A FEES assessment is a medical procedure which examines swallowing problems in detail. This procedure is co-ordinated by the Speech and Language Therapy team. This information sheet provides details about what the FEES assessment involves.
Why do I need this assessment?
You have been referred to the speech and language therapy department because you have had some difficulties swallowing or have had surgery or other treatment that may affect your swallowing. Speech and language therapists are trained to assess and treat swallowing problems. The FEES examination enables us to assess your swallowing. It also allows us to try different foods and/or different techniques to help you swallow more effectively.
What happens during the assessment?
A team of two people will carry out the examination. This team will usually be made up of two speech and language therapists. Other members of staff, such as a physiotherapist or doctor may also be present.
If you are currently in hospital, the assessment will be carried out while you are in bed or sitting in a chair. A small, flexible endoscope will be placed into one nostril and moved through your nose. When the end of the endoscope is positioned just beyond the back of the nose, a clear view of your throat is obtained. You will be able to see your throat (including your vocal cords) on the television monitor if you choose.
When will I know the results?
You will be given some basic feedback and advice immediately after the procedure. However, detailed results will only be available when a report has been written. The report will be sent to your doctor and a copy will be filed in your Health Records.
Is the procedure uncomfortable?
At times the passing of the endoscope through the nose causes mild to moderate discomfort. Once the endoscope is positioned above the throat, any discomfort usually recedes.
Is the procedure safe?
The procedure is considered to be safe and rarely has side effects.
How long will it take?
The procedure takes approximately 15- 30 minutes.
Can I eat before my appointment?
Unless you have been advised otherwise, you can eat and drink as normal before your appointment. If you are currently feeding through a tube, you can take your feeds as normal up until your appointment time.
What happens afterwards?
If appropriate a follow-up appointment will be made for you to discuss the findings of the assessment in more detail with the speech and language therapist. You may be given advice and exercises to help make your swallowing easier or safer.
Contacts
If you have any questions about the assessment or the results, please contact the Speech and Language Therapy team.
Speech and Language Therapy
Speech and Language Therapy Adult Service
Agile Office
Queen Elizabeth Hospital
Sheriff Hill
Gateshead
NE9 6SX
