Before introducing your child to self-feeding with whole/solid foods, it is important to know and understand the difference between gagging and choking. They are two very different experiences!
What is Gagging?
Gagging is common and developmentally appropriate for all babies throughout infancy. Gagging is the body’s way of protecting the airway of any foreign substance and ensures that babies are not swallowing things they shouldn’t. Although gagging is expected and protective, excessive gagging during mealtimes is cause for pause. It is an uncomfortable sensation and could lead to negative associations with mealtimes.
If your baby is gagging too much during the introduction of solid foods, they may not be ready just yet. If this is the case, you can help your baby learn to control the activation of their gag reflex by encouraging them to mouth on toys and chewies with a variety of textures. This helps with pushing the gag reflex further back on the tongue so that gagging while eating is greatly reduced.
What is Choking?
Choking is different from gagging in that it not a reflex and can be extremely dangerous. Choking occurs when food, or another object, blocks the airway. While signs of gagging include a loud sound, choking is typically silent, which is why it is essential to always supervise your baby while they are eating.
Why are babies susceptible to choking?
- Anatomy: babies have smaller throats, which makes them prone to blockage of the airway by small objects.
- Skill: babies are still learning the skills of chewing, swallowing, and breathing, which takes time!
- Ineffective cough: adults typically have a strong enough cough to dislodge any full or partial airway obstruction, however babies are less effective with this task.
What are some ways to reduce the risk of choking?
- Avoid leaving your baby unattended while eating.
- Ensure that your child is seated safely and upright in a highchair during mealtime. They should be able to sit tall and keep their head up independently.
- Limit distractions during mealtimes
- Monitor how high risk choking foods, such as raw apples and hot dogs, are presented.
If you are seeking additional guidance and support for your child’s feeding skills, our experienced Feeding Team at Chicago Pediatric Therapy & Wellness Center is here to help! Call us for an assessment today at 773-687-9241!
