Dental work was impossible, as anything in my mouth would trigger it. if the doctor would put one of those little wood sticks in my mouth, I'd jump out of the chair. It was very intense for a long time after all this started. Unfortunatly with bulbar progression these things are going to happen ,a speech therapist can help by giving advice on any eating or swallowing problems. It was only by vomiting from the choking that the obstruction was cleared,this was the worst case i have had. Last week some food went down the wrong way and got stuck in the middle of my throat,i could not breathe and was choking so badly my son had to help. I have only chocked odd times in the past but lately this is getting more regular. This has developed from odd times to more regular occurance. This leaves food still left and the need to swallow a few times with each mouthfull,i am sure there must be a weakness issue here. Like you about 2yrs ago i started having trouble swallowing,it is like there is a delayed reaction at the top of the throat and when you swallow not everything goes down at once.
The observer notes that mumįusses over Ava when she gags. Mum agrees to offer Ava some fork mashed fruit so that the observer can make an assessment of Ava’s response.Happy and interactive when being spoon fed and enjoys the independence She is offered lunch as described above.She thenĬommenced infant formula and is currently having 3 small bottles per Ava was breast-fed until around 10 months of age.Sometimes Ava will mouth toast or biscuits until they go soggy but she doesn’t appear to swallow any.She is either fed by mum using a spoon or selfįeeds by sucking food directly from the ‘pouch’. This is usually followed by puree fruit with Typically consists of smooth commercially prepared foods that include Ava has smooth infant cereal for breakfast.Primary carer for Ava and her two older sisters. She has not had any significant illnesses. There are no concerns regarding herĭevelopment and her growth has tracked consistently around the 25th
Medical, Developmental, Growth and Social History We are sure she has a swallowing problem.” It is getting worse and now she vomits if she finds a “We waited a while before trying again but she still gags on the.“When I tried her on the next stage foods with the lumps but she gagged and looked like she was about to choke.”.She liked the commercial babyįoods better than the foods we made for her. However she didn’t really seem to enjoy the foods I Ava’s parents report, “Ava started solids when she was almost 6.Your assessment reveals the following details: Medical, developmental, growth and social history.What are the key elements of your assessment of Ava’s feeding difficulty? Remember to consider your own response before viewing suggested answers. If she is given any lumps in her food she will gag and usually vomit. Her parents are concerned that Ava has a swallowing problem as she will only eat smooth puree foods. Babies and young children should always be supervised when eating.Īva aged 14 months is referred for assistance with feeding.
Unlike gagging where the child will make retching noises choking is silent. Gagging is not the same as choking where the airway becomes blocked preventing breathing.Simply remove the piece of food and provide reassurance. To prevent this avoid overreacting to the child’s gagging response. With positive reinforcement gagging can become a learnt behaviour.Exploring of the mouth with hands and toys and encouraging feeding independence helps with diminishing the gag reflex. It is best managed by providing graded food textures that support or match the development of oral motor skills. Gagging is a common response when infants are making the transition from smooth to lumpy foods or when learning to chew.Some children have a hypersensitive gag reflex and will gag more easily. The gag reflex diminishes at around 6 months of age coinciding with the age at which most babies are learning to eat solid foods. It can be triggered by fingers, food, a spoon or toys touching the back of the mouth. Gagging is a reflex action that helps to prevent choking.Development of oral motor skills enables children to manage foods with an increasing range of textures.Gagging or choking - Challenges increasing textures in the diet
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