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My husband has Alzheimer's, and chokes on his food. He was diagnosed around 5 years ago. I would like to know how soon, approximately, will it be before he will lose the ability to be able to drive to destinations. I thought you would be able to judge the time limit better knowing his choking problem. He was a truck driver before retirement. Also his degree of confidence is very, very high. But I do not know if he even realizes he has a problem. His sense of confidence and control are so high and he will not discuss this. Please advise. I am distraught. Thank you

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Every answer is so helpful to me. Thank you for your answers. I am so thankful for your help. My daughters live out of state, and although they do what they can, they cannot see what I do. I'm so glad to find this site.
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Candy, as FF wrote, you should see a speech therapist who can order a videoscopic swallowing test. This will reveal if he's aspirating his food and will also reveal what can trigger it.

Sometimes just plain water can be aspirated; sometimes thickening water and other liquids can allow a person to swallow more safely.

Do some research on dysphagia; there are 4 levels of diagnosis, each with recommended foods and liquids. Avoiding those foods which cause aspiration and/or choking can help your husband swallow more easily. But the determination what he can and cannot eat is done by a speech therapist or speech pathologist.

Therapy can include Shaker exercises, which are challenging, or making various guttural sounds, which are easier. In some cases and under the direction of a speech therapist, "stims" can be used to prod certain muscles in the mouth/throat area, to strengthen them so swallowing can be done more safely.

However, there may still continue to be some dysphagia, so please don't be disappointed if a speech pathologist advises that he'll have to be cautious when eating and drinking from here on in.

As to driving, no one can really predict when he'll lose the ability to drive. It's best to start planning for that now and finding alternate transportation.
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Candy, if hubby is choking on his food, have his doctor arrange for some swallowing tests to see what is going on. You don't want hubby to be aspiring food into his lungs as that could possibly cause pneumonia. There is physical therapy that could help.
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You are in NY and are required to self report impairment to the DMV.
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If he has had dementia five years and he is now at the point of swallowing difficulties, it is time to stop driving. Sorry.
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