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Feeding Problems in Infants and Children: Assessment and Etiology
Kathleen C Borowitz1, Stephen M Borowitz2
1Department of Therapy Services, University of Virginia Health System, Box 386 HSC, Charlottesville, VA 22908, USA.
Insights
Most childhood feeding issues in healthy children are minor and manageable. Serious feeding problems often indicate underlying medical, developmental, or behavioral issues requiring expert, team-based evaluation and intervention.
Area of Science:
- Pediatrics
- Child Development
- Nutrition
Background:
- Feeding problems are a frequent concern in infants and young children.
- In healthy children, these issues are typically not severe and can be managed with guidance.
- Serious feeding difficulties often coexist with other health or developmental conditions.
Purpose of the Study:
- To outline the management of common feeding problems in children.
- To differentiate between benign and serious feeding issues.
- To emphasize the role of interprofessional teams in complex cases.
Main Methods:
- Review of common pediatric feeding issues.
- Conservative management strategies for healthy children.
- Interprofessional team approach for complex cases.
Main Results:
- Most feeding problems in healthy, growing children are minor.
- Serious feeding issues frequently signal underlying medical, developmental, or behavioral problems.
- Comprehensive evaluation by an interprofessional team is crucial for complex feeding disorders.
Conclusions:
- Conservative management is effective for most feeding problems in healthy children.
- Children with serious feeding issues require multidisciplinary assessment.
- Addressing medical, developmental, oral motor, swallowing, and sensory factors is key for successful feeding interventions.
Abstract:
Feeding problems in infants and young children are common. In healthy children who are developing and growing normally, feeding problems are usually not serious and can be managed conservatively by reassuring the family and providing them with anticipatory guidance and follow-up. A majority of serious childhood feeding problems occur in children who have other medical, developmental, or behavioral problems. These are best evaluated and treated by an interprofessional team who can identify and address issues in the medical and/or developmental history, problems with oral motor control and function, problems with swallowing, and behavioral and/or sensory issues that may interfere with normal feeding.
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