Follow Your Swallow

Safety basics

Aspiration warning signs

Aspiration is food or liquid entering the airway. It isn’t always dramatic — it can be silent. Here’s what to watch for at the table.

  • Coughing or throat-clearing during or right after eating and drinking
  • A wet or gurgly-sounding voice after swallowing
  • Extra effort or multiple swallows per bite; food pocketing in the cheeks
  • Watery eyes, a runny nose, or grimacing with swallows
  • Shortness of breath while eating; needing breaks to breathe
  • Recurring low-grade fevers or chest congestion, especially after meals
  • Unintended weight loss or meals taking much longer than they used to
  • Avoiding foods or drinks they used to enjoy

See any of these? Note when they happen and call the speech-language pathologist or physician. New trouble breathing, blue lips, or inability to swallow anything at all is an emergency — call 911.