Posts by admin

Why is my toddler spitting out food?

Q: My 15-month-old daughter swallows baby food without difficulty, but when I give her table foods (pasta, fruit cocktail or small pieces of chicken) she chews them and then spits them out without swallowing. Should I be worried? A: Some children spit out new foods as they are adjusting to new food textures. This often is a very temporary response. Often by their first birthday, children are completely chewing and safely swallowing age-appropriate table foods such as pasta, fruit cocktail and small pieces of chicken. If you have just started offering table foods, give her another week or so...

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Why is swallowing pattern important?

Q: My 7-year-old’s dentist said that he has a tongue thrust swallow and that may be why his teeth are crooked, why he chokes sometimes during eating and why his speech is hard to understand. The dentist recommended that we see a speech pathologist who works on tongue thrust therapy. Would this help? A: It sounds like your son has a tongue thrust (oral myofunctional swallow pattern), which is an incorrect tongue pattern for eating, resting and talking. An oral myofunctional swallow pattern (or tongue thrust swallow) is characterized by the tongue coming forward toward the teeth instead of...

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What to do when your infant refuses to eat

Q: My almost-12-month-old decided to stop all solids about three weeks ago. Now, she sees a spoon and turns her face and cries hysterically. She was eating Stage 3 jars fine and suddenly stopped that, too, even purees. All she may take is plain yogurt. Not sure what to do as she ends in tears — and eventually I do as well. I feel so bad. I tried letting her feed herself and she plays with it but won’t eat more than one piece. She has reflux, which she’s been on Prevacid for, and that’s not helping. She did eat since since she was 6 months old so I’m unsure why she stopped like this. I’m...

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How to get kids to eat their veggies

Q: My children do not like fruits and veggies. But there are so many fruits and vegetables in season now, how can I get them to eat these seasonal treats? A: You share frustration with many a parent whose children refuse fruits and vegetables. If your child truly does not eat fruits and vegetables, you should discuss this with your pediatrician; a thorough feeding evaluation should be completed to identify why and then to help your child accept these very important and nutritious food groups. With the abundance of in-season fruits and vegetables, summer is a great time to introduce...

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Down syndrome and breast-feeding

Q: My baby with Down syndrome will be born in July. I really want to breast-feed her, but I am hearing conflicting information. Someone told me that she will not be able to breast-feed, and then others are telling me that she can. What is the truth? A: Although infants with Down syndrome can have more difficulties breast-feeding, it is not impossible. Detecting possible problems quickly and providing specialized therapy can significantly increase a baby’s success. There is no question that all babies benefit from human milk and the experience of breast-feeding. Benefits particular to...

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