Pill Swallowing Tips

One of the biggest challenges for some people (not just kids) is swallowing pills. At some point transitioning to pills is important. Some medicines don't come in liquid or chewable form - and if they do, they might taste awful. Some kids simply get so big that the volume of liquid they need to choke down becomes difficult.

Kids often don't like the taste of medicine.

When my son was a preschooler, I realized that he swallowed some things whole ~ usually things he didn't like, like a piece of meat. He sometimes needed oral steroids for wheezing. Steroids in liquid form are notoriously nasty. He would vomit it back up most of the time. The tablets are really small, so I decided to have him try those once. Easy as pie for him! I don't think we even had to practice. I just told him to not chew because it would taste bad and he knew what to do. I think he was so young, he didn't know that he should be scared of choking.

If only most people could teach themselves ...

Despite it being difficult to learn, most people can learn to safely swallow pills. Once the technique is learned, the size and the shape of the pill isn't usually an issue.

Don't wait until they have an illness to start because no one wants to learn anything new when sick. Once they get the technique, be sure to do it often enough that they don't forget until they need to use it.

There are many tricks people use to swallow pills.

What works for one doesn't work for another.

If your child isn't willing to give it a try, it's really not worth it. Since this is a mind over matter thing, it will be impossible if they're not on board. If they're not ready, every once in a while you can mention how big of a bite of food they just ate and comment that they swallowed it easily. Remind them to let you know when they want to try to swallow a small piece of candy. (For many the temptation of extra candy is an automatic selling point.)

When I had to teach my daughter to swallow pills, I bought a container of TicTacs and told her that when she could swallow 3 in a row without choking, she could have the rest and eat them without permission unless she already brushed her teeth at night. She loved that idea and took to the challenge excitedly! She swallowed the first three without a problem. Again, it's not always that easy.

Teach medication safety & proper use along the way.

Never practice with real medicine, even if it's over the counter stuff. Kids should know that they're practicing without real medicine.

At the same time as teaching them to swallow pills you can talk about medication safety: only take it when an adult says it's okay, keep it away from other children, never share medicine with others, take it as the doctor prescribed if it is a prescription, and how and when to use over the counter medicines.

When you're giving medicine, talk about what it is and what it's for. I'm often surprised at college aged teens not knowing what common medicines are used for if they have aches and pains or illness. They need to know!

Start small and work up.

Practice with cake decorating pieces or small candies.

For kids who are very hesitant, it's possible to start very small and work up to a standard pill size.

Start with cake decorating beads, balls or sprinkles. Avoid the ones that are very lightweight because they might float and not go down as easily. Most kids agree that something very small will be easy to swallow. Have them show you they can. Build confidence by starting really small so they have a good first try.

If you don't want to add all that sugar and food coloring, use bread. Break off a very small piece and roll it into a very small ball. Slowly increase the size of the bread balls as your child is successful swallowing.

Keep working your way up to a size that resembles most medicines, such as a tic tac.

If a child fails a size, go back down to the smaller size to gain confidence.

Don't spend more than 10-15 minutes each session. If the child tires or the stomach fills with too much water, it will be non-productive.

Remember to praise any successes.

Always end on a positive note by having the child swallow whatever size he can. So if it's unsuccessful to move to a larger size, have him go down a size, swallow successfully, then don't go up again at that session.

You can always try again another day.

Straw Method.

Different people like different positions for swallowing pills.

Some do best with their head back, as is typical with drinking from a cup, so the pill has a straight shot down.

Others do best with the head turned to one side or another.

Some even change their preference over time.

For those who prefer to have the head neutral or a bit forward, using a straw avoids having to tilt back to drink.

Have your child put the candy on the front half of the tongue, then drink out of a straw with the straw at the front of the tongue so the liquid comes out in front of the pill. Some people say to put the tablet as far back as possible, but I think that can trigger the choking reaction, which is not helpful at all.

Tell them to focus on the drink, not the tablet.

Most of the time the pill will naturally go down with the liquid without even thinking about it.

If you like to be green and don't want to fill a landfill with plastic straws, check out silicone or glass straws.

Hidden pills.

Some people feel more comfortable swallowing food than pills, so putting a pill in a soft food helps. Common foods are yogurt and applesauce. I've even heard of parents putting the pill at the top of a yogurt tube, and having the child suck down the yogurt.

The biggest issue with this method is that if a child takes too long to take it, the tablet or capsule might start to break down, and then the child can notice the taste (which is often bitter).

Remind the child to not chew the food first because most medicines meant to be swallowed should not be chewed. Best case scenario is just the bitter taste, but it could disrupt the absorption and benefit of the medicine if it's chewed.

Research proven techniques

For more help on learning to swallow pills, check out these videos that show how to swallow pills in different positions. Kids might like to see the techniques themselves before they practice.