Swallowing after the ICU or surgery

After a breathing tube

A breathing tube passes through the mouth and throat. It can leave them sore, swollen or weak for a while.

Swallowing trouble after a breathing tube is common. The longer the tube was in, the more likely it may be.

After a long illness

Time in the ICU can weaken muscles all over the body. The swallowing muscles are no different.

Tiredness, confusion and some medicines can add to it.

After neck surgery

Some spine surgery is done through the front of the neck, such as ACDF. The throat is gently moved aside during it.

Trouble swallowing afterwards is common. For many people it eases over the following weeks and months.

What you might notice

• A sore throat, or a hoarse or weak voice.
• Coughing when you drink.
• Food that feels stuck in the throat.
• Pills that are hard to get down.
• Getting tired quickly at meals.

What can help

• Many hospitals ask an SLP to check swallowing before you eat or drink.
• Softer foods or thicker drinks are sometimes suggested for a while. Ask what the swallow check showed, and what each option involves.
• Swallowing exercises and ways to swallow exist. An SLP can show the technique and check if it is working.
• Sit upright for meals, and go slowly.
• Ask a pharmacist if pills are hard. Never crush or split a pill without asking first.

Going home

Swallowing may still be changing when you leave the hospital. Keep noticing which foods and drinks are hard, and whether it eases.

After neck surgery, a hoarse voice is also common. Mention it, along with any swallowing changes, at your follow-up.

Questions to ask your care team

• Has my swallowing been checked?
• What did the swallow check show, and what are my food and drink options?
• Who do I call if swallowing changes at home?
• Can I see an SLP after I leave the hospital?
• Can my pills come in another form?

When to get help

Get checked soon if you notice any of these. A doctor or SLP can look at what is going on.

You know your own body best. Bring what you notice to your care team, and decide together.

• Coughing or choking when you eat or drink.
• Food or pills that feel stuck.
• Losing weight without trying.
• Pneumonia or chest infections, especially if they come back.