Melbourne Swallowing Clinics
SWALLOWING/ FEEDING RED FLAGS FOR PAEDIATRIC
REFERRAL
Coughing/ choking or gagging during bottle or breast feeding.
Arching or stiffening of the body during feeding.
Irritability or lack of alertness during feeding.
Long feeding times (e.g. longer than 30 minutes).
Raspy “wet” vocal quality shortly after bottle or breast feeding
Gurgly, hoarse or breathy voice quality post feeds.
Difficulty coordinating breathing with eating or drinking.
Ongoing poor weight gain.
Decreased tolerance/ difficulty transitioning to pureed food.
Decreased tolerance/ difficulty transitioning to sippy cup or open cup.
Decreased tolerance/ difficulty transitioning to increased textures including: Stage 2 or 3 baby foods,
crunchy meltables and table foods.
Frequent coughing, gagging or throat clearing during! shortly after feeding.
Consistent drooling.
Frequent spitting up or vomiting.
Refusing to eat certain foods, temperatures or textures.
Continuing to tolerate only baby foods past 12 months.
Food repertoire of less than 20 foods at 18+ months.
Food residue obvious in the mouth post feeds after 18 months.
Any reoccurring chest infections associated with suspect swallowing.