5-Minute Clinical Consult (5MCC) app and website powered by Unbound Medicine helps you diagnose and manage 900+ medical conditions. Exclusive bonus features include Diagnosaurus DDx, 200 pediatrics topics, and medical news feeds. Explore these free sample topics:
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- Feeding disorder: inability to consume by mouth in quantity or quality the nutrition that is developmentally appropriate for that child
- Dysphagia: disorder of swallowing characterized by difficulty in oral preparation for the swallow or in moving food or liquid from the mouth to the stomach
- Aspiration: Food or fluid enters the trachea and passes through the vocal cords to lungs.
- Penetration: Food or fluid enters the trachea but remains above vocal cords and can be cleared by patient through coughing to prevent aspiration.
- Oral motor disorder: inability to manipulate age-appropriate diet; often related to incoordination of facial muscles and/or tongue
- Pharyngeal dysphagia: inability to protect airway during swallow; may be due to anatomic abnormality or neurologic dysfunction
- Voluntary food or fluid refusal associated with maladaptive interactions at mealtimes; associated with learned fear when foods or textures are advanced before a child is developmentally or medically ready to swallow without dysfunction
- Congenital heart disease
- Cystic fibrosis
- Metabolic disorders
- Autism spectrum disorder
- Developmental delay/cerebral palsy
- Prolonged tube feeders (>4 weeks)
- Neuromotor dysfunction
- Anatomic deformities (i.e., Pierre Robin sequence, laryngomalacia, tracheotomy, cleft palate)
- GI disorders: gastroesophageal reflux, eosinophilic esophagitis, celiac disease
- Tachypnea (respiratory rate >40 breaths per minute)
- Monitor weight, height, head circumference, weight for height, and BMI percentiles at regular interval office visits to identify changes in nutritional status early, especially in high-risk populations.
- Selective eater: Educate parents on age-appropriate portion sizes and foods.
- Provide vitamin and mineral supplementation or refer to nutritionist for complete assessment if patient is at risk for deficiencies.
- Developmental delay: Evaluate diet and feeding skills to manipulate nutrition provided.
- Ensure foods offered match developmental readiness rather than chronologic age.