Swallowing technique

Retrograde cricopharyngeus dysfunction (R-CPD) makes swallowing difficult due to improper relaxation of the upper esophageal sphincter. Using proper swallowing techniques can help engage the muscles in a way that allows food and liquid to pass through the tightened sphincter. With practice and conscious effort, those with R-CPD can optimize their swallowing motion for better control.

The first key technique is to take very small sips and bites. Trying to swallow large gulps or mouthfuls will almost certainly cause choking or gagging. Sipping water or broth slowly, putting small spoonfuls in the mouth, and taking modest bites of thoroughly chewed food are safer approaches. This gives the upper sphincter time to respond and open.

Tucking the chin slightly toward the chest during swallows can also help protect the airway and direct food down. Keeping the head upright, rather than tilted back, also takes some pressure off the sphincter area. Looking down and forward brings the chin down in a subtle way.

Concentrating fully on the swallowing motion, almost in slow motion, enables conscious control of the muscles. The tongue should press up hard against the roof of the mouth while swallowing. Doing Shaker exercises to strengthen the muscles can reinforce proper tongue techniques.

Swallowing multiple times, almost in a wave motion, for each sip or bite can provide additional coaxing for the sphincter to relax open. Taking small sips of liquid after swallowing solid food helps clear residual food from the throat.

Trying to relax the neck, jaw, and throat muscles before and during swallowing may ease tightness interfering with the motility. rot slow neck stretches and massage can help release muscle tension. Avoiding stressed or rushed eating also sets the muscles at ease.

While an R-CPD diagnosis means the upper esophageal sphincter isn't functioning optimally, fine-tuning swallowing technique provides some voluntary compensation. Along with medical treatments, conscious swallowing adjustments can help those with R-CPD eat and drink more safely and comfortably.