Our highly trained speech-language pathologists work closely with each patient and family to develop a customized care approach to improve feeding and swallowing function. If the child is an infant, bring at least 4 ounces of formula or breast milk. Please bring any certain types of food or drink that your child has difficulty with too. Please bring a variety of food choices that your child typically eats, including food and liquids. We ask that infants and children do not eat approximately 3 hours prior to their evaluation so that they will be hungry and willing to eat for the evaluation. Instructions for Caregivers Before the Swallowing Test They may include: removing certain food items, changing the thickness of liquids consumed, altering the child's bottle, nipple, or utensils, and/or specific feeding techniques. Test results are discussed with families at the end of the evaluation, and recommendations are made regarding safe and efficient eating and drinking. The X-ray machine is only turned on while your child is swallowing in order to limit the amount of overall radiation. You will be given a lead vest as protection from the X-rays. As a parent or caregiver, you may be asked to feed your child during the study. However, you may see it in the baby's diaper for a few days after the study. Barium is not dangerous for babies or young children. Barium is added to the food or liquid so that it can be seen as it moves in your child's mouth and throat. During the exam, the child is placed in a typical feeding position and given a variety of food consistencies (thin liquid, thick liquid, puree, and/or solid) that are appropriate based on age and developmental level. The MBS is performed in the radiology department in conjunction with a radiology technician. It can also help identify which parts of the mouth and throat are not working well. It can show if food or liquid is going into the airway instead of the stomach, which is called aspiration. The study enables the speech-language pathologist to see what is happening inside your child's mouth and throat. The MBS is a video X-ray of the swallowing process. Modified Barium Swallow Study (MBS) or Pharyngeal Function Study Various foods and liquids are administered and often dyed with food coloring to allow for greater visualization. Flexible Endoscopic Evaluation of Swallowing (FEES)Ī small endoscope is gently placed along the floor of the nose to the back of the child's throat to visualize the throat from above while swallowing. The child is given various food and liquids so that chewing and swallowing can be observed. They may include: Clinical Swallow Evaluation (CSE)ĭuring this non-invasive swallowing evaluation, a speech-language pathologist looks at the movements of the mouth and face and assesses breathing and saliva management. These tests provide information on the swallowing muscles, how food and liquid are swallowed, and if aspiration occurs.
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