← Speech Therapy Swallowing + dysphagia

Swallowing & Dysphagia Therapy in Bryanston

Clinical speech-language therapy support for non-emergency swallowing concerns, including symptom review, functional assessment, safer-mealtime guidance and referral for medical or instrumental assessment where indicated.

Reasons to book

What might you notice?

01

Coughing or throat clearing happens during or after eating or drinking.

02

Food or drink feels difficult to move or seems to stick.

03

Meals take much longer or certain textures are being avoided.

04

There are changes in voice quality during or after meals.

05

Weight loss, dehydration, recurrent chest infections or reduced intake are concerns.

06

Swallowing changed after stroke, neurological illness, surgery or another medical event.

Assessment

What the first appointment may need to clarify.

Assessment is selected according to the history and clinical question. Not every person needs every component.

Medical and swallowing history
Current foods, drinks and mealtime pattern
Oral and functional swallowing observations where appropriate
Respiratory, nutrition and hydration concerns in context
Existing ENT, medical or instrumental swallowing results
Need for further medical or instrumental assessment
Therapy + next steps

One symptom alone cannot tell you whether swallowing is safe.

Coughing can occur for several reasons and some aspiration can occur without obvious coughing. Management therefore depends on the full clinical picture. Recommendations may include strategies, therapy, caregiver guidance, diet-related coordination and referral for further swallowing investigation where appropriate.

See what happens at an assessment →
Important safety note

Breathing difficulty, severe choking, sudden swallowing difficulty, acute neurological symptoms or another medical emergency require urgent medical assessment rather than a routine dysphagia appointment.

Related guidance

Keep exploring without starting over.

Questions

Common questions about this pathway.

Does coughing during meals always mean aspiration?

No. Coughing is one possible sign but it is not diagnostic on its own. Swallowing symptoms need to be interpreted with the person’s medical history and other clinical findings.

What is an instrumental swallowing assessment?

Depending on the clinical question, a clinician may recommend an instrumental assessment such as a videofluoroscopic swallowing study or endoscopic swallowing assessment through an appropriate referral pathway.

What should I bring?

Bring relevant medical, ENT, neurological, hospital or previous swallowing reports and a list of medications, foods and drinks that are difficult.

Next step

Describe the concern in ordinary language.

You do not need to know the diagnosis or exact appointment name before contacting the practice.