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Complete Oral Refusal in a Pediatric Patient Following General Anesthetic for Dental Surgery: A Case Report
F Scheepers1, M-Reza Nouri2, L Scheepers1,3
1Faculty of Medicine, University of British Columbia, Vancouver V6T 1Z3, British Columbia, Canada.
Insights
A child developed severe feeding refusal after dental surgery anesthesia. This rare case underscores the importance of managing postoperative anxiety and recognizing potential avoidant/restrictive food intake disorder (ARFID).
Area of Science:
- Pediatric Medicine
- Anesthesiology
- Psychiatry
Background:
- Postoperative feeding refusal is uncommon in pediatric patients.
- General anesthesia for dental procedures can precipitate unusual behavioral responses.
- Anxiety is a known factor influencing postoperative recovery.
Abstract:
This article presents a rare case of a five-year-old pediatric patient who refused all oral intake, including swallowing saliva, for 1 week following general anesthesia for dental surgery. The patient was hospitalized for further investigation and nutritional support. After an 8-day stay, the patient was discharged at their baseline condition, having gradually started eating with continuous encouragement. No underlying medical causes were identified. The patient had a history of anxiety before the surgery, and this case highlights the critical role of addressing anxiety in postoperative care, as well as the possibility of this behavior being a rare manifestation of avoidant/restrictive food intake disorder (ARFID).
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