Carma G. Shay M.S. CCC-SLP



Kenai, Soldotna, Sterling and Nikiski

functional~Familiy Centered~Fun

Speech language AND FEEDING THERAPY servinG  

Kenai, Soldotna, Sterling & Nikiski



  • Stress, or negative behaviors happening around feeding times
  • Back arching or body stiffening during feeding
  • Breathing difficulties such as increased respiratory rate during feeding, skin color change such as turning blue,  apnea, stopping frequently due to uncoordinated suck-swallow-breathe pattern, changes in normal heart rate (brachycardia or tachycardia) in association with feeding;
  • Coughing and/or choking during or after swallowing
  • Crying and refusing many foods during mealtimes
  • Decreased responsiveness during feeding.
  • Dehydration, failure to gain weight, or weight loss
  • Difficulty chewing or swallowing foods appropriate for child’s age.
  • Difficulty initiating swallowing.
  • Difficulty managing secretions (including non-teething related drooling of saliva)
  • Disengagement cues, such as facial grimacing, body stifenng, finger splaying, or head turning away from food source.
  • Frequent congestion, particularly after meals.
  • Frequent respiratory illnesses;
  • Gagging
  • Loss of food/liquid from the mouth when eating.
  • Noisy or wet vocal quality noted during and after feeding.
  • Prolonged feeding times greater than 30 minutes
  • Refusing foods of certain textures or types.
  • Taking only small volumes, small bites , or over-packing the mouth, and/or pocketing foods.
  • Vomiting (more than typical "spit up" for infants).

These are signs and symptoms of possible dysphagia (swallowing disorder) and or feeding disorder. They are not used to make a primary diagnosis. 


Please contact a Speech Language Pathologist if you are concerned about your child's feeding or swallowing abilities. 


Call today for your free, no obligation phone consolation. (907) 395-0348

Signs and symptoms of swallowing and feeding disorders vary based on the age of child, but may include:
Carma is trained in administering and using Beckman Oral Motor Therapy. Individualized feeding and swallowing therapy will be developed around your child's needs. Treatment can be conducted in the comfort of your own home, and can include oral motor strength training, range of motion, food chaining, and environmental modifications.