Modified Barium Swallow: Diagnostic Assessment at Milestone

At Milestone Pediatric Rehabilitation Centre, we understand the critical importance of accurate diagnosis in managing swallowing difficulties in children. The Modified Barium Swallow (MBS) test, also known as a video fluoroscopic swallow study, is a specialized diagnostic procedure designed to assess swallowing function in real-time.

What is a Modified Barium Swallow Test?

The Modified Barium Swallow test is a dynamic X-ray procedure that evaluates how your child swallows various textures of food and liquids mixed with a safe contrast substance called barium. This test helps identify any difficulties in the swallowing process and determines whether food or liquids are entering the airway instead of the esophagus.

At Milestone, we focus on:

At Milestone, we combine the MBS test results with comprehensive assessments to create a holistic therapy plan. Our multidisciplinary team collaborates with families to:

  • Enhance safe swallowing through evidence-based therapies
  • Provide dietary modifications and strategies for optimal nutrition.
  • Monitor progress and make adjustments as needed.

Why is Modified Barium Swallow (MBS) Important?

Swallowing disorders (dysphagia) can significantly impact a child’s nutrition, growth, and overall health. The MBS test is crucial for:

  • Identifying structural or functional abnormalities in the swallowing mechanism.
  • Detecting aspiration risks (food or liquid entering the lungs).
  • Guiding the development of personalized treatment plans to improve swallowing safety and efficiency.

How Does the MBS Test Work?

The Modified Barium Swallow test is non-invasive, quick, and safe procedure is conducted in a child-friendly environment to ensure comfort and cooperation. At Milestone, we involves the following steps:

Preparation:

Your child consumes various food and liquid textures mixed with barium.

Real-Time Observation:

A fluoroscopy (moving X-ray) records the swallowing process from the mouth through the throat to the esophagus.

Analysis:

Our expert therapists and radiologists review the video to identify any swallowing difficulties or risks.

Who Can Benefit from MBS?

Children with the following conditions may benefit from an MBS evaluation:

  • Feeding difficulties or refusal to eat.
  • Coughing, choking, or gagging during meals.
  • Frequent respiratory infections or pneumonia.
  • Known or suspected aspiration.
  • Neurological conditions affecting swallowing (e.g., cerebral palsy).

Frequently Asked Questions (FAQs)

The MBS test is conducted to evaluate a child’s swallowing function in real-time. It helps identify swallowing difficulties, risks of aspiration, and other abnormalities in the swallowing mechanism, enabling the creation of a safe and effective treatment plan.

Yes, the MBS test is a safe and non-invasive diagnostic procedure. The barium used is non-toxic, and the radiation exposure during the test is minimal, carefully monitored to adhere to safety standards for children.

The entire procedure typically takes about 15 to 30 minutes. This includes preparation, the actual test, and a brief post-test review with your child’s care team.

No, the test is painless. Your child will simply consume food and liquids mixed with barium under the supervision of our trained staff. We strive to make the environment as comfortable and child-friendly as possible.