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.


