There are many possible obstacles to a child or adolescent learning to swallow a pill or capsule for the first time. If a person is able to swallow food and drink liquids without difficulty, then the swallowing mechanism is probably fine.

Typically, the most common obstacles are:

• Lack of proper instruction
• Inadequate training or practice
• Emotional factors

Other possible barriers are:

• Hyper-sensitive gag reflex
• Taste issues
• Emotional issues - child
• Emotional issues - parent