Posted by: Indonesian Children | March 22, 2009

Swallowing Disorders in Children

Narulita Dewi MD

PHYSICAL MEDICINE AND REHABILITATION FACULTY OF MEDICINE INDONESIA UNIVERSITY  DR CIPTOMANGUNKUSUMO HOSPITAL JAKARTA INDONESIA

 

Swallowing disorders, also called dysphagia (dis FAY juh), can occur at different stages in the swallowing process:

  • oral phase– sucking, chewing, and moving food or liquid into the throat
  • pharyngeal phase– triggering the swallowing reflex, squeezing food down the throat, and closing off the airway to prevent food or liquid from entering the airway ( aspiration ) or to prevent choking
  • esophageal phase– relaxing and tightening the openings at the top and bottom of the feeding tube in the throat ( esophagus ) and squeezing food through the esophagus into the stomach

Some causes of feeding and swallowing problems in children are:

  • nervous system disorders (cerebral palsy, meningitis, encephalopathy)
  • gastrointestinal conditions
  • prematurity/low birth weight
  • heart disease
  • cleft lip or palate
  • conditions affecting the airway

Signs and symptoms of feeding and swallowing problems in very young children may include:

  • arching or stiffening of the body during feeding
  • irritability or lack of alertness during feeding
  • failure to accept different textures of food
  • prolonged feeding times (more than 30 minutes)

General signs may include:

  • excessive drooling or leaking food/liquid from the mouth
  • gurgly, hoarse, or breathy voice quality
  • coughing or gagging during meals
  • recurring pneumonia or respiratory infections
  • difficulty coordinating breathing with eating or drinking
  • frequent spitting up
  • less than normal weight gain or growth

As a result , children may have :

  • dehydration or poor nutrition
  • risk of aspiration (food or liquid entering the airway)
  • pneumonia or repeated upper respiratory infections that can lead to chronic lung disease
  • embarrassment or isolation in social situations involving eating

For help , consult your doctor about the possible cause of the swallowing problem. An ASHA-certified speech-language pathologist can perform an evaluation of feeding and swallowing and provide treatment if appropriate. Many medical specialists and other health care professionals may work together to evaluate and/or treat feeding and swallowing problems.

To Find a speech-language pathologist near you.

A speech-language pathologist :

  • will take a careful history of your child’ s medical history, development, and symptoms
  • will look at the strength and movement of the muscles involved in swallowing
  • will observe feeding to see your child’ s posture, behavior, and oral movements during eating and drinking
  • may perform special tests to evaluate swallowing

Treatment varies greatly depending on the cause and symptoms of the swallowing problem, but may include:

  • exercises for strength, sensation, and coordination of muscles involved in feeding and swallowing
  • recommendations for special foods, equipment, or techniques to improve feeding and swallowing

Family members or caregivers can:

  • ask questions to understand problems in feeding and swallowing
  • make sure they understand the treatment plan
  • attend treatment sessions and follow recommended techniques at home and school
  • communicate with everyone who works with the child about the feeding and swallowing issues and treatment plan.

 

“MOTORIC DEVELOPMENT CLINIC” KLINIK  KHUSUS                                                                                  GANGGUAN PERKEMBANGAN MOTORIK PADA ANAK

 

Supported by

CHILDREN FOOT CLINIC

JL TAMAN BENDUNGAN ASAHAN 5 JAKARTA PUSAT, JAKARTA INDONESIA 10210

PHONE :62 (021) 70081995 – 5703646

Email : judarwanto@gmail.com

 

Clinical and Editor in Chief :

DR WIDODO JUDARWANTO

email : judarwanto@gmail.com,

 

Copyright © 2009, Childrem Foot Clinic Information Education Network. All rights reserved.

 


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Categories

%d bloggers like this: