The Pharyngeal State , which begins with the pharyngeal swallowing response. The epiglottis closes off the trachea as the tongue moves backwards and the pharyngeal wall moves forward. These actions help force the food downward to the esophagus. The bolus is moved to the stomach by a squeezing action of the throat muscles.
Thin liquids can be especially troublesome, so small sips can help as well as sitting upright.
Using a tape recorder when trying to change the way one talks can be good for self-monitoring since that enables the person to hear how others hear him or her. Language writing skills Problems with aphasia and finding the right words can often occur with HD patients.