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.