For example, is it at the beginning part of the swallow, or more at the end of the swallow,” she says. [5] Calorie- and nutrition-dense smoothies made with nut or seed milk and your favorite fruits and vegetables can be a good solution for people with Parkinson’s who are having swallowing difficulties. [6] For some people, swallowing therapy may be recommended, says Stahl. “This is similar to physical therapy for other movements, but the focus is on the swallowing muscles.” The therapy can help increase swallowing control, which can protect the airway and help prevent aspiration (when food or liquid “goes down the wrong pipe”).