Making Mealtimes Safer and Easier
Severe Dysphagia Management
What Is Severe Dysphagia and Why Does It Matter?
Severe dysphagia is when someone has serious trouble swallowing food or drinks. It can make eating unsafe and stressful, and without the right support, it can lead to health problems like choking or pneumonia.
Managing dysphagia properly helps people enjoy their meals, stay healthy, and feel more comfortable at home.
Why Good Dysphagia Management Is So Important
Looking after dysphagia the right way makes a big difference. It helps in many ways, like:
Staying Safe
Making sure food and drinks are the right texture reduces the chance of choking and keeps meals worry-free.
Feeling Good
Enjoying meals that suit individual needs can improve well-being and make mealtimes more pleasant.
Getting Proper Nutrition
Having the right food and drink means the body gets the nutrients it needs to stay strong and full of energy.
Peace of Mind
Families and carers feel more confident knowing their loved ones are eating safely and getting the support they need.
Preventing Problems
Spotting swallowing difficulties early can help avoid serious health issues and unnecessary hospital visits.

What Happens If Dysphagia Is Not Managed Well?
If dysphagia isn't handled correctly, it can lead to:
Choking Hazards
Eating the wrong foods or drinking thin liquids can increase the risk of choking, which can be dangerous.
Breathing Problems
Food going down the wrong way can cause infections like pneumonia.
Poor Nutrition
Not eating enough or getting the right nutrients can lead to weight loss and weakness.
Stress at Mealtimes
Struggling to eat can make people anxious or scared when it’s time to eat.
Loss of Independence
When meals become difficult, people may start to feel frustrated or lose confidence in their abilities.
Practical Ways to Manage Dysphagia Effectively
There are several things that can be done to make sure eating and drinking are safe and enjoyable.
Specialised Training
Carers and family members should know how to prepare meals, assist with eating, and handle emergencies.
Individual Meal Plans
A meal plan created with experts like dietitians and speech pathologists can make sure food textures and drink thickness are just right.
Texture-Modified Foods
Some people may need their food to be soft, pureed, or cut into smaller pieces to make it easier to swallow.
Proper Positioning
Sitting upright while eating and avoiding distractions can help prevent choking.
Watching Closely
Keeping an eye on how someone is eating can help catch any problems early and make sure meals go smoothly.
Being Ready for Emergencies
Knowing what to do if someone chokes, including first aid steps, can save lives.

Things to Keep in Mind for Safer Eating
Recognising the Signs of Dysphagia
Look out for signs like coughing while eating, taking too long to finish meals, a wet-sounding voice, or frequent chest infections.
Avoiding High-Risk Foods
Hard, dry, or sticky foods like nuts, bread, and raw vegetables can be difficult to swallow safely.
Medication Checks
Some medicines can make swallowing harder, so it’s good to review them regularly with a healthcare professional.
Using Special Utensils
Special cups, plates, and cutlery can make eating easier and more enjoyable.
Keeping Food Safe and Healthy
Good food hygiene is important to avoid infections and keep meals safe.
How to Keep Food Safe
- Wash hands and surfaces regularly.
- Store food at the right temperature.
- Use separate tools for raw and cooked foods.
- Follow special dietary needs carefully.
The Dangers of Poor Hygiene
Not handling food properly can lead to:
- Food poisoning.
- Serious allergic reactions.
- Bacteria spreading between foods
Frequently Asked Questions
What foods should be avoided with severe dysphagia?
Hard, dry, or crumbly foods like nuts, crackers, and tough meats should be avoided. Sticky foods like peanut butter can also be difficult to swallow safely.
What is the safest way to drink fluids?
Thicker drinks are often easier to swallow. Thickened liquids can help prevent them from going down the wrong way.
How can I tell if someone is struggling with dysphagia?
Signs include coughing during meals, a change in voice after eating, taking a long time to finish food, and frequent chest infections.
Can dysphagia get worse over time?
Yes, without proper management, swallowing difficulties can become more severe, leading to health complications.
Who can help with dysphagia management?
Speech pathologists, dietitians, and trained carers can provide expert support and create personalised care plans.
What should I do if someone chokes?
Encourage them to cough if they can. If they can't breathe, back blows or abdominal thrusts may be needed, and emergency services should be called.
Need Support With Dysphagia Management?
We provide caring, in-home dysphagia support across areas within 45km of Jordan Springs, including Parramatta, Blacktown, Hawkesbury, Castle Hill, Fairfield, Penrith, Springwood, Richmond, Wentworth Falls, Quakers Hill, and Minchinbury.
Need help with dysphagia management? We’re here to support you every step of the way