Eating and swallowing problems are common in Parkinson’s. It can be frustrating when these challenges get in the way of enjoying the things you usually love, like meals with family and friends.
Swallowing difficulties are individual, and solutions vary from person to person, but following these tips on diet, drinking and eating techniques can really help.
Veronica Clark, an independent speech and language therapist specialising in Parkinson’s and founder of Veronica Clark Speech Therapy Services, has approved this advice.
Advice and tips for managing swallowing problems in Parkinson’s
- Take regular sips of water while eating. Try refilling your glass when it is half empty, so that you do not have to tilt your head so far back when drinking. Some people may find it easier to use a straw when drinking.
- Take a break between mouthfuls and always empty your mouth fully before taking another sip of your drink or another bite of food. Focus on a strong swallow when eating, and double swallow if food doesn’t fully go down the first time.
- Try eating smaller portions in one sitting but have more meals and frequent snacks. You may find this more manageable than the traditional three large meals a day.
- Use a metal teaspoon rather than a plastic dessert spoon. This will encourage small mouthfuls and help you feel the sensation of the teaspoon in your mouth.
- Relax and enjoy your meal. Try not to get anxious beforehand. If you are relaxed, your throat is likely to be relaxed too, which will make swallowing easier.
- Relax your throat muscle by yawning before a meal and in the middle of your meal if needed.
- Sit upright for ten minutes before eating, while eating and for 30 minutes afterwards. Good posture helps with eating, swallowing and digestion.
- Keep your chin level or in a natural position when swallowing. Try not to tip your head up or tuck it down unless this has been recommended by a speech and language therapist.
- Don’t tilt your head back when eating. This makes swallowing more difficult and less safe as it opens up your airway which needs to be closed when swallowing in order to protect your lungs.
- Try not to eat meals when you are ‘off’ as eating will be more difficult and choking more likely. Time medications to allow good swallow function at mealtimes.
- Try not to eat when you are tired.
- Keep distractions to a minimum at mealtimes. Concentrate only on eating and turn off the television or radio.
- If you wear dentures, make sure they are a good fit and don’t feel uncomfortable when you’re chewing.
- Involve your family and friends. Make sure they are aware of the problems you experience and the need for you to take your time.
- Don’t rule out eating out. Just do some forward planning and check the menu in advance. You may like to book a secluded table if you want some privacy, and remember to take any special eating aids you use with you.
