Hi J.,
As someone who has a tendency to develop phobias (birds - I was attacked by one in the 4th grade) and anything having to do with veins (blood draw where they dug around and lost my vein), I have to wonder if Taylor has developed a phobia. I'm not sure if four year-olds get them, but my mom has a phobia of feathers, and she cannot recall when it started. Apparently she was quite young. If you, your husband, or another close relative has anxiety issues, Taylor's chances are higher of this happening. As a kid, I was super brave. Even after I developed these phobias, nothing else scared me at all. Phobias are compartmentalized anxieties, basically. For whatever reason, I reacted to certain traumas (though not being bitten by a dog -- love the dogs!) by developing phobias. Phobias are not rational. For example, I know a blood draw is no big thing. People have them all the time. However, no amount of rational thought seems to eliminate the phobias completely (I am better than I was), and I have sought professional help for my phobias. You need to keep nourishing your child until she is able to eat solids again, and I think the smoothie ideas are brilliant. You are not coddling her by giving her her milk and water if she is truly afraid (i.e., not seeking attention), and I can easily see how choking on something could cause a legitimate fear. Fear and phobias are not rational; it's not her fault, and certainly you have not done anything to cause this. IMO, you should seek a child behaviorist. The longer her anxiety goes untreated, the more entrenched I fear it will be (based on my personal experience). It's the old get back on the horse thing, except that I'm sure it was nearly impossible to get her to eat another piece of food right after she choked. My son started choking on a dried cranberry once (couldn't breathe, etc.), and I wasn't about to give him another one right afterwards! I was pretty freaked out myself! There are several ways to address phobias, and a professional will help you figure out the right one. A popular approach to work the edge of someone's anxiety to desensitize her. I'm not sure how you would do this w/ food, but, for example, with my bird phobia, someone might start w/ a bird in a cage at some distance. Over time, that distance would become smaller. Then perhaps a bird with clipped wings (I hate the clipped wings thing, but wings flapping around my head is what gives me the most fear) that's not in a cage could be placed at some distance and moved closer each few days after I'm comfortable with it at the current distance. Maybe you could make a thin smoothie and every few days make it a bit thicker, even incorporating crushed ice. Your daughter might not equate ice with food, and you could show her how quickly ice melts and how, therefore, she won't choke on it. In the meantime, Pediasure, while full of sugar, might be a good addition to her diet to make sure she is getting the nutrients she needs. You could also have her hold a piece of solid food, knowing that she is in no way expected to eat it.(If that's too much, the food could just be on the table at first.) Exposing her to solids in a non-threatening way might help. However, please keep in mind that my suggestions are based on being a highly educated patient (I've done a lot of research on this topic), not a professional. As someone who has phobias, I highly recommend getting a referral to a ped behaviorist. It can't hurt, right? I know some people might find it difficult to admit that his/her kid needs to see a behaviorist, but there is absolutely no shame in this. I am not ashamed of seeking professional help for my phobias. I cannot help how my brain is wired, but I needed to take responsibility and do something about it. If someone else has an issue with that, too bad. The same goes for your daughter. She went through something very scary and cannot help how she feels about it. Please do not unintentionally "punish" her by forcing her to try to eat solids. With help, I'm sure she will eat them again soon. You can read more about phobias on the National Institute of Mental Health website, www.nimh.nih.gov, and other sites, too. I'll be sending good thoughts your way and wish you the best!
K.