PEDIATRIC
FEEDING THERAPY
How do you know if your child needs feeding support or is a picky eater? Here are some ‘red flags’:
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Ongoing poor weight gain (rate re: percentiles falling) or weight loss
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Ongoing choking, gagging or coughing during meals
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Ongoing problems with vomiting
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More than once incident of nasal reflux
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History of a traumatic choking incident
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History of eating and breathing coordination problems, with ongoing respiratory issues
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Parents reporting child as being “picky” at 2 or more well child checks
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Inability to transition to baby food purees by 10 months of age
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Inability to accept any table food solids by 12 months of age
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Inability to transition from breast/bottle to a cup by 16 months of age
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Has not weaned off baby foods by 16 months of age
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Aversion or avoidance of all foods in specific texture or nutrition group
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Food range of less than 20 foods, especially if foods are being dropped over time with no new foods replacing those lost
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An infant who cries and/or arches at most meals
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Family is fighting about food and feeding (ie. Meals are battles)
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Parent repeatedly reports that the child is difficult for everyone to feed
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Parental history of an eating disorder, with a child not meeting weight goals (parents notcausing the problem, but may be more stressed and in need of extra supports)