Sign 4. Difficulty Swallowing – The Hidden Marker of ALS
One symptom of ALS that can often go unnoticed or be misattributed to other conditions is difficulty swallowing, also known as dysphagia. This can be particularly dangerous as it can lead to malnutrition, dehydration, and choking, which can cause serious health complications if not managed correctly.
In ALS, dysphagia occurs because the disease affects the muscles involved in swallowing. This means that everything from controlling saliva to eating and drinking can become increasingly difficult as the disease progresses. Early signs may be subtle and might include frequent throat clearing, a slight cough after eating or drinking, or feeling like food is stuck in the throat.
As the disease progresses, symptoms may become more noticeable. Chewing and swallowing may take longer, and there may be instances of coughing or choking while eating. In severe cases, the person may need to modify their diet to include softer foods or liquids, or they may need a feeding tube to ensure they are getting the nutrients they need. (4)
