[Dysphagia] food refusal

[Amy.Nelson at dadhc.nsw.gov.au (NELSON Amy)]

Hi everyone - I'm hoping someone might have a better suggestion for this
mum than I have been able to come up with!!  I'm seeing twins, born very
prem, both still on oxygen at 2yrs chronological (about 20mths
corrected) and medicated (losec) for reflux.  Both were fed via ng for
some time, but progressed steadily on the road to oral feeding.  Now the
twin who had been doing better orally (now fully oral!) has quite
suddenly started to refuse pureed/mashed foods, or indeed anything from
a spoon.  He eats a range of finger foods, which he manages quite well
but doesn't really eat enough of and so requires pediasure which he
drinks from a bottle.  He did go through some hypersensitivity issues
related to long term tube feeding and still shows some aversion to
touching certain textures.  I have considered that he may prefer the
increased/different sensory input provided by the finger foods he likes
and thought that maybe improving the sensory components of the spoon
foods, and have also considered that this may very well be just a 'two
year old' thing that may pass, and have suggested that mum continue to
offer and expose him to a range of foods and not force the issue too
much, and also that she encourage his active participation in the meal
as much as is practical (he loves having his own spoon, but won't put it
in his mouth)... Any other ideas would be greatly appreciated!

Amy

 

 

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