Every five days in the U.S. a child chokes to death while
eating, making choking one of the leading causes of death for
children from birth to age 5. Yet every hour of every day parents
feed their children without a second thought as to this immediate
danger because few know the risks until it's too late.
Babies are born with an automatic suck/swallow reflex that
allows them to drink liquids like breast milk immediately at birth,
but the ability to chew and manage food in the mouth is a skill
acquired over the first several years of life. As children grow,
they gradually learn to handle pureed foods like baby food, then
small, soft, chopped foods, then all kinds of food.
But children often don't chew well and don't move the food
in their mouths correctly so they are at a much higher risk of
trying to swallow something that's too big or sending food toward
the windpipe or trachea instead of down to the stomach.
The trachea in a young child is about the size of a straw.
Imagine if you were drinking through a straw and a grape plugged
one end. You could suck and suck and still no liquid would get
through. That's what can happen when a child chokes on a piece of
The child will try to breathe, but the food blocks the
trachea. This is an emergency and requires immediate action like
the Heimlich Maneuver to dislodge the food or in a very short time
the child will lose consciousness from a lack of oxygen and die
Sometimes the brain is starved for oxygen for a long time,
but the child is revived. The result is permanent brain damage and
a lifelong disability.
These are awful and frightening facts, but parents can do
a lot to reduce their child's risk. Here are some important
For more information visit healthychildren.org.
This column is not a replacement for medical advice.
Dr. Lisa Thornton, a mother of three, is director of pediatric rehabilitation at Schwab Rehabilitation Hospital and LaRabida Children’s Hospital. She also is assistant professor of pediatrics at the University of Chicago.
See more of Dr. Thornton's stories here.
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