Gagging Face
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Gagging Face
A sickly-green face with concerned eyes and puffed, often red cheeks, as if holding back vomit. May represent physical illness or general disgust. Not to be confused with 🤮 Face Vomiting .
Differs from other smileys conveying sickness, including 🤒 Face With Thermometer (used especially for colds and flus) and 🤕 Face With Head-Bandage (physical injury).
Nauseated Face was approved as part of Unicode 9.0 in 2016 and added to Emoji 3.0 in 2016.
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Jennifer White has authored parenting books and has worked in childcare and education fields for over 15 years.
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Lyndsey Garbi, MD, is a pediatrician who is double board-certified in pediatrics and neonatology.
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Newborns tend to be quite noisy, making a variety of sounds besides crying, like sneezing and hiccuping . Most of these noises are reactions to new sound disturbances around them and are healthy signs that their nervous system is functioning and maturing.
But, you may have also heard your newborn make a gagging or gurgling noise, and this can be understandably alarming. Besides just a normal clearing of their throat, there may be other reasons why your newborn is gagging, and it all starts with some excess fluid left in their lungs after birth.
While a newborn baby is still inside their mother's uterus, their lungs are filled with fluid. Late in the pregnancy and before birth, fluid-secreting channels begin removing fluid from the baby's lungs, preparing them to take their first breath.
The passing of the baby through the mother's birth canal further helps to clear this fluid from the lungs. Contractions compress the chest, which leads to the fluid being squeezed out from the lungs. In addition, immediately following birth, a doctor suctions out excess fluid to further clear the throat.
However, for some babies, the fluid remains in the lungs, sticking around for a few days after birth. This can cause babies to cough as they try to clear the fluid themselves. Then, when the baby coughs or gags, the fluid and mucus come up, collecting at the back of the throat. This may then lead to a gagging or gurgling sound.
When a baby is born via C-section, they will likely have extra fluid in their lungs to expel because they didn't experience the "squeeze" of passing through the vaginal canal. Preemies may also exhibit more gagging noises simply because their lungs and ability to expel excess fluid are less developed. 1 Additionally, this may occur because they likely didn’t go through labor, which triggers a mechanism for babies to get rid of the fluid from the lungs.
For some newborns, not enough fluid is cleared from the lungs during labor. These newborns may have trouble breathing, as evidenced by rapid breaths (more than 60 breaths per minute). The condition, which is normally diagnosed in the hospital soon after birth, is known as transient tachypnea of the newborn (TTN) or wet lung disease.
TTN requires monitoring in the neonatal intensive care unit (NICU) in the hospital. Most newborns respond well to treatment, with breathing difficulties usually resolving within 24 to 72 hours. 2
If your baby is gagging during feedings, there may be an issue with the force of the flow of milk or formula.
If breastfeeding, your baby may need help dealing with forceful letdown or an abundance of milk . Try pumping for a minute or two before breastfeeding your child; the flow will slow down after the initial letdown.
If bottle-feeding , be sure to choose a slow-flow bottle and nipple. Pace the feeding and break the suction periodically to give your baby a "breather."
It's also possible that your newborn may gurgle simply because of air passing through the saliva or from refluxed milk as they gulp in air while feeding. This will go away as your newborn learns to swallow more frequently instead of letting the saliva build up in their mouth between breaths.
Some newborns, particularly preemies, suffer from acid reflux , which can cause gagging after feedings. In reflux, some of the milk that gets swallowed comes back up into the esophagus, causing the baby to gag and/or spit-up.
This is a common issue many babies experience to varying degrees, and it is especially common in the first few months of life. By 12 months, about 95% of babies have grown out of spitting up. 3
Burping your baby can help them clear regurgitated milk from their throat. Keep cloths or tissues handy to catch spit-up.
You'll know your baby's gagging and spitting up is normal if it doesn't appear to bother your baby. If it makes your child irritable and/or seems to be painful, this could be a sign of an underlying issue, such as gastroesophageal reflux disease (GERD).
If your baby is making gagging and gurgling sounds, you can help them clear excess fluid by:
Persistent gagging that does not distress your baby can be evaluated by your pediatrician.
However, if your baby seems is acting abnormally or something seems otherwise wrong, go to the nearest emergency room. Choking and trouble breathing are different from gagging and need to be addressed quickly.
Call 911 or rush to your nearest emergency room if your baby experiences:
If your baby stops breathing, begin infant CPR while you wait for medical attention. If you haven't been taught how to do this, find a CPR class near you so you are prepared in case of an emergency.
While seeing your newborn gagging can be alarming, try to stay calm and allow your baby's natural reflexes to help clear their airways.
Remember that we may think of babies as being quiet, but the truth is that they tend to be noisy—and most gagging sounds are not cause for alarm.
U.S. National Library of Medicine. Transient tachypnea - newborn .
Czinn SJ, Blanchard S. Gastroesophageal Reflux Disease in Neonates and Infants . Pediatric Drugs . 2013;15(1):19-27. doi:10.1007/s40272-012-0004-2
American Academy of Pediatrics (AAP). (2011) Choking Prevention and First Aid for Infants and Children . Itasca, Illinois: AAP.
Fangupo LJ, Heath AM, Williams SM, et al. A Baby-Led Approach to Eating Solids and Risk of Choking. Pediatrics. 2016;138(4):e20160772. doi: 10.1542/peds.2016-0772.
Reuter S, Moser C, and Baack M. Respiratory distress in the newborn . Pediatr Rev . 2014 Oct;35(10):417-29. doi: 10.1542/pir.35-10-417.
By Jennifer White
Jennifer White has authored parenting books and has worked in childcare and education fields for over 15 years.
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Meet your baby’s next milestone – gagging! It might make you a bit anxious, especially if you are a first-time parent. Chances are that you will mistake it for choking. But gagging and choking in babies is not the same. When your little one starts gagging, don’ worry. It is a wonderful little step your baby is taking towards his growth and development. All babies gag in different ways, for various periods of time and react to it uniquely. Your little one may gag while learning to eat solids, especially when you try to wean him off. Read on to know more about it!
Mostly, babies gag right from the time when they start feeding. You can expect your baby to gag right from the start. It is the time when his mouth will be stimulated for the first time in an unusual manner. If the flow of milk from a bottle is too much for him, he might gag as his tongue will push it back outwards. It is a standard evolutionary procedure.
You are also likely to notice your baby gagging when he turns about 4 to 6 months old when you introduce solid food to your baby . This is much more common in babies who are being weaned off. When they eat solid food or try to chew the food, they may gag. It is essentially their body preventing them from choking and giving them the opportunity to chew their food better. Babies may also tend to gag when they don’t like a particular food. So, you will need to try and understand the reason that might be making your little one to gag.
Gagging is a baby’s way of testing out his mouth and the food introduced to him. It is his body’s way of protecting itself from potential choking. This does not mean his body is protecting him from choking. If your baby is gagging, it just means that his tongue is being stimulated for the first time or that he has taken too big a morsel. It also indicates that he finds his food repulsive. But gagging because of these reasons is good; it’s a sign that the back of his tongue is waking up to do its job. It is teaching your baby how to feed himself and for how long to chew his food.
As a baby starts gagging, the gag area is mid-tongue. The older he gets and the more he stimulates his mouth, the further back this area will move.
There is no straightforward answer to this. Yes, babies gag a lot. If your baby gags a lot on a daily basis or when trying to chew a particular food, he might develop a dislike for those foods. Your little one is likely to gag a lot during his mealtimes, so be vigil. If he is constantly gagging for no apparent reason, it could then be a sign of gastroesophageal reflux (GERD) . GERD occurs when the stomach contents make their way back up to the throat. It may cause some discomfort to your baby.
If your baby is constantly gagging for no apparent reason and is in discomfort, then you might want to watch him more carefully. Yes, frequent gagging is perfectly common but when it is not during mealtimes, it could indicate gastroesophageal reflux. This could impede the normal development of your baby’s oral stimulation. It could also lead to bad eating habits in him as he might avoid foods that cause him even the mildest discomfort. Consult a paediatrician if required to help him feel better.
If your baby is gagging, you don’t need to get anxious. Here’s how you should handle it.
While you should not panic about gagging, sensitive gag reflex in babies call for certain measures to prevent them.
If your baby is gagging while having food or trying to chew on food, consider giving him purees with soft chunks of boiled veggies or boiled fruit in them. Dab the puree with a spoon on your baby’s mouth or the end of his tongue. Let him take it in and swallow it on his own. Soon, he will be able to take those bigger chunks and even a spoonful in a few weeks. Watch his reactions and he will let you know what he can swallow. Do not force him to eat as he needs to develop his gagging reflex. To your delight, one day he may even grab the spoon from you and attempt to feed himself. The bonus here is he will practice and improve his gripping skills in this manner.
Your baby may gag on a bottle if the flow from the bottle is too quick for him. Either switch to a nipple with a smaller outlet or feed him smaller amounts. Imagine having to chug an entire jug in one go when your gag reflex is much more sensitive, this is what your baby is going through.
This is the part that freaks most parents out but thankfully, it is pretty easy to tell them apart. Remember, the newborn gag reflex is delicate so gagging is very common. The main differentiator is the sound. Your baby will make noises when he is gagging as the food makes its way out of his mouth. When he is choking, you will not hear a thing. This is why you need to be vigilant while he chews his food. You must also keep small things out of his reach or your little devil will happily put them in his mouth.
While gagging, your baby could seem frustrated but while choking on to something, he will be in pain. He might even struggle to breathe. If he is choking, his airways will be partially or fully blocked. As a result, he may not get enough oxygen and his face, the area around his mouth or his lips would turn blue. He will start coughing as he attempts to clear his airway while gagging. He may even sputter or cough only a little. Do not worry if he chokes once and you clear his airway, continue weaning him and be careful.
Whatever happens, do not deny your baby the joy of transitioning from breast milk to solid foods and feeding themselves. Keep an eye on him – your little one will be just fine!
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