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																																																												What
																																																												should
																																																												Caregivers
																																																												Watch
																																																												For? 
																																																												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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