Feeding Hints for Children with Food Aversion
An experienced mother provides suggestions for children with feeding difficulties.
By Rachel Browne
My almost 2 year old surviving triplet has always had some feeding problems but when they suddenly got worse, I was panicked. He went from eating anything that had chunks up to the size of a grain of rice and anything crunchy, to only being able to eat the smoothest purees and a limited amount of crunchy things. I started collecting as much information as I could to try to overcome these sensitivities. This is a compilation of that information.
- Let him play with the food (even if he throws it) as much as possible because feeling the textures on his hands may help him.
- Try offering one bite only of a food that makes him gag at the beginning of the meal (before there is less in his stomach to throw up). And then, regardless of how he does with it, move on to the purees. If he does well, praise him a lot. If he doesn't do well, downplay it and say that's okay, etc.
- Brush therapy and joint compression. This is supposed to help with feeding aversions (and also sleep!!!) in addition to other things. The OT said to try it for a week because if we hadn't seen a difference in a week or so, then it probably wouldn't help.
- Try letting him have more control over what he eats. The OT has provided us with a tray with a built in plate that straps onto the highchair so Colin can't throw it. This is to give him more control over the food and to give him more chances to feel it. He loves it!! (But my kitchen is paying!! He may not be able to throw the plate, but he can throw the spoon and throw handfuls of food!) He does seem to be eating more textured foods this way.
- Try grinding "real" foods for him. (I mean the foods you the parents are eating!) We use the Happy Baby food grinder which says it makes a puree, but it really doesn't. The better flavors may entice a child to get used to the textures.
- Colin always needs to be distracted to eat. We have found that reciting stories that he is familiar with from his books (though not actually reading the book) helps immensely.
Suggestions from other parents of children born prematurely, on the preemie-l mailing list:
- Try a lot of oral stimulation using a toothbrush, a washcloth, a nuk brush, the rubber toothbrush that fits over your finger, or just your fingers alone.
- Try branching out from similar foods--if he eats one type of cereal easily, move on to another one.
- Try adding wheat germ to add texture to the food. Start off by adding 1/4 tsp of wheat germ to 4 oz of pureed food. Every three days or so add another 1/4 tsp. of wheat germ as tolerated. If he gags then wait another day or two and try to increase again. (Make sure your child doesn't have a wheat allergy first.)
- Proper positioning is very important. Try to make sure your child is not slumping in the high chair. Use rolls or cushions as necessary to help your child sit up straighter. (Also, there are high chairs that recline a bit and that may help some, too.)