Gagging is not Choking
It is important for parents to understand the difference between when an infant gags on food and chokes on food ... gagging is normal infant development whereas choking can be harmful.
Learning in the mouth
During the first year of life, babies learn through senses in the mouth. Different textures, temperatures and tastes stimulate learning and the development of neural pathways in the brain. Until four to six months of age babies only swallow liquid. Swallowing is different when food is involved. There are different tastes, textures and temperatures to explore and become familiar with. Some babies are sensitive to these changes while others are not.
Soft, pureed or chewed food pass over the tongue touching the gag reflex at the back of the throat on the way to the stomach. Suitably prepared food, softened and mushed (mechanically or in the mouth) slides down the oesophagus into the stomach and intestines for further digestion. This process of swallowing often involves gagging when the food is new. Choking occurs when food items are too hard or large. Gagging is not the same as choking.
Choking occurs when a substance gets lodged in the small oesophageal tube and pushes into into the trachea (airway) lying alongside it. Food matter can partially or completely obstruct the trachea. This depends on the size and firmness of the lodged substance. Sitting upright helps food matter slide down. Never offer infants food that could get lodged in this tube such as peanuts, raw carrot, apple, and hard biscuits that don’t soften with saliva.
Gagging happens when babies are getting use to different textures. When food travels down the oesophagus babies may regurgitate it up from the back of their throat but often swallow it again. It is important for babies to be in an upright position to aid this process. Gagging is necessary for babies to understand how to chew and swallow different textures. Giving babies soft foods that are age appropriate will usually not cause choking but often causes gagging during the chewing and swallowing process. Always sit with babies when offering them solid food. Avoid showing panic reactions in front of them if they do gag. Instead, smile and be encouraging, knowing that they are capable of regurgitating and re-swallowing. If you panic babies may inhale the food they have in their mouth.
Enjoy the experience of eating
Help infants enjoy the experience of eating in a non-rushed, non-distracted atmosphere. Sit in front of them face-to-face with an encouraging smile and keep a ‘sippy cup’ of water handy.
Staying on mush
Many parents hold off moving their infants onto textured food. This can lead to fussy eating and slowed speech development. Parents may fear choking and only use processed foods from jars, squeeze packets and tins, which are kept soft for legal reasons.
Jan Murray has been committed to studying and working as a Registered Nurse, Midwife and Child Health Nurse for over 25 years. Jan has a bachelor of Behavioural Science, is a mother and nanna, who co-founded and directs Settle Petal. Jan provides information and support for parents to develop their knowledge base and confidence.