11/19/2025
🧡 Words with Tori — Let’s Talk About Swallowing in Kids! 🧡
Did you know that swallowing is a skill—just like walking or talking?
✨ Swallowing is the process our bodies use to move food and liquids safely from our mouths to our stomachs. It takes over 30 muscles working together!
👶 How Swallowing Can Affect Children
Some kiddos have difficulty chewing, controlling food in their mouths, or coordinating the swallow. You might notice:
1. Coughing or choking during meals
2. Gagging
3. Taking very long to eat
4. Trouble moving to new textures
5. Frequent congestion or wet-sounding breathing
6. Difficulty gaining weight
These challenges may be part of pediatric dysphagia, and speech-language pathologists are trained to help!
🧡 What We Do in Therapy
In feeding & swallowing therapy, we may work on:
1. Safe positioning
2. Oral motor skills (chewing, lip closure, tongue movement)
3. Introducing new textures safely
4. Teaching pacing and small sips/bites
5. Strengthening swallow patterns
6. Parent coaching to support mealtime success
Our goal is safe, happy, and confident eating—never pressure, fear, or rushing.
A speech therapist might use a Honey Bear straw cup (pictured below) to help kids with swallowing difficulties to practice safe sucking and improve lip closure, control, and coordination while allowing the therapist to gently guide the amount of liquid the child receives.
🥣 Baby Food Texture Levels (Common Stages)
Many families see labels on baby food and wonder what they mean!
Here’s a quick parent-friendly breakdown:
Stage 1 – Smooth Purees: Very thin and smooth. Great for early eaters learning to move food with their tongue.
Stage 2 – Thicker Purees / Blends with More Variety: Slightly thicker and may include mild blends of ingredients.
Stage 3 – Textured Purees / Soft Mashable: Still soft but may have small, gentle lumps. Requires more tongue movement to manage safely.
Soft Solids / Table Foods: Soft fruits, cooked veggies, scrambled eggs—foods that can be mashed easily with gums or teeth.
Every child progresses at their own pace, and an SLP can help determine what is safe and developmentally appropriate.
🥤 Thickness Levels (for Drinks)
Sometimes kids need thicker liquids to help them swallow safely.
A simple overview:
Thin liquids – water, milk, juice
Nectar-thick – slightly thicker, like a smoothie melted for a minute
Honey-thick – pours slowly, like actual honey
Pudding-thick – spoon-able, not pourable
SLPs use research-based guidelines to help determine if a child needs thicker liquids and how to prepare them safely.
👪 Parent Education: What You Can Do at Home
1. Make mealtimes relaxed and pressure-free
2. Let your child explore foods with hands, lips, and tongue
3. Model chewing and sipping
4. Offer appropriate textures based on your child’s skill level
5. Never force-feed
6. Watch for signs of difficulty (coughing, gagging, long mealtimes)
Ask your SLP for guidance on textures, thickness, and pacing if you're unsure
🧡 You’re Not Alone!
Feeding and swallowing difficulties are more common than most families realize.
With the right support, your child can build safe and happy eating skills—and we’re here to help every step of the way 🧡