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Finger Foods & Choking Dangers

by Sue Hubbard, M.D.

I get a lot of questions both in my office and via email about beginning children on table foods.  In reality, as your 9 – 12 month old child begins to eat soft table foods there really are no foods that are off limits.

With that being said the issue is not allergic reactions to some foods, but rather airway obstruction and choking. By that I mean that your child can eat almost “any” food that can be cooked, mashed, squished, slurped, or can dissolve in saliva. (Only rule is no unpasteurized honey until 1 year).

I just saw a mother last week who was so nervous about finger foods that she was cutting up cheerios!! How can you even cut up a Cheerio?  I haven’t tried it, but it seems to me that the Cheerio would just disintegrate into little particles of dust. In actuality, if your child put a Cheerio into their mouth they might gag from a new texture, but the Cheerio itself would break up in the saliva in the mouth and would not obstruct the child’s airway as it was swallowed.

Young children, under the age of 2 ½ to 3 years, don’t know how to chew. Even if they have a lot of teeth, they instinctively put the chunk of food in their mouths and swallow (have you seen teenage boys eat?). If the chunk is large enough or cannot be broken down by the saliva in the mouth, the chunk of “whatever” might be aspirated and “go down the wrong way” and cause a child to choke. This is obviously true with not only foods, but with small objects.

So, a child can have peanut butter, but not a peanut. No need to worry about allergies anymore, those guidelines changed several years ago.  Same for cashew butter or almond butter, but they cannot have the nut itself.  A child can have a strawberry or melon that is really ripe and has been cut into very small pieces. Not worried about allergies to berries, but choking. What about fish? Flaky fish is a great finger food for a child and very healthy too, but avoid scallops or shrimp that are difficult to eat unless you can chew. (maybe you know of a way to prepare mushy shrimp?)

Questions continue about veggies, and they are all just fine. Just cook “well done”, some might even say overcooked, and then cut them in to little pieces and just hand your child several pieces at a time. A brussel sprout may be a choking hazard if it is not taken apart, but green beans, peas, carrots, beets, spinach are all great for young children. Experiment with as many fruits and vegetables as you can. You may even find some new foods that you like.

A well balanced diet is the most important rule. Even if your child pushes some of their finger foods away, keep offering a wide variety of foods.  Children only learn to try new foods and textures with repetitive exposure. It may take 12 times for your child to “smoosh” the broccoli between their fingers before they even put it in their mouths.

So… remember airway protection is what you are concerned about, and not allergies. Try different foods all of the time and eventually you may be surprised at what a good eater your child becomes. It takes practice and time.

That’s your daily dose for today. We’ll chat again tomorrow.

Related Posts on www.kidsdr.com

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One Response to “Finger Foods & Choking Dangers”

  1. Angela says:

    My 1 yo son eats whatever my fiance and I are eatting. He has 5 teeth and he chews his food up very well. He understands when we tell him “small bites” and to “make sure you chew it all up” so I don’t know what 2 and 3 year olds don’t know how to chew. If my son understands so should 2 and 3 year olds.

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