Gagging and Choking in Small Babies: What Every Parent Needs to Know

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Gagging and Choking in Small Babies: What Every Parent Needs to Know

Jan 17, 2025

As small babies begin exploring the world around them, they often put things in their mouths. While this curiosity is natural, it can lead to risks of gagging or choking, especially when they start eating solid foods. Understanding the difference between gagging and choking and knowing how to respond in an emergency is crucial for every parent or caregiver.

What is Gagging?

Gagging occurs when a food particle or foreign object touches the back of a baby’s throat and triggers the baby to cough, cry, or become restless.


Signs of Gagging:

  • Coughing or crying
  • Face turning red
  • Watery eyes
  • Restlessness

These symptoms tell us that the baby is fighting the foreign object and the baby will naturally expel the object by coughing, vomiting, or removing it from their mouth. If your baby is gagging, remain calm and allow them to resolve the issue on their own.


What is Choking?

Choking is a much more serious situation. It happens when a foreign object blocks the windpipe, either partially or completely, making it difficult or impossible for the baby to breathe. Unlike gagging, choking requires immediate medical attention.



Signs of Choking:

  • Inability to cough, cry, or make any sounds
  • Turning blue instead of red due to lack of oxygen
  • Struggling to breathe

What to do if your baby is choking?

If you suspect your baby is choking, it’s important to act quickly but carefully. You can follow the steps below at home before you reach the emergency services.


Step 1: Administer Back Blows

  1. Hold your baby securely in your hands, ensuring their head and neck are supported by one hand.
  2. Gently roll the baby face-down along your forearm, using your thigh for support.
  3. With the heel of your palm, deliver five firm back blows between the baby’s shoulder blades.

Step 2: Perform Chest Thrusts

  1. Turn the baby over onto their back while supporting their head and neck. Use your thigh for support again.
  2. With two fingers placed just below the nipples on the baby’s chest, apply five gentle but firm chest thrusts.
  3. The goal is to create pressure in the chest and vibrations in the windpipe, which can help push the object out of the windpipe or throat.

Step 3: Check the Airway

If you are able to see the object, carefully remove it. Do not blindly insert your finger, as this can push the object further into the airway, worsening the situation.

Understanding the difference between gagging and choking and knowing how to respond can save your baby’s life.

Our 24/7 Consultant Led Advanced Pediatric Emergency Services are always prepared to handle any health emergency your child may face!


Dr. Pritesh Nagar

Pediatric Intensivist & Senior Pediatrician

Rainbow Children's Hospital Himayatnagar

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