Symptom 8: Understanding Dysphagia in SPMS
One of the more distressing symptoms that can manifest in SPMS is dysphagia, a clinical term for difficulty swallowing. This symptom arises from the disruption in the nerve-controlled process of swallowing. When MS damages these nerves, it impacts the coordination of muscles involved, leading to issues with swallowing. The onset can be gradual, often starting as mild discomfort while eating or drinking, which can progress to a persistent sensation of food stuck in the throat or frequent bouts of choking.
The impact of dysphagia in daily life can be significant. It brings about changes to one of the most fundamental human functions and can be a constant reminder of the daily struggles associated with SPMS. With eating being an intrinsic part of social interactions, dysphagia can also contribute to feelings of anxiety, embarrassment, and isolation during mealtimes. However, understanding that dysphagia is not a personal failing, but a symptom of the condition, can help individuals cope with this change.
Thankfully, managing dysphagia does not have to be a solitary struggle. Speech-language pathologists, who specialize in diagnosing and treating various speech and swallowing disorders, can provide significant help. Their role in managing dysphagia includes creating tailored therapy plans focusing on exercises to improve the strength and coordination of swallowing muscles, safer swallowing techniques, and dietary modifications for easier swallowing.
In addition to therapy, certain lifestyle modifications can greatly help manage dysphagia. Simple strategies like eating slowly, taking smaller bites, thoroughly chewing food, and maintaining good hydration can reduce the risk of choking or aspiration. Regular dental care can also prevent infections that may be associated with aspiration. Importantly, mental health should not be neglected, with professional help or support groups providing an avenue for emotional support.(8)
