Donna
Jennifer explained the MBS very well. Ask for a DVD copy of your own. It was indeed "kind of cool" to see the barium solution go up and down and up and down the epiglottis area but then sadly
come to rest in the pockets just above the epiglottis, in the valleculae or pyriform sinuses. These pockets should then clear out with my next swallow, but they don't, so the barium then spills over into an unprotected airway. At that point, it's called silent aspiration because I am blissfully unaware that it's going down the "wrong pipe", although the SLP certainly was as I could hear her sharp intake of breath.
So yes try basic Swallow therapy: compensatory techniques (i.e., postural maneuvers), indirect therapy (exercises to strengthen swallowing muscles) and direct therapy (exercises to perform while swallowing). While none of them worked for me, they usually help most people tremendously.
Keep the Faith
Charm