Understanding Swallowing Difficulties in Dementia: What You Need to Know

An older gentleman drinking tea.

Receiving a dementia diagnosis can bring about a whirlwind of emotions and questions. Among the concerns you may have, you might wonder if dementia will affect your ability to swallow. In this article, we’ll explore this topic with compassion and understanding.

The Impact of Dementia on Swallowing

Dementia is a complex condition that affects various cognitive functions, and yes, it can affect your ability to swallow. This is known as dysphagia. Swallowing difficulties can occur for several reasons:

  1. Memory and Coordination: Dementia can impair the memory and coordination required for the complex process of swallowing.
  2. Sensory Changes: Alterations in sensory perception can make it harder to recognise when it’s time to swallow or to detect the presence of food or liquid in your mouth.
  3. Muscle Weakness: As dementia progresses, muscle weakness can develop, including the muscles involved in swallowing.

How Swallowing Difficulties Manifest

If you or your loved one with dementia is experiencing swallowing difficulties, you may notice:

  • Choking or coughing during meals or when drinking.
  • Taking longer to finish a meal.
  • Spitting out food or refusing to eat.
  • Weight loss or malnutrition due to reduced food intake.

What Can Be Done

It’s essential to address swallowing difficulties promptly to ensure proper nutrition and reduce the risk of choking or aspiration pneumonia. Here are some steps to consider:

  1. Consult a Speech Therapist: A speech therapist can assess swallowing difficulties and provide exercises and strategies to improve your ability to swallow safely.
  2. Modify Diet: In some cases, modifying the texture of food or using thickened liquids can make swallowing easier and safer.
  3. Adapt Mealtime Environment: Creating a calm and distraction-free environment during meals can help with focus and concentration.
  4. Regular Dental Care: Maintain good oral hygiene and dental care to prevent dental issues that can exacerbate swallowing problems.

Remember, You’re Not Alone

Coping with dementia and its associated challenges can feel overwhelming, but it’s essential to remember that you’re not alone. Seek support from healthcare professionals, caregivers, and support groups to help navigate this journey.

Final Thoughts

Dementia can indeed affect your ability to swallow, but with the right support and interventions, you can continue to enjoy meals safely and maintain your overall health and wellbeing. Remember to communicate openly with your healthcare team about any concerns, and don’t hesitate to seek help when needed.

As you face the challenges of dementia, know that there is support available to help you live as comfortably and fully as possible.