitian prior to, during and after the treatment
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Follow-ups and home program
Advanced Treatment Facilities:
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Central modulation through skill-based swallowing rehabilitation (using sEMG)
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Neuromuscular electrical stimulation (E-STIM)
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EMG triggered stimulation (ETS)
Key objectives of Dysphagia Clinic:
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To prevent patients from aspiration i.e. food/liquids entering into the lungs.
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To improve functional outcome and quality of life of patients by restoring safe oral feeding.
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Early removal of tracheostomies and alternative feeding modes (Ryle’s tube or PEG tube).