Blue Cheese

Yes. Cheeses like blue cheese are firm and can get globby and hard to manage in the mouth, qualities that increase the risk of choking. To reduce the risk, prepare and serve blue cheese in an age-appropriate way as described in the How to Serve section. As always, make sure you create a safe eating environment and stay within an arm’s reach of baby during meals. 

Learn the signs of choking and gagging and more about choking first aid in our free guides, Infant Rescue and Toddler Rescue.

Yes. Blue cheese is commonly made from cow’s milk which is a common food allergen in young children, with dairy accounting for about one-fifth of all childhood food allergies in the United States.¹³ Blue cheese can also be made with goat’s and sheep’s milk. Keep in mind that dairy products from ruminants such as sheep, goat, and buffalo may provoke similar allergic reactions to cow’s milk dairy products.¹⁴ If baby is allergic to dairy, know that it is an allergy that often disappears with time. Research shows that the majority of children with cow's milk allergy will outgrow it by age 6, and many babies with milder symptoms of milk protein allergy (which can show up as painless blood in stool) are able to successfully reintroduce cow's milk as early as their first birthday, with the guidance of their doctors.¹⁵ Note: Aged cheeses generally contain histamines, which may cause rashes in children who are sensitive to them.^{16 17}

Milk is a known cause of food protein-induced enterocolitis syndrome, also known as FPIES. FPIES is a delayed allergy to food protein which causes the sudden onset of repetitive vomiting and diarrhea to begin a few hours after ingestion. Left untreated, the reaction can result in significant dehydration. Thankfully, like other forms of milk allergy, FPIES that presents early in life is generally outgrown by the time the child has reached 3 to 5 years of age.¹⁸ While the exact rates of FPIES are unknown, it is believed to be an uncommon condition (although better recognition of the disease has led to increased reporting in recent years).¹⁹

For those with older children who are lactose intolerant (keep in mind this is uncommon for babies and toddlers), some good news: compared with milk and certain other dairy products, many cheeses may be better tolerated by those with lactose intolerance, particularly aged cheeses, which have lower lactose content.²⁰ Note that if a child is lactose-intolerant, it’s important to find calcium-rich foods to consume regularly to ensure a balanced diet and support bone health. Search for naturally low-lactose cheeses and dairy products labeled “lactose-free.”

If you suspect a child may be allergic to dairy products, consult an allergist before introducing other dairy products like cheese. Based on baby’s risk factors and history, your allergist may recommend allergy testing, or may instead advise dairy introduction under medical supervision in the office. If the risk is low, you may be advised to go ahead and introduce cheese in the home setting. As with all common allergens, start by serving a small quantity for the first few servings, and if there is no adverse reaction, gradually increase the quantity over future meals.

It depends. It can be, if pasteurized and baked to an internal temperature of at least 165 degrees Fahrenheit (74 degrees Celsius), but waiting until a child is at least 12 months of age can further decrease the risk of illness. Unpasteurized blue cheese of any kind, on the other hand, carries a significantly increased risk of foodborne illness at any age.

While a high chair can help create a safe eating environment, there are alternative ways for baby to eat safely, such as holding the child on your lap or sitting together on the floor. For more information, see our article on high chairs.

None! Put solid food directly on baby’s tray, plate, or bowl, then let baby explore with their hands. If you like, keep a baby spoon or fork nearby to help familiarize the child with utensils, but the skills to use them are not expected until early toddlerhood.