- Weakness in the oral stage. In patients with weakness, or face or tongue coordination disorder will have difficulty in processing food in the mouth, or change the form of food.
- Failure of closure of the larynx which will cause aspiration.
- Reduced "peristaltic" pharynx.
There are several ways to identify dysphagia in stroke patients, the first in some cases brain stem stroke, and brain bilateral stroke. In the second type of stroke, patients are at particular risk of dysphagia. Second, if the patient is experiencing tightness, cough or voice changes after eating or drinking, beware of the possibility of aspiration. Doctors usually check for nerve neurologist patient and the patient's gag reflex. If so required, will be followed by a consultation for examination FEES (Fiberoptic Endoscopic Evaluation of Swallowing).