Are swallowing problems associated with PD?

Are swallowing problems associated with PD?

Swallowing disorders are common in individuals with PD. Swallowing problems can occur at various stages in PD and may change throughout the course of the disease getting worse as symptoms progress. Difficulties with swallowing can often co-occur with changes in speech and voice. Symptoms can include coughing, choking, difficulty taking pills, drooling, taking a long time to eat meals, weight loss, pneumonia and/or dehydration.
Q
What should I do if I notice problems with swallowing?
A
If individuals are having any difficulty with swallowing they should let their physician know immediately and request a referral for a swallowing evaluation with a speech-language pathologist. The reason prompt action is important is that swallowing problems have the potential to lead to more serious medical problems such as pneumonia.
At a minimum a swallow evaluation will include a clinical examination of the muscles and function of chewing and swallowing. It can also include a modified barium swallow study that is done in a hospital and allows the evaluation of the anatomy and physiology of swallow, assessment of whether food or liquid goes down the wrong way and evaluation of the effectiveness of treatment strategies. The needs of the individual determine whether a modified barium swallow is needed in addition to a clinical examination.
Q
I have been diagnosed with PD and have problems with excessive saliva and drooling. What can I do about that?
A
People who have PD frequently report the problems you describe with excessive saliva and drooling. There has been controversy about whether the root cause of this problem is more saliva than usual or less frequent and less effective swallowing or a combination of both. Speech-language pathologists can assess and treat swallowing disorders. The best course of action would be to consult with your physician to describe your problem and request a swallow evaluation with a speech-language pathologist.
Q
I have had PD for 6 years. Recently I’ve noticed difficulty swallowing my pills. What can I do?
A
PD medication is critical in the management of PD symptoms so taking pills is very important. Difficulty swallowing pills is a type of swallowing disorder. Some people report there are times in the day when swallowing is easier than others and sometimes swallowing gets more difficult over the course of the disease. I suggest you call your physician to describe your symptoms and request a swallow evaluation with a speech-language pathologist who is experienced in treating people with PD. You need to swallow well to keep your medication levels consistent.