From the Swallowing Reflex to Family Mealtimes

Abstract

Children with EA cannot drink immediately after birth and require surgical treatment. Delayed initiation of oral feeding and (recurring) structural problems can lead to acceptance issues and challenges in eating development. In addition to evaluation of the esophagus, it is essential to examine the larynx and lower respiratory tract. Speech therapy/pediatric swallowing therapy and, if necessary, an imaging swallowing examination (e.g., FEES) are important to determine the nature of the swallowing problem, especially if aspiration is suspected. A child- and family centered, cue-based approach is central to all eating/drinking interventions. Children should learn to eat independently. For children who experience “stickies”, individual trial and error–e.g., drinking after eating, using movement–helps as long as there is no acute danger. With good oral motor development, therapy in the narrower sense is often not necessary. Regarding swallowing and eating development, it is important to thoroughly evaluate eating in relation to developmental milestones and to provide continuous and needs-based counselling to families – ideally from birth.

Keywords

eating development - evaluation - larynx - FEES - eating and feeding therapy

Publication History

Article published online:
10 October 2025

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