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Initial stages

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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If there is any doubt about the safety of the swallow then the patient should not take anything orally and should be provided with intravenous fluids.

There should be immediate assessment of the swallowing and gag reflexes by a speech therapist, which should be repeated as often as every day where possible. The speech therapist will determine whether it is safe to commence an oral diet, in which case they will also advise on the type of nutrition to be introduced - fluids, solids, etc.

If dysphagia persists more than a few days, enteral feeding should be considered. This decision becomes, in some circumstances, an ethical problem that should be carefully addressed.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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