My swallow test is finished! The speech therapist will show me and my family my movie on TV. I may also have my favorite snack dipped in some of the pudding. The speech therapist may ask me to try some pudding. I will drink the special drink while they take my picture. The speech therapist will give me something to drink. The doctor will press a button to turn on my video.
The machine will make a noise when it is moved, but it will not touch me. The doctor will move the special machine to make sure they take a good picture of me. The speech therapist will put on a special coat. They may put a special blanket on my lap. The therapist will ask me to sit in a special chair. The speech therapist may need to touch my tongue or cheeks. The speech therapist may ask me to open my mouth and do silly things with my tongue. The speech therapist will ask my family questions about me. The room will have a chair, a table, and a big machine to take my video. I will sit in the waiting room with my family. The receptionist will talk with my family and type information in the computer! We are at Radiology! We will go to the check-in window. We will walk down the hall to Radiology (1J). We will get stickers with our names to put on our clothes. We will leave our car with the valet or in the parking garage.įirst, we will go to the front desk. I will bring my favorite cup(s) and food. Today I am going to Connecticut Children’s for a swallow study. Spots are obtained quickly during suspended respiration and under phonation (patient instructed to say "Eeeee.For tips on how to use this picture story, please review our picture story instructions. Right lateral views should be obtained initially to rule out aspiration or penetration, then frontal views are obtainedĭynamic videofluoroscopic examination should be simultaneously acquired for optimal evaluation The examination is performed in the upright lateral position after swallowing high-density barium Scout films are obtained to rule out any foreign body, abscess or fistula Preparation needed for study is overnight fasting, avoiding smoking or chewing gum to decrease the secretions in the oral cavity and pharynx. When barium is not used, the study is often called a contrast swallow.Įxamination technique depends on the indication of the study. A low osmolarity agent such as iohexol (e.g. Gastrografin) has been associated with massive pulmonary oedema and subsequent death. Aspiration of high-osmolarity water-soluble contrast agents (e.g. Water-soluble contrast agents should be used instead of barium sulfate in the following cases:Ĭaution should be exercised when using water-soluble contrast agents in patients with a risk for aspiration. Inability to pass the endoscope during an upper GI endoscopy However, there remain many indications for a barium swallow including:
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