FEES or Videofluoroscopy: Ask Why This Swallowing Test Is Proposed

Difficulty swallowing, coughing or choking while eating or drinking, or feeling something stuck after eating needs urgent medical assessment. Do not wait for a discussion about test choice.¹

Keep the appointment letter beside your questions. If different conversations have used different names, show the therapist those messages rather than trying to reconstruct them from memory.

FEES: a view through a nasal scope

UCLH describes FEES as a swallowing assessment using a flexible scope through the nose to view the throat. A speech and language therapist assesses swallowing safety.²

Ask the therapist to write out the abbreviation in your notes and explain the proposed steps. Tell them which part of the appointment you want discussed before it begins. Record the explanation in words you can return to later.

Videofluoroscopy: a moving X-ray examination

UCLH describes videofluoroscopy as an alternative detailed swallowing examination using moving X-rays. It may not provide the information the treating therapist needs for recommendations. Ask why the proposed test fits your assessment; this comparison does not select a test for you.²

Keep a space for questions that remain unanswered. If a term in the explanation is unfamiliar, ask for clarification before the conversation moves on. You can request a written summary to keep with the appointment papers.

Discuss discomfort and your decision

UCLH notes possible FEES discomfort and risks including nosebleeds, faintness or throat tightness. You can ask to stop. Discuss the recommendation, alternatives and concerns with your therapist before agreeing.²

Write your main concern at the top of the page so it is easy to find during the conversation. Ask the team to explain anything you have not understood about the appointment.

Bloated by Dinner includes a Test It list and visit script. Use them to organize your questions and record the team’s explanation. Explore the digestion playbook.