Orzo

No. Orzo presents a low risk when safely prepared for a child’s age and developmental ability, though, in theory, an individual could choke on any food. To reduce the risk, prepare and serve orzo in an age-appropriate way as described in the How to Serve section. Note that orzo can cause gagging, especially when served plain, without a sauce. To make it easier to swallow, serve orzo with a sauce, or stir in a bit of oil. As always, create a safe eating environment and stay within reach of baby during meals. 

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

Yes. Orzo is typically made from wheat. Wheat (alongside other gluten-containing cereals grains) is classified as a common allergen, and is one of the most common food allergens in children. Fortunately, two-thirds of children outgrow the allergy by their 12th birthday.

It is important to note that wheat allergy is not the same as celiac disease. While a wheat allergy may be outgrown, celiac disease requires a strict, lifelong gluten-free diet and lifestyle. A gluten “allergy” is typically a misnomer, often in reference to celiac disease.

While rare, some individuals have a condition known as wheat-dependent, exercise-induced anaphylaxis, which can result in a severe allergic reaction if the person exercises within a few hours after eating wheat. These patients should avoid eating wheat in the four hours before strenuous activity.

Lastly, individuals with Oral Allergy Syndrome (also known as pollen food allergy syndrome) may be sensitive to wheat, particularly those who are allergic to grass pollen. Oral Allergy Syndrome typically results in short-lived itching, tingling, or burning in the mouth, and can also result in gastrointestinal distress (abdominal pain, cramping, bloating, or diarrhea) in some cases - especially if the grain was not properly digested and the proteins reach the lower GI tract intact. While uncomfortable, it is unlikely to result in a dangerous reaction.

If you suspect baby is allergic to wheat, talk to a pediatric health care provider before introducing orzo and other pastas at home. As you would when introducing any new food, start by offering a small quantity for the first few servings and watch closely for any signs of an allergic reaction. If there is no adverse reaction, gradually increase the amount over future meals.

Yes. Orzo provides energy from carbohydrates and a small amount of protein. It can also provide some fiber, as well as B vitamins. Some orzo is made from refined white flour, while others use whole wheat or are enriched with added nutrients like iron or folic acid.

Knowledge and practice with rescue maneuvers. Parents and caregivers who watch the choking and rescue videos in our Starting Solids bundle often share how confident they feel. 

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.