My child is 19-months and has difficulty swallowing textured and solid foods. He either gags/vomits, spits out, or refuses altogether. He drinks Pediasure for nutrition/calories and some pureed foods (though he’s losing interest in these.)My understanding is this could be behavioral, poor oral motor skills, texture sensitivity or all of these. (we’ve ruled out most medical concerns like reflux). I’m looking for a treatment method that works. What should be done? Who are the experts to help us? How long will it take for my child to eat normally? He also has a hypersensitive gag reflex. In addition to its role with eating difficulties, he also gags and vomits from crying. He cries, coughs/gags and then vomits (within seconds!). This affects sleeping (if left in crib without being fully asleep he vomits) as well as with temper tantrums — just about anytime he’s very upset. We try to avoid these scenarios, but it’s impossible. How do we address this gag reflex problem?