Patients who are not emergently ill and have no clinically concerning red flags of dysphagia such as weight loss, esophageal food impaction, excessive drooling, coughing or gagging during or after swallowing, or recurrent pulmonary infections/aspiration pneumonia can be discharged home with appropriate referral and food log diaries Causes of dysphagia not identified from the initial evaluation may require radiographic or subspecialty referral for further diagnostic and therapeutic management Suggested Readings and Key References Arvedson JC, Lefton-Greif MA Instrumental assessment of pediatric dysphagia Semin Speech Lang 2017;38(2):135–146 Benfer KA, Weir KA, Bell KL, et al Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy Pediatrics 2013;131(5):e1553–e1562 Hartnick CJ, Hartley BE, Miller C, et al Pediatric fiberoptic endoscopic evaluation of swallowing Ann Otol Rhinol Laryngol 2000;109(11):996–999 Horton J, Atwood C, Gnagi S, et al Temporal trends of pediatric dysphagia in hospitalized patients Dysphagia 2018;33(5):655–661 Merati AL In-office evaluation of swallowing: FEES, pharyngeal squeeze maneuver, and FEESST Otolaryngol Clin North Am 2013;46(1):31–39 Morgan A, Ward E, Murdoch B, et al Incidence, characteristics, and predictive factors for dysphagia after pediatric traumatic brain injury J Head Trauma Rehabil 2003;18(3):239–251 Rosen R, Vandenplas Y, Singendonk M, et al Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the north American society for pediatric gastroenterology, hepatology, and nutrition and the European society for pediatric gastroenterology, hepatology, and nutrition J Pediatr Gastroenterol Nutr 2018;66(3):516–554