How is swallowing trouble treated in multiple sclerosis (MS)?

Swallowing trouble is a rare complication of multiple sclerosis (MS). It may be brief in duration or permanent, in which case it is often associated with speech trouble. The patient experiencing the trouble may have to exert extra effort to swallow and may even choke on liquids or solids.

The patient with this difficulty should be referred to an ear, nose, and throat specialist. Tests will determine whether the problem is due to incoordination or weakness of the swallowing muscles, and the treatment will depend on which is the cause. If the problem is incoordination, special exercises may solve it.

If there is weakness of the swallowing muscles, it may be necessary to use artificial devices or have surgery, but this is very rare.

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