Is It Safe for Toddlers to Drink Milk While Lying Down? - Pediatrics

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Dr.
Zhao, is it okay for a one-year and three-month-old toddler to lie down while drinking milk? Are there any adverse effects? (My mother-in-law is accustomed to letting the little girl drink while lying down.) Thank you!

chu, 30~39 year old female. Ask Date: 2000/11/16

Dr. Zhao Yongkang reply Pediatrics


Hello Ms.
Chu: When children lie down to drink milk, there is a risk that they might accidentally choke.

Reply Date: 2000/11/16

More Info


When it comes to toddlers drinking milk while lying down, there are several important considerations to keep in mind. While it may seem convenient for caregivers to allow a child to drink milk in a lying position, there are potential risks associated with this practice.

Firstly, one of the primary concerns is the risk of aspiration. Aspiration occurs when liquid enters the airway instead of the esophagus, which can lead to choking or respiratory issues. When a toddler drinks while lying down, the angle of their throat can make it easier for milk to accidentally enter the airway, especially if the child is not fully alert or is moving around. This is particularly concerning for younger children who may not have fully developed swallowing reflexes.

Secondly, allowing a toddler to drink milk while lying down can contribute to dental problems. Milk contains sugars, and when a child drinks it while lying down, the milk can pool in their mouth and around their teeth. This prolonged exposure to sugars can lead to tooth decay, commonly known as "baby bottle tooth decay." It is advisable to encourage children to drink milk while sitting up to minimize these risks.

Moreover, drinking milk while lying down can also lead to gastrointestinal discomfort. When a child is in a horizontal position, it can be more challenging for their digestive system to process the milk properly. This may result in symptoms such as gas, bloating, or even reflux, which can be uncomfortable for the child.

In terms of nutritional intake, it is essential to ensure that toddlers receive adequate nutrition from milk and other food sources. While milk is a good source of calcium and vitamin D, it is crucial to balance it with other foods to ensure a well-rounded diet. Encouraging toddlers to drink milk in a sitting position can also promote better eating habits and routines.

In conclusion, while it may be tempting to allow a toddler to drink milk while lying down, it is generally not recommended due to the risks of aspiration, dental issues, and gastrointestinal discomfort. It is best to encourage children to drink milk while sitting up to promote safety and healthy habits. If there are concerns about a child's feeding practices or dietary needs, consulting with a pediatrician or a nutritionist can provide personalized guidance and recommendations.

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Can Lying Down While Feeding Cause Ear Infections in Children?

Hello Dr. Chen: May I ask if a child lying down while breastfeeding can lead to otitis media? Thank you for your response.


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