Swallowing after a brain injury

Why swallowing can change

A brain injury can affect the muscles for chewing and swallowing. It can also affect attention and memory.

Eating safely takes focus. So staying on task at a meal can matter as much as the swallow itself.

What you might notice

• Trouble chewing.
• Coughing or choking when eating.
• Eating very fast, or taking big bites.
• Talking or getting distracted while chewing.
• Forgetting to swallow, or food left in the mouth.

What can help

These are options people use. Choose what fits your life.

• Eat in a quiet place, with one thing to focus on.
• Sit upright, and take small bites and sips.
• Put the fork down between bites to slow the pace.
• Use reminders, like a note on the table.
• An SLP can test your swallow and show strategies. They can also help with attention and memory.

Questions to ask your care team

• What did my swallow test show?
• Which options fit what I notice, and what are the trade-offs?
• How can my family help at meals?
• When should we check my swallow again?

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.