What a swallow test can tell you

What a test is for

A swallow test shows what happens when you eat and drink. It can show things you cannot feel.

What you learn helps you weigh your options. You can ask about every finding.

Part 1: the clinical exam

This is often the first step. It happens in an ordinary room, with no machines.

• The SLP asks about your health, your medicines and what feels hard.
• They look at how your lips, tongue and jaw move.
• They may listen to your voice and ask you to cough.
• They may watch you eat and drink a few things.

Part 2: the X-ray swallow study

It is also called a modified barium swallow (MBS) or videofluoroscopy (VFSS).

You eat and drink small amounts mixed with barium. Barium shows up on X-ray, so the SLP can watch where it goes.

• You sit up while you swallow.
• The SLP may try different foods, drinks or head positions to see what changes.
• It shows the mouth, throat and the top of the food pipe as you swallow.

Part 3: the camera exam (FEES)

A thin, soft tube with a tiny camera goes in through your nose. It looks at your throat from above while you eat and drink.

It uses no X-rays. It can be done in a clinic or at the bedside.

What you might notice on the day

• You may be asked to try foods or drinks you find hard. That is how the test sees it.
• Barium can taste chalky.
• You may cough during the test. The team expects that.
• The camera tube can feel odd or tickly. Ask what they do to keep you comfortable.

What can help you get ready

• Bring your list of medicines and vitamins.
• Bring dentures, glasses or hearing aids if you use them.
• Write down which foods, drinks or pills feel hard, and where you feel it.
• Bring your Food Feel Profile or meal log if you keep one.
• Ask if someone can come with you to help remember.

Questions to ask your care team

These help you understand the results and weigh any recommendation.

• Which test are you suggesting, and what will it show?
• What did you see when I swallowed?
• What are my options now, and what does each involve?
• What are the trade-offs of each one, for safety, comfort and enjoying food?
• Can I see the video or get a copy of the report?

When to get help

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

• 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.