Feeding Specialist: When Is it Time to See One?
Nancy Fitzgerald Calamusa MA, CCC-SLP (adapted from a post and the comments under the post in this Closed Facebook Group)
Parents should seek the advice of a feeding specialist when there are any concerns regarding how the baby/child is feeding or swallowing. Coughing/choking/eye tearing and audible upper airway congestion during feeding are all clinical signs of dysphagia which should be addressed immediately. Failure to progress through the developmental spectrum of feeding i.e., unable/unwillingly to transition between textures; unable/difficulty transitioning from breast/bottle to other methods of fluid intake; gagging & choking, these are all clinical markers or red flags for feeding &/or swallowing difficulty. Failure to thrive, gain weight & grow is another obvious sign. Prolonged episodic GERD which may result in aversion or refusal to drink &/or eat due to association of pain during these tasks.