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Sensitive gag reflex: Transition to textured foodsSSensitive gag reflex: Transition to textured foodsSensitive gag reflex: Transition to textured foodsEnglishNutritionBaby (1-12 months);Toddler (13-24 months)Mouth;EsophagusMouth;EsophagusConditions and diseasesCaregivers Adult (19+)NA2009-11-10T05:00:00ZSuzanne Breton, BScOT, O.T.Reg. (Ont.);Eyal Cohen, MD, MSc, FRCP(C);Sherna Marcus, BScOT, O.T.Reg. (Ont.);Irene Ushycky, DSP7.0000000000000073.0000000000000947.000000000000Health (A-Z) - ConditionsHealth A-Z<p>If your child gags when given pureed foods that are not smooth, it may be because of a sensitive gag reflex. Read tips for overcoming a sensitive gag reflex.</p><p>Some babies and children have problems taking and swallowing food that is not smooth. These children will often do well with smooth pureed foods, such as commercial first baby foods in jars. When they are given pureed foods that are not smooth, they will often gag and sometimes <a href="/Article?contentid=746&language=English">vomit</a> (throw up). As a result, their parents will often go back to the smooth purees, which the child likes.</p> <p>These children continue to eat only smooth pureed foods and do not have the chance to learn to eat foods with texture. They also do not have the chance to learn to chew. Some children will be able to tolerate food with lumps in their mouth but will gag if they try to swallow lumps. As a result, these children will spit out lumps and only swallow the smooth part of food. </p> <h2>Key points</h2> <ul> <li>Some children will gag or vomit when they are given pureed foods that are not smooth. This is often caused by a very sensitive gag reflex. </li> <li>Offering only smooth foods and hoping that the problem will go away does not always work. </li> <li>There are a few things you can do to help make your child's gag reflex less sensitive. </li> </ul><h2>What causes this problem</h2> <p>Children who gag when trying to eat foods that are lumpy or have texture often have a very sensitive gag reflex. The gag reflex helps us to expel food that our bodies feel is unsafe for us to swallow. The gag is usually triggered somewhere on the tongue. </p> <p>Children with a very sensitive gag reflex tend to gag more easily than other children on food that is not smooth. This often looks very scary, as the child can turn red and appear quite distressed. Sometimes the gagging will lead to vomiting. </p> <h3>The difference between a sensitive gag reflex and a swallowing problem</h3> <p>It is common for parents to think that gagging when eating is caused by a problem with swallowing. However, there is a difference between a sensitive gag reflex and a swallowing problem: </p> <ul> <li>Children who have a very sensitive gag reflex will gag when new foods are still in their mouth, before they have tried to swallow the food. This can occur when the food is near the front, middle or back of the mouth. </li> <li>Children with a swallowing problem have trouble after the food has been swallowed. They may gag or choke. </li> </ul> <h2>Chewing problems can also cause gagging</h2> <p>Children can have problems with textured food because they have trouble chewing:</p> <ul> <li>Some children have difficulty chewing solid food in order to make it safe to swallow. These children will try to swallow a piece of food before it is properly broken down. This can cause them to gag and sometimes choke. This is often seen when children are first learning to chew. </li> <li>Children who have delays in their motor skills will often also have delays in their chewing skills as well. </li> </ul> <p>If your child is gagging with some solids, make sure they can properly chew the food that they are being given.</p><h2>How you can help your child with a very sensitive gag reflex</h2> <p>Children who have a very sensitive gag reflex usually need some help to improve. Just going back to offering only smooth foods and hoping that as the child gets older, their feeding will improve, does not always work. Most children with very sensitive gag reflexes need to experience the feeling of texture in their mouth and throat in order to make their gag reflex less sensitive. </p> <p>Smooth foods with lumps, such as yogurt with pieces of fruit, are often the most difficult for children with a very sensitive gag reflex. This is because the child feels a smooth texture and then the lump is a surprise. This can cause the child to gag. </p> <h3>Tips to help your child tolerate textured food</h3> <p>To make the gag reflex less sensitive and help children tolerate food in their mouth that is not smooth, you can try the following:</p> <ul> <li>Add texture to the food, but still keep it all the same texture. That is, you can make the food more grainy but with no lumps. You can do this by taking the smooth food that the child likes to eat and adding something like wheat germ or graham cookie crumbs. This will make the food less smooth, but there will be no surprise lumps. You can start off by adding only a very small amount of the wheat germ or graham cookie crumbs. As the child improves, you can add more. This will help the child slowly get used to the feeling of texture in their mouth and throat. </li> <li>If your child is able, allow them to feed themselves for all or part of the meal. Children with sensitive gags often do better if they can feed themselves. </li> <li>Even if your child is not able to tolerate lumpy or textured pureed foods, they may be ready to try solids that dissolve easily, such as baby crackers or cookies. Children with sensitive gag reflexes often do better with solids that dissolve easily, rather than lumpy pureed foods. </li> <li>Brushing your child's teeth will also often help to make their gag less sensitive. </li> <li>If your child enjoys putting toys in their mouth, provide teething toys that have bumps and different textures. </li> </ul> <p>If your child continues to have trouble swallowing textured foods, speak to your child's doctor.</p>
Réflexe nauséeux : transition aux aliments non homogènesRRéflexe nauséeux : transition aux aliments non homogènesSensitive gag reflex: Transition to textured foodsFrenchNutritionBaby (1-12 months);Toddler (13-24 months)Mouth;EsophagusMouth;EsophagusConditions and diseasesCaregivers Adult (19+)NA2009-11-10T05:00:00ZSuzanne Breton, BScOT, O.T.Reg. (Ont.);Eyal Cohen, MD, MSc, FRCP(C);Sherna Marcus, BScOT, O.T.Reg. (Ont.);Irene Ushycky, DSP7.0000000000000073.0000000000000947.000000000000Health (A-Z) - ConditionsHealth A-ZSi votre enfant a la nausée quand il reçoit des aliments en purée qui ne sont pas homogènes, il se peut qu’il présente le réflexe nauséeux. Voici des conseils pour surmonter un réflexe nauséeux. <p>Certains bébés et certains enfants ont du mal à manger et à avaler des aliments qui ne sont pas homogènes. Souvent, ces enfants n’auront aucun problème à manger de la purée homogène, comme des aliments pour bébés du commerce en petits pots. Quand on leur donne des aliments en purée non homogènes, les enfants ont souvent une réaction nauséeuse et vomissent parfois. Par conséquent, les parents reviennent souvent aux purées homogènes, que l’enfant aime.</p> <p>Ces enfants continuent de manger des aliments en purée homogène seulement, et n’ont pas la chance d’apprendre à manger des aliments plus consistants. Ils n’apprennent pas non plus à mâcher. Certains enfants vont tolérer des aliments avec des grumeaux, mais auront un réflexe nauséeux s’ils essaient d’avaler ces grumeaux. Par conséquent, ces enfants cracheront les grumeaux et n’avaleront que la partie lisse.</p><h2>À retenir :</h2> <ul> <li>Certains enfants auront un réflexe nauséeux ou vomiront s’ils reçoivent des aliments en purée qui ne sont pas homogènes. C’est souvent causé par un réflexe nauséeux très sensible.</li> <li>Le fait d’offrir des aliments homogènes seulement et d’espérer que le problème disparaisse ne fonctionne pas toujours.</li> <li>Il y a quelques stratégies que vous pouvez essayer pour rendre le réflexe nauséeux de votre enfant moins sensible.</li> </ul><h2>Ce qui cause le problème</h2> <p>Souvent, les enfants qui ont un réflexe nauséeux en tentant de manger des aliments qui contiennent des grumeaux ou qui ne sont pas homogènes sont très sensibles. Ce réflexe aide à expulser les aliments que notre corps juge non sécuritaires et est habituellement déclenché quelque part sur la langue.</p> <p>Les enfants dont le réflexe est très sensible ont tendance à régurgiter les aliments non homogènes plus facilement que les autres enfants. Le réflexe peut parfois avoir l’air effrayant, puisque l’enfant peut devenir rouge et avoir l’air en détresse. Parfois, le réflexe nauséeux mène aux vomissements. </p> <h3>La différence entre le réflexe nauséeux et un problème de déglutition </h3> <p>Souvent, les parents pensent que le réflexe nauséeux survient en mangeant parce que l’enfant a un problème de déglutition. Il convient cependant de noter qu’il y a une différence entre le réflexe nauséeux et un problème de déglutition :</p> <ul> <li>Le réflexe nauséeux survient quand les aliments sont dans la bouche de l’enfant, avant que celui-ci n’ait tenté d’avaler les aliments. Cela peut se produire quand l’aliment est près du bord, du milieu ou du fond de la bouche.</li> <li>Les enfants qui ont de la difficulté à avaler ont des problèmes après que l’aliment ait quitté la bouche. C’est à ce moment qu’ils peuvent avoir un réflexe nauséeux ou s’étouffer. </li> </ul> <h2>La difficulté à mâcher peut aussi provoquer le réflexe nauséeux</h2> <p>Les enfants peuvent avoir de la difficulté avec les aliments non homogènes parce qu’ils ont de la difficulté à mâcher :</p> <ul> <li>Certains enfants ont de la difficulté à mâcher des aliments solides pour faciliter la déglutition. Ces enfants tenteront d’avaler un morceau d’aliment avant qu’il ne soit complètement mâché, ce qui peut enclencher le réflexe nauséeux et parfois l’étouffement. Ce phénomène se voit souvent quand les enfants apprennent à mâcher.</li> <li>Les enfants qui présentent un retard dans l’apprentissage des aptitudes motrices apprendront souvent plus tard à mâcher.</li> </ul> <p>Si votre enfant a des réflexes nauséeux avec des solides, assurez-vous qu’il peut mâcher les aliments correctement.</p><h2>Comment vous pouvez aider votre enfant dont le réflexe nauséeux est très sensible</h2> <p>Les enfants dont le réflexe nauséeux est très sensible ont habituellement besoin d’aide pour s’améliorer. Le simple fait de retourner aux aliments homogènes et d’espérer qu’à mesure que l’enfant vieillira, sa capacité de s’alimenter s’améliorera ne fonctionne pas toujours. La plupart des enfants dont le réflexe nauséeux est sensible doivent s’habituer à des aliments non homogènes dans leur bouche et la gorge pour que le réflexe soit moins sensible.</p> <p>Les aliments homogènes avec quelques grumeaux, comme le yogourt avec morceaux de fruits, sont souvent les aliments les plus difficiles à manger pour ces enfants, parce que l’enfant pense que l’aliment est homogène, et que les morceaux sont une surprise, ce qui peut déclencher le réflexe.</p> <h3>Conseils pour aider votre enfant à tolérer les aliments non homogènes</h3> <p>Pour rendre le réflexe moins sensible et aider les enfants à tolérer les aliments non homogènes dans la bouche, vous pouvez essayer ce qui suit.</p> <ul> <li>Ajouter des solides aux aliments, mais gardez la même texture, c’est-à-dire que vous pouvez ajouter de petits grumeaux dans les aliments, mais pas de gros morceaux. Vous pouvez faire le mélange à l’aide des aliments homogènes que votre enfant aime bien manger et en y ajoutant quelque chose comme du germe de blé ou des miettes de biscuits Graham. Ce mélange n’est pas tout à fait homogène, mais il n’y aura pas de surprise. Vous pouvez commencer par ajouter seulement une petite quantité de germe de blé ou de miettes de biscuit Graham. À mesure que l’enfant s’améliore, vous pouvez en ajouter davantage. Cela aidera l’enfant à s’habituer lentement à la texture dans sa bouche et sa gorge. </li> <li>Si votre enfant est capable, permettez-lui de se nourrir lui-même pour la totalité ou une partie du repas. Les enfants qui ont un réflexe nauséeux réussissent souvent mieux s’ils se nourrissent eux-mêmes.</li> <li>Même si votre enfant n’est pas capable de tolérer des aliments solides ou des purées granuleuses, ils pourraient tout de même être prêts pour essayer des solides qui se dissolvent facilement, comme des craquelins ou des biscuits pour bébés. Les enfants dont le réflexe nauséeux est très sensible ont souvent plus de facilité avec des solides qui se dissolvent rapidement au lieu de purées qui comportent des grumeaux.</li> <li>Le fait de brosser les dents de votre enfant aidera aussi à rendre le réflexe moins sensible.</li> <li>Si votre enfant aime mettre des jouets dans la bouche, offrez-lui des jouets conçus pour mordre qui ont des bosses et différentes textures.</li> </ul> <p>Si votre enfant continue d’avoir du mal à avaler les aliments non homogènes, parlez-en à son médecin.</p>

 

 

Sensitive gag reflex: Transition to textured foods31.0000000000000Sensitive gag reflex: Transition to textured foodsSensitive gag reflex: Transition to textured foodsSEnglishNutritionBaby (1-12 months);Toddler (13-24 months)Mouth;EsophagusMouth;EsophagusConditions and diseasesCaregivers Adult (19+)NA2009-11-10T05:00:00ZSuzanne Breton, BScOT, O.T.Reg. (Ont.);Eyal Cohen, MD, MSc, FRCP(C);Sherna Marcus, BScOT, O.T.Reg. (Ont.);Irene Ushycky, DSP7.0000000000000073.0000000000000947.000000000000Health (A-Z) - ConditionsHealth A-Z<p>If your child gags when given pureed foods that are not smooth, it may be because of a sensitive gag reflex. Read tips for overcoming a sensitive gag reflex.</p><p>Some babies and children have problems taking and swallowing food that is not smooth. These children will often do well with smooth pureed foods, such as commercial first baby foods in jars. When they are given pureed foods that are not smooth, they will often gag and sometimes <a href="/Article?contentid=746&language=English">vomit</a> (throw up). As a result, their parents will often go back to the smooth purees, which the child likes.</p> <p>These children continue to eat only smooth pureed foods and do not have the chance to learn to eat foods with texture. They also do not have the chance to learn to chew. Some children will be able to tolerate food with lumps in their mouth but will gag if they try to swallow lumps. As a result, these children will spit out lumps and only swallow the smooth part of food. </p> <h2>Key points</h2> <ul> <li>Some children will gag or vomit when they are given pureed foods that are not smooth. This is often caused by a very sensitive gag reflex. </li> <li>Offering only smooth foods and hoping that the problem will go away does not always work. </li> <li>There are a few things you can do to help make your child's gag reflex less sensitive. </li> </ul><h2>What causes this problem</h2> <p>Children who gag when trying to eat foods that are lumpy or have texture often have a very sensitive gag reflex. The gag reflex helps us to expel food that our bodies feel is unsafe for us to swallow. The gag is usually triggered somewhere on the tongue. </p> <p>Children with a very sensitive gag reflex tend to gag more easily than other children on food that is not smooth. This often looks very scary, as the child can turn red and appear quite distressed. Sometimes the gagging will lead to vomiting. </p> <h3>The difference between a sensitive gag reflex and a swallowing problem</h3> <p>It is common for parents to think that gagging when eating is caused by a problem with swallowing. However, there is a difference between a sensitive gag reflex and a swallowing problem: </p> <ul> <li>Children who have a very sensitive gag reflex will gag when new foods are still in their mouth, before they have tried to swallow the food. This can occur when the food is near the front, middle or back of the mouth. </li> <li>Children with a swallowing problem have trouble after the food has been swallowed. They may gag or choke. </li> </ul> <h2>Chewing problems can also cause gagging</h2> <p>Children can have problems with textured food because they have trouble chewing:</p> <ul> <li>Some children have difficulty chewing solid food in order to make it safe to swallow. These children will try to swallow a piece of food before it is properly broken down. This can cause them to gag and sometimes choke. This is often seen when children are first learning to chew. </li> <li>Children who have delays in their motor skills will often also have delays in their chewing skills as well. </li> </ul> <p>If your child is gagging with some solids, make sure they can properly chew the food that they are being given.</p><h2>How you can help your child with a very sensitive gag reflex</h2> <p>Children who have a very sensitive gag reflex usually need some help to improve. Just going back to offering only smooth foods and hoping that as the child gets older, their feeding will improve, does not always work. Most children with very sensitive gag reflexes need to experience the feeling of texture in their mouth and throat in order to make their gag reflex less sensitive. </p> <p>Smooth foods with lumps, such as yogurt with pieces of fruit, are often the most difficult for children with a very sensitive gag reflex. This is because the child feels a smooth texture and then the lump is a surprise. This can cause the child to gag. </p> <h3>Tips to help your child tolerate textured food</h3> <p>To make the gag reflex less sensitive and help children tolerate food in their mouth that is not smooth, you can try the following:</p> <ul> <li>Add texture to the food, but still keep it all the same texture. That is, you can make the food more grainy but with no lumps. You can do this by taking the smooth food that the child likes to eat and adding something like wheat germ or graham cookie crumbs. This will make the food less smooth, but there will be no surprise lumps. You can start off by adding only a very small amount of the wheat germ or graham cookie crumbs. As the child improves, you can add more. This will help the child slowly get used to the feeling of texture in their mouth and throat. </li> <li>If your child is able, allow them to feed themselves for all or part of the meal. Children with sensitive gags often do better if they can feed themselves. </li> <li>Even if your child is not able to tolerate lumpy or textured pureed foods, they may be ready to try solids that dissolve easily, such as baby crackers or cookies. Children with sensitive gag reflexes often do better with solids that dissolve easily, rather than lumpy pureed foods. </li> <li>Brushing your child's teeth will also often help to make their gag less sensitive. </li> <li>If your child enjoys putting toys in their mouth, provide teething toys that have bumps and different textures. </li> </ul> <p>If your child continues to have trouble swallowing textured foods, speak to your child's doctor.</p> <img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/sensitive_gag_reflex.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/sensitive_gag_reflex.jpgSensitive gag reflex: Transition to textured foodsFalse

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