Tracheoesophageal symptoms depend on whether EA is present, as well as TEF. Babies who are born with TEF but not EA usually don’t show symptoms at birth. Over time, however, they may: Have frequent lung infections. Cough when feeding. Babies who have esophageal atresia with tracheoesophageal fistula usually exhibit symptoms immediately after delivery. The most common symptoms include: Coughing. Choking when trying to swallow. Breathing problems.