Alzheimer’s patients and swallowing problems

Most Alzheimer's patients often have swallowing problems. It's very clear from my own dad, which puts patients at risk of aspiration pneumonia and increases the risk of malnutrition and dehydration.

How can you tell if there is a swallowing problem?

Signs to look for are: if the patient eats less, loses weight, and coughs or chokes frequently while eating, it means swallowing problems are starting. If the patient can still cough strongly enough to clear what was aspirated, there's no need to worry too much yet, but they should practice exercises to strengthen the muscles around the mouth and tongue to improve swallowing, such as:

Purse the lips and press the lips together, 10 times per position.

Open the mouth and bare the teeth, 10 times per position.

Stick out your tongue and press it against the inside of your cheek, alternating left and right, 10 times per position.

Lick around your lips with your tongue and touch the roof of your mouth, 10 times per position.

Try doing these exercises—practicing every day will help make chewing and swallowing more effective. However, if you want to be sure, you should see a doctor for a proper evaluation and appropriate treatment.

Cr. Mouth and tongue muscle exercises — Dr. Puangkaew Thitisakulchai

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