Thursday, January 10, 2013

5 Reasons Kids Refuse to Eat







People ask me all the time, "Why doesn't my kid eat?"  Most of you know how frustrating meal time can be when you try something new or worse when you serve something they've eaten before and then refuse to eat! Most kids will do this occasionally, but for some it is a way of life.  So, what gives? Well, a variety of factors can contribute and the reasons can evolve over time.  There is value in doing some detective work because getting to the root of the problem will then give you the tools to help them eat more food, more consistently.  In my experience and specialized feeding education,I believe there are 5 different reasons kids refuse to eat.  At the same time, it is common for several of these underlying issues to affect a child's ability to eat well at the same time.  Keeping that in mind, let me a explain in some more detail...


Medical

Although this may seem like the most obvious reason kids don't eat, it is often the most overlooked.  Well, at least it isn't always explored deeply enough.  When kids have a well documented medical condition or are visibly sick, it is obvious that their eating can be affected, but sometimes there are more subtle issues.  Two of the biggest culprits are acid reflux and constipation.  Both of these very common problems for kids can put a halt to eating.  Sarah Dees guest posted a few months back about reflux and it's effects on an infant, but it can also have an impact on kids much older- even if they weren't diagnosed as an infant.  My older son has struggled with constipation since he was about a year old.  I have to carefully watch his fiber intake and when he starts to get a little backed up,  his eating is greatly affected.  Every time he has a bad meal, I have to ask myself, "Does he need to go to the bathroom?"  The answer is usually, "Yes!"

If you read through the rest of this post and feel that none of the other categories fit with why your child isn't eating, I would strongly encourage you to think about any possible stomach issues.  Kids aren't always able to verbalize how they are feeling or realize it is part of the problem.  Definitely discuss it further with your doc, there are some really simple fixes for some of these problems.  By the way, teething, fatigue, and other common aliments fit into this category.  


Sensory

For many "picky eaters" sensory processing plays a big role in their refusal to eat foods. Simply put, if something feels gross in their mouth or on their hands, they aren't going to eat it.  The fancy therapeutic term we give for this is tactile defensive.  Clues that your child may be refusing foods because they are defensive are: gagging, squirming, or seeming frightened by the sight, smell, touch, or taste of a particular food. Oral aversion also fits into this category.  If your child has had medical testing, feeding tubes, or a physical incident in or around their mouth/throat (even from a infancy) they may be scared to have anything come toward their mouth and be overly sensitive in the area.  

On the other end of the sensory spectrum, a child may not be able to discriminate food in their mouth well and they will unsafely stuff a large amount of food into their cheeks like a chipmunk.  This helps give them some feedback as to where the food actually is.  These kids lose track of the food easily and can't chew it well.  Soft foods that aren't easily discriminated (think mashed potatoes, cheese, etc.) are usually refused because they can't manipulate them well in their mouth.  

I have written a lot about the sensory-food connection. Check out those posts here and here if you are looking for more info on this!


Mechanics

This one might be a little tricky for parents to figure out because you need to consider how well your child is chewing and swallowing their food.  You can probably rule this out if you have a child over 2.5 that safely and easily transitioned onto table foods.  Signs that your child may not be chewing well are: choking/gagging after the food is already in their mouth for a few seconds/minutes, spitting out half chewed food, or throwing up food that looks like it has hardly been chewed.  They also may have had difficulty breastfeeding and struggled with table foods when they were introduced.  Kids will start refusing to eat foods because they don't know how to chew it or they are scared they are going to gag/choke/throw up again on this food.  They will often stick to a limited diet because they know they can manage them safely.  

Routine

What do I mean by routine exactly?  Well, I strongly believe that structure and routine around food and meal time is critical to kids eating well.  I know there are a few kids out there that will manage to eat well with the lack thereof, but by in large most kids eating habits will suffer greatly without a regular routine.  This can be a touchy subject for parents, we all have our comfortable eating habits and routines that we have already established for ourselves as adults.  We often continue to do what is comfortable for us with our kids, but it isn't always what leads us to teaching them habits that we really want them to have. If you don't have regular meal times, pay attention to how frequently they are eating. Do you eat in front of the TV often, and/or mostly let your kids pick what they want to eat? If they aren't eating well or willing to try foods, lack of routine may be the reason for it... or at least part of it. 

I commonly see this compounded on top of one of the other 4 reasons kids don't eat.  When there is a problem with eating, we get overwhelmed and start grasping at straws just to get them to eat. This is another way the bad habits can begin and then play a role in poor eating.

Check out my Basic Strategies to Improve Eating and Easy Feeding Tips for a lot more info on the importance of routine and Easy Feeding Tips!


Behavior

I put behavior at the end of this list for a reason.  I want this to be the last thing that you consider. A lot of people advise parents that kids are being "bad" or that the reason they are refusing to eat well is behavior based.  Although, behavior plays a role, it is actually a small percentage of kids that actually refuse to eat based solely on behavior.  Now, please don't mistake me, even the youngest of tykes will learn quickly what they need to say or cry or throw to get what food they want.  All kids go through different stages of development when they are testing boundaries and you can bet they will test it at meal times, too.  After all, this is one of the few areas where they actually have some control.  But, these kinds of little phases are short lived and aren't severe.  For kids that have a history of being picky or poor eaters, behavior is a piece of the puzzle, but typically it has evolved from one of the legitimate reasons listed above.  


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So, I gave you a lot to think about!  If you are confused, overwhelmed, or still not sure why your kid is struggling with food, a consultation might be a good idea.  See the tab at the top or click here for more info!
        





44 comments:

  1. Thank you so much for putting behavior at the bottom of this list! I recently read an article in Parenting magazine about picky eaters that disturbed me so much, I actually wrote a letter to the editor. One of the statements used was,"picky eaters are made, not born." My son is 4 and has issues with sensory processing. He is very restrictive about what he will eat. It is a daily battle. I appreciate this post very much!

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    1. Oh my that is disturbing! I usually love how Parents handles eating advice. I am looking into this and am going to write a letter, too! Thank you for your comment and hang in there. Keep up all the hard work you are putting in!

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  2. Your post made me cry. I cannot thank you enough! My son is nearly 3 years old and has spent most of his life in daily therapy for oral aversion and oral hypotonia. The result was a combination of medical and sensory issues and ongoing months of not eating cause behavioral issues that had to be overcame. It is exhausting and disappointing to read an abundance of articles in parenting books, magazines, and blogs that say "He'll eat when he's hungry". Not my child. Thank you for writing the truth behind the issues that our children may face with food.

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    1. Thank you so much for bringing up "they will eat when they want to". That is a total myth and research proves it. Most kids will eat, eventually- but not all of them. Hence why some kids end up on a feeding tube! I should have commented on that in the post!

      Good luck with your son and I hope you kind find some support and new strategies here :)

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    2. hi
      my daughter is nearly 1 year ,she start good with solid food but now she start teething and that affect her daily table food she lost here appetite at all yes I know its due of teething but I can not believe how she can spent all the day without eating anything except breastfeed (4 times per day)
      I need help plzzz

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  3. Great post. After being tube fed from birth until 21 months my little girl has got rid of her tube at last although still has prescribed milk fom a baby bottle a few year on as although she does well with food it is a limited variety and volume.
    People who said she would eat when hungry and should withhold the bottle and insist a cup or nothing irritate me. She has never known hungry with continuous feeds and has progressed very well in a year.

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  4. Great post. After being tube fed from birth until 21 months my little girl has got rid of her tube at last although still has prescribed milk fom a baby bottle a few year on as although she does well with food it is a limited variety and volume.
    People who said she would eat when hungry and should withhold the bottle and insist a cup or nothing irritate me. She has never known hungry with continuous feeds and has progressed very well in a year.

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    1. That is wonderful news- I know that achievement comes with a lot of work! Unfortunately, most people don't understand. Keep up the good work and try to tune out other's opinions.

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  5. I've noticed that many parenting magazines fall short in the area of picky eating. There is a difference between your everyday picky eater and a child with food aversions which can stem from sensory disorders, autism, medical problems at birth/infancy. My son battles severe picky eating (see www.foodaversions.blogspot.com) When I read an article that just doesn't get it I just assume they are speaking to the average run of the mill picky eater. Likely the writer has had zero experience with families of those with severe picky eating issues. Yeah for everyone who wrote a letter helping them to see the light. There should be some sort of disclaimer on the article stating to whom it is geared towards. Severe picky eating is a real issue that is highly discouraging for the parents especially those without resources.

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    1. Yes- you are very right! I have been meaning to write a post for some time on picky eaters vs. problem feeders, the latter being what you experienced with your son. Most of the advice I give really applies to both scenarios and when it doesn't I do try to highlight that. I think there should be a disclaimer, too- most people don't realize just how severe feeding problems can be.

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  6. So my son who is now 20 mts old was the best eater in the world! And I am talking about eating everything...I used to think sometimes that he is eating too much for his little tummy...well those good times are gone ;( couple of months ago he just stop eating...all of the sudden he refuses to eat everything and anything ...I am having a hard time it is so hard and frustrating ...I am going crazy and don't know what to do! I think that his problem is bad behavior but not sure how to handle it..I need help

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    1. Well, it may be one of two things. First, did any event happen, an illness or gagging on food. It might seem like something small, but even a small event like this can trigger a sensitization toward food.

      Second, it is likely just the developmental stage your son is in. Around 1 years old their taste buds begin to refine, this can bring out a lot of "picky eating". Stay consistent, offer foods at regular meals with no snacking in between. Check out my new post, too, so that you have your bases covered there. http://www.yourkidstable.com/2013/05/common-mistakes-parents-make-how-to_20.html

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    2. Hi Alisha! Greetings from Lisbon!
      So I´m in the same situation as mentioned above. My 18mts old boy would eat this world and the next if we let him, but now that is past. He is still having milk for breakfast, doctor recomendation, the lunch and dinner are now a war zone to say the least. Everyone tells me DO NOT force him to eat, but I just can´t help to force him a bit or else I know that he will have only breakfast milk on him for the day. Our routine is lunch kinda adult meal, with meat, pasta or rice, and veggies, finishing with a spoon of vegetable soup, followed by fuit. Dinner is the same but with fish on the main meal. Yes its a 3 course meal but we only want him to eat a small amount of each. Now that the food war has arrived we are only managing him to eat 3 or 4 bites of his meal, sometimes only half the soup and we are giving the fruit in the morning or afternoon snacks. He is now also rejecting almost all the new things that we give him to try. He refuses! Around here soup is a very important thing but I keep having the feeling that giving him only the soup we are talking the easiest road. Now Im quite lost. Force him? Not force him? Drop the soup? Insist in new things? Let him be when I know that he has eaten so little all day?

      Thank you for your time.

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    3. Hello! So exciting that you are reading along in Lisbon! First and foremost don't force feed, I know where you are coming from- I get it, but it is going to get you nowhere fast. Click on basic strategies in the top menu for more on this. Keep the soup, always serve at least one food he likes and keep presenting new foods. There is a ton of info on this blog, also in the menu bar is an article index, look at the Picky Eater articles particularly How to Expand their Variety and Getting Your Picky Eater to Explore New Foods. Right now just get him comfortable having the new foods. Keep things as positive as possible. Also, I am available for consults which we could do through skype, facetime or email if you want some more specifics- more on that in the tip menu bar, too! Hope this gets you going in the right direction- let me know if I can help more!

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  7. After reading many of your blog articles, I believe our 1 year old (June 21 she'll be 13 months) has some mechanical issues with foods she needs to chew. I continue to offer her a variety of chewing foods and it is all she gets at day care now. At dinner and weekends if she does not eat enough which is all the time, I am still giving her pureed and preferred chewing foods (cheerios, puffs, yogurt drops, lil' crunchies, ravioli, tofu, eggs, some veggies and fruit cut up as long as they're soft, sometimes she'll eat a little bread with butter and/or cheese, small bits of mozzarella cheese, a few small bits of pizza, likes chewing on pizza crust, and a few small bits of pancake). Will she grow out of these mechanical issues? Gagging, spitting out half-chewed food, and even vomiting from gag reflex (last was 2 weeks ago). Really like your site and will consider a consultation if she does not improve more in the next couple months. Thanks!

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    1. Hi Jess, well she has some real strengths going for her. She has a decent variety. The gagging and vomiting are red flags. It is hard to say if she will grow out of it, a few kids do. However, it may make it difficult to move on and some of those muscles she'll need for speaking too. Keep trying! Demonstrate how to chew with a wide opened mouth, so she can see what you are doing. Also give her whole carrots and celery, yes the big long pieces, to mouth on. This will help build up some jaw strength and decrease her gag reflex. You can give these to her before or while you feeding her purees! Of course, I'm here for a consult, but consider getting in touch with your states early intervention program. They should be able to get you some help in your very own home! Let me know if you need more help with this!

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  8. Hi, I think I can relate to this with my 13 month old also in similar case. When you say to give a whole carrot & celery - should it be cooked?

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    1. Definitely raw! The point is for them to move it around in their mouth like a teether, if they can get any pieces off, take it off of them. Let me know how it goes!

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    2. I'm very frustrated at this point. My 9 year old refuses to eat and at her own detriminte. She even lost weight which is how I noticed that she refuses to eat.. She wants us to feed her every meal and will stare holes in the wall that is how stubborn she is! So definately behaviour and I definately agree on the constipation I have had problems with that before. She's epileptic so I'm not sure if her meds play a role in supressing her appetite as well. Just annoys. Me how it may change so all of a sudden.

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    3. I'm so sorry Pamper Box Salon- I know its sooo hard! It is unusual for a child her age to suddenly refuse to eat. I would explore the constipation issue more- you can use miralax. If you would like to talk I do offer consultations.

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  9. My son squrims through out his eating when I'm feeding him no matter what i seem to do im out of ideas on how to get him to eat, and most of the time he will only eat table food if it is comming directly off of mommy or daddys plate what to i do?

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    1. How old is he? I would let him eat off your plate for now and keep it really positive. It's important that he associates eating with something positive. Did anything from this article jump out at you as a possible reason your son is having a hard time?

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  10. Hi Alisha,
    Thank you for you article!! it is very helpful and interesting.. Our daughter turned 1 year a few days ago, and she has never ever eaten more than 2-3 teaspoons (if we are lucky...) of anything. What ever goes into her mouth just gets pulled straight out. we have established she seems to prefer savoury to sweet tastes. Her appetite has definately increased for the past few weeks but she is just demanding more formula bottles instead if actually eating anything. Since birth we have struggled with constipation, that seems to get even worse when she is teething. She even refuses any kind of juice/rooibos tea. She is very stubborn by nature but I dont think its a behavoural issue. She seems healthy and happy, but she has not gained any weight for the past 3 months. 2 Peadiatritians have said she does have unusually large tonsils, could this affect her swollowing? How do we go about testing for oral aversions or tactile defensiveness? Please could you give us some advise.. Many thanks!! Mom&Dad Tinkler

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    1. Hello! You would see some red flags for tactile defensiveness by her either being uncomfortable with being messy, refusing to touch certain textures, and/or gagging at the sight, smell, touch, or taste of foods. Oral aversions may develop because of a past event: feeding tube, episode of throwing up, etc., and kids will outright refuse to eat. Her behavior is not typical- but I don't want that to alarm you. I would push the constipation issue more with your doc for other solutions. Consider seeing a GI doc, if you don't get answers there. Lastly, I would consider an early intervention eval if you are in the states.I have more on that here: http://www.yourkidstable.com/2013/09/help-for-infants-and-toddlers-early.html There is no pressure at all, but I'm available for consults- if you have any other questions about anything, please let me know!

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  11. Very frustrating, my daughter turned 4 on 11/10 and since 11/12 she had not a thing. We have taken her to 2 emergency rooms and they say a behavior issue...I disagree I have an appointment with a GI dr Monday...Monday will be 14 days no food, when we ask her if something hurts she says yes and points to get belly button..we told the er about it but they say all test came back normal but she has been in the verge of dehydration 2 times during this time...I hope the GI dr will give us some answers.

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    1. Yes, very right to follow your instincts. Did they do an endoscopy, colonoscopy, or stomach emptying test in the ER. If not than they can't say there isn't a reason. Right now give her whatever and however to get her to eat or drink anything. I would consider following up with a feeding eval as well.

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  12. Hi Alisha!

    Thanks so much for this super informative article! Im wondering if you have any tips if we suspect a mechanical issue. Our 13 month old was a puree eating champ. He would eat any and every veggie or fruit with the exception of banana. Loved pouches, even combo flavors. I was raised eating what my mom cooked ("adult" food, no short order cooking) from the beginning and feel very strongly that our son will eat what we eat as well. We love food and want him to love food also. Our problem is, he is refusing solids. Foods that he gobbled up as purees get spit out in the real food/cooked form. We consistently offer whatever we are eating, as well as cheese, cooked veggies, soft fruit, etc and he almost instantly spits out most, others he will suck or "chew" for a bit and then spit out. I dont think its the taste because it isnt even in his mouth long enough. He happily eats cherios, mum mum crackers, teething cookies, cheese, pasta, and eggs (eggs 50% of the time). Anything else (squash, carrots, sweet potato, peas, corn, pears, peaches, strawberry, banana, blackberry, zuchinni, green beans etc etc) gets spit out. He loved any kind of meat for about 2 months and now spits that out too. He got teeth very late (first one at 11 months and now has two top and two bottom) and we made the mistake of giving only very soft things in tiny cut up bits because we thought he needed teeth to chew (i know now this isnt the case). Im starting to think he is scared to swallow or doesnt know how to chew things up properly? Other than the hard carrot idea or showing him our own chewing, where do I go from here? Im so discouraged that I keep resorting to mum mums and cookies and cheese but I dont know what to do. If he can chew those things is it just that he doesnt like the soft things? Some things like oranges I can tell he likes the taste of because he will keep it in his mouth and mull it around but ultimately doesnt swallow. Same with eggs the other 50% of the time (sometimes swallows eggs). I see photos of my friends with similar age children eating normal size bites of strawberry and pancakes and I know he isnt getting enough food at a meal. He of course wants to self feed and slaps spoons away but lately is interested in spoons and forks if he can hold them but still spits out what is on them. Help!

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    1. I keep reading "be consistent/keep trying" but we are going on four months of consistently offering different table foods at every meal and them getting spit out. I know its not that he fills up on crackers and other stuff. After 2 months of refusing solids, we introduced pouches out of desperation for him to eat something and very recently introduced teething crackers and mum mums (in the past few weeks) when he has lost interest in pouches.

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    2. Hi Caralea, I can completely understand how frustrating this. First, stick with more crunchy foods, if he is having difficulty chewing he will get more feedback from the chewing. You could also try holding a long piece of food like cheese curl and holding one end while you put the other end on his gums in the back- if he will allow you. I would also look into getting an early intervention evaluation, if you are in the states. See the article index for the article titled: Early Intervention Services. I would also make slow changes to foods he is eating, buying different brands and flavors. Lastly, read the post Exploring New Foods with Your Picky Eater. It talks a lot about the importance of play.

      There is no pressure at all, but I am available for consults. It sounds like there are some underlying issues going on, that I would need to investigate more to give you specific info. I hope this helps a little. Let me know if I can do something else!

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  13. You have so many good ideas here, but could you please do a post for parents on how to depersonalize the picky eater situation? I have tried everything--preferred foods, sample bites, variations on preferred foods, getting kids to help prepare a meal--and nothing has worked. They enjoy the process of cooking, but have no interest in the actual product (unless it's cupcakes), even if they see that it is filled with all ingredients that they like. I am at my wit's end, and dinner has become my absolute least favorite time of the day. (I have a 3-year-old and a 7-year-old.) I love to cook, and this is positively sucking all the enjoyment out of it. I always put a small portion of what I make on their plates--sometimes they try it, sometimes they don't. I don't want dinner to turn into a power struggle, but neither am I willing to make them separate meals or let them live on pancakes. Help!

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    1. Hi Alison, I totally hear you and sometimes if your kids are beyond picky eating, those strategies might not be enough. Look at the article index at the top menu. Read When Picky Eating Has Gone Too Far, if they are beyond picky eating seeking additional help will be very beneficial. Also, there are several posts about keeping mealtimes positive, expanding variety, and exploring new foods that should be helpful. There is no pressure, but I am available for consults where I can give specific advice. Let me know if I can be of more help.

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  14. Hi Alisha,
    My daughter is 3 years old and she is a terrible fussy eater or rather a non eater I would say. She is on just 11.5 kg from past 1 year . I have consulted many pedestrians but they end up giving me advice or some appetizer . After reading your article I think my daughter has mechanics problem she simply doesn't chew her food she stores them in her cheeks for long time then spits it out. If I made a semi solid mushy food she doesn't open her mouth wide she eats like a bird. I offered her many different kinds but nothing seems to work out. She doesn't even want to eat junk food which most of the kids like. I left my job for her sake . now am feeling really miserable as am not able to improve her eating habits . I have lost the battle . At my home emotions keep flying high at every single meal. Bribe her . plead her scold her pamper her , She won't budge . please help . please tell me how do I go about this.

    Thanks in advance
    Helpless mom

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    1. I'm so sorry- this is a very challenging situation. I would highly recommend the direction of a feeding therapist- I'm assuming you aren't in the states so I'm not sure this is an option. I would read my posts transitioning your child to table foods. There are two parts and you can find them in the article index in the menu bar or in the sidebar under popular posts. This goes through some of the basics of teaching the child how to chew. However, there are likely multiple layers to her difficulty eating. There is so much info on here, I would start reading under feeding basics also in the menu bar. I would avoid scolding, she has something legitimate going on that makes it difficult for her to eat. There is no pressure, but I'm also available for consults where we could go over her history and discuss in more detail. You can find info for that in the menu bar also. Please let me know if I can help out in any other way!

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  15. We are in a similar situation. Daughter 3 and still doesn't eat solid food (mainly chewing problems & sensory issues), but we are seeing the light. However, I should say we have had early intervention therapists (OT, Speech & Behavior) since age 1 & is seen at a private practice 3 times a week. I wish I would have found a site like this a couple years ago!!! I heard time after time that she was/is "stubborn", "just put food in front of her", "eventually she will get hungry", etc. The fact is that will not work and just isn't the case. We simply couldn't accept that and knew she needed feeding therapy. The hard part was to find feeding specialists...OTs/Speech that had enough experience in this area. ...and I should say we added a Behavior Specialist at the end of Early Intervention. I was reluctant to add this specialist because I always argued that this was simply not bad behavior. This specialist just helped us come up with positive reinforcements, ideas on how to recover after a really bad meal, etc. She actually was a big help to us. Anyhow, thank you for your posts. I will keep reading!!!

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    1. I should say a nutritionist helped as well to keep the calories on. My daughter is on the smaller side.

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  16. One other thing I would add to the list is supertasting. 35% of women and 15% of men have more taste buds than the average person, so they taste "gross" tastes much more intensely than other people. If your child is at the point where they would rather sit at the table all night staring at their green beans than eat them, they may be a supertaster. Being a supertaster myself, I can tell you how frustrating it was when my parents would force me to eat foods that literally tasted so bad I wanted to vomit. It was incredibly freeing when I started living on my own and choosing my own foods. Just another thing to consider!

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    1. Thanks- yes,taste buds are on a spectrum and some are more sensitive than others!

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  17. Hi i have a 4 year old son who barely eats. when he does eat it has to be a ham and mayonnaise sandwich or chips. and he usually doesn't even eat half of one. he was with foster parents for a year due to some trouble i got into and his foster parents even got him to try sushi! now he's here and refuses to eat anything. he is happy and playful but I'm wondering if maybe the events of the past year have something to do with his refusal to eat?

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    1. It is possible that the transitions have made it difficult, but I would make sure you are setting up a really good routine- not that I'm trying to insinuate that you aren't. Structure meal time as much as possible and continue to keep it positive. Eat with him and make sure he has one thing at each meal he prefers. Check out eating basics in the menu bar at top for more ideas! Good Luck!!!

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  18. I have a 9 year old who refuses to eat after having several choking episodes. She has lost about 11 pounds in three weeks. I offer her anything she wants just to get her to eat and she asks for ice cream almost always and holds it in her mouth and refuses to swallow, then spits it out into paper towels or the toilet. She's had a sleep study and just barely an upper gi because she wouldn't swallow the contrast stuff. I been to see if her tonsils need to be removed , I was told they are not really enlarged. I don't know what else to do.

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    1. Hi Kizzy, I'm glad you reached out. First of all feed her whatever you can, as you are in kind of a critical state. There are some extreme situations, like your daughters where gagging/choking/procedures to the throat can cause complete aversions to food. I would highly recommend seeing a feeding therapist, where you can be set up with a desensitization program. If you need help looking for a therapist please let me know!

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  19. My grandaughter is 9-1/2 years old. She's a very picky eater. She only eats chicken nuggets from McDonalds or hash browns, noodles, toast, fruits , chocolate milk, apple juice and Pediasure. She also takes vitamins. If we ask her to eat other foids she starts crying. Will she change her eating habits?

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    1. She will likely add some new foods, eventually, but this could take a while. I would recommend that she see a feeding therapist to help her get out of this, there are likely some underlying issues.

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  20. I came on this page while looking for more options to feed my son who is 2.3 years old. Well i used to be very anxious 8 months back when i shifted to new apt and there he suddenly stopped eating. he would vomit and had lost lots of weight. Here i want to point out something, My neighbor had a son who was 5 months younger than my boy (with really good appetite). Initially my son would go to play at his house and would eat fruits with him. Slowly he developed stomach upset, diarrhea, constipation etc etc over the months. It would kill me seeing him not eating at all and some times eating on alternate days. I realized that my neighbor had hygiene problem. Though her son is fine all the time. And i am going to sound orthodox but I realized that every time I feed in front of my neighbor it hasn't gone down well with him. As soon as she points out "oh he can eat this, my son should eat too" the very next day my son will stop eating at all. So correlating such incidents that has happened hundreds of times i stopped feeding my son in front of any outsider. And it works.

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