Oral and pharyngeal dysphagia is a common symptom in patients with amy
otrophic lateral sclerosis (ALS) and is the result of a progressive lo
ss of function in bulbar and respiratory muscles. Clinicians involved
in the management of ALS patients should be familiar with the common c
linical findings and the usual patterns of temporal progression. The p
revention of secondary complications, such as nutritional deficiency a
nd dehydration that compound the deteriorating effects of the disease,
requires careful monitoring of each patient's functional status and t
imely intervention with appropriate management techniques.