Gastro-oesophageal reflux and feeding: the speech and language therapist's perspective

Area of Science:

• Pediatrics
• Gastroenterology
• Speech-Language Pathology

Background:

• Gastro-oesophageal reflux (GOR) frequently leads to significant feeding difficulties in infants and children.
• Symptoms include feeding aversion, motor and sensory feeding disorders, and a heightened risk of aspiration.
• These challenges can result in long-term negative impacts on oral feeding development.

Purpose of the Study:

• To outline the feeding difficulties associated with gastro-oesophageal reflux in pediatric populations.
• To describe therapeutic strategies employed by speech and language therapists to manage feeding aversion.
• To emphasize the importance of a multidisciplinary approach in addressing the complex needs of affected children and their families.

Main Methods:

• Review of symptoms and feeding disorders associated with gastro-oesophageal reflux.
• Description of therapeutic interventions, including sensory-based techniques and dietary texture progression.
• Discussion of parental stress and the benefits of a collaborative, multidisciplinary care model.

Main Results:

• Speech and language therapy interventions aim to create positive sensory feeding experiences, reducing aversion.
• Feeding plans incorporate dietary modifications, sensory play, and communication strategies.
• Parental stress is a significant factor that requires consideration within the overall management plan.

Conclusions:

• A collaborative, multidisciplinary approach is crucial for successful management of feeding difficulties in children with gastro-oesophageal reflux.
• This approach should integrate nutritional, medical, psychosocial, and developmental support.
• Early and comprehensive intervention can mitigate long-term feeding challenges and improve outcomes for children.