FEEDING/ OROMOTOR RED FLAGS FOR REFERRAL

• Coughing/ choking or gagging during bottle or breast feeding.
• Raspy “wet” vocal quality shortly after bottle or breast feeding
• Ongoing poor weight gain.
• Decreased tolerance/ difficulty transitioning to pureed food.
• Decreased tolerance/ difficulty transitioning to sippy cup or open cup.
• Decreased tolerance/ difficulty transitioning to increased textures including: Stage 2 or 3 baby foods. Crunchy meltables and table foods.
• Frequent coughing or throat clearing during/ shortly after feeding.
• Consistent drooling.
• Refusing to eat certain foods, temperatures or textures.
• Continuing to tolerate only baby foods past 12 months.
• Food repertoire of less than 20 foods at 18+ months.
• Food residue obvious in the mouth post feeds after 18 months.
• Any reoccurring breathing/ chest infections associated with suspect swallowing.