In some patients, there is no outward signor symptom of a swallowing problem. However, other patients give clear signals that they are having difficulty swallowing. Most common signs of a swallowing problem include: coughing while eating or drinking or very soon after eating or drinking; wet sounding voice during or after eating; increased congestion in the chest after eating or drinking; slow eating; multiple swallows on a single mouthful of food; obvious extra effort or difficulty while chewing or swallowing; fatigue or shortness of breath while eating; temperature rise 30 minutes to an hour after eating; weight loss associated with increased slowness in eating; repetitive pneumonias; If you see any of these signs or symptoms of a swallowing problem, you should bring it to the attention of the patient's physician or seek a swallowing therapist, usually a speech-language pathologist, for evaluation.
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