To perform an effortful swallow, follow these steps:
Take a small bite of food or a sip of liquid. Close your lips and teeth firmly. Swallow hard with a lot of effort, as if you are trying to swallow a large piece of food. Feel the muscles in your throat working harder than usual.
It is often recommended to practice this technique under the guidance of a speech-language pathologist who can tailor the method to the patient's specific needs.