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Childhood Diseases

Question
Posted by: Mom | 2008/06/08

Q.

Choking and gagging

I have noticed for a while now that my baby chokes and splutters quite alot. Often he will just start choking/coughing for no reason - I think maybe its spit or drool that is causing the irritation as he is not feeding or drinking. He is on solids, vegetables, fruit and cereal and he often gags when he does not like the food. Particulary with vegetables, I think it is the texture. I am not too concerned about the gagging with food as I think it is his way of telling me he does not want it so I stop feeding. I do not give him juice or water as it makes him cough and choke and he also won't tolerate the taste. He seems to also choke while having his bottle. I don't think the flow is too fast but he chokes at least two to three times per milk feed. His eyes go watery and face red when he chokes but after a few coughs he happily continues drinking. I have taken him off reflux medicine as I feel his reflux is under control - he is gaining weight and I can see he is not uncomfortable or in pain. The sporadic choking and spluttering bothers me a bit lately but I am not too sure if there is anything to worry about or if this behaviour is normal. He is very happy, active, reaching his milestones before his peers and the clinic is happy with his weight, He is seven months, 8.5Kgs and 70cms.

Expert's Reply

A.

Paediatrician

This is not normal and there are several possible causes for these symptoms. It is important to exclude some of the more important causes such as inco-ordinate swallowing or a vascular ring. There are other possible causes as well. Please take your baby to be seen by a paediatrician with an interest in paediatric respiratory conditions.There are experts in all the main centres in SA.

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