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Pediatric Feeding News

Dedicated to up to date pediatric feeding and dysphagia information

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Hi, I'm Krisi Brackett, MS SLP/CCC this blog is dedicated to current information on pediatric feeding and swallowing issues. Email me at feedingnewsletter@gmail.com with questions.

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Starting feeding therapy for the child with gagging, vomiting, G-tube feeding and poor oral intake.

March 30, 2014 by Krisi Brackett 3 Comments

I want to share some simple ideas for assessing children with feeding disorders, specifically toddlers with feeding difficulty, g-tube dependence, or food refusal/ extreme picky eating and prioritizing intervention. Think about the whole child when assessing.   The oral motor pattern is the last thing you should address(I realize this is the opposite of what most of us have been Keep Reading >>

Filed Under: Case Studies, Feeding Treatment, General Feeding Information Tagged With: feeding problem, feeding therapy, gagging, vomiting

Ask the Dietician: Comments on recommending infant formulas by Sharon Wallace, RD, CSP, LDN

March 30, 2014 by Krisi Brackett 3 Comments

This post comes from my colleague Sharon, one of the dieticians on our feeding team, in reference to Martina's comment and question on how best to recommend a special formula and how to convince parents to try something new that is more expensive.-Krisi   From Sharon: What I would add to Krisi's response is that there are now so many different 'hydrolyzed formulas" on the market that it Keep Reading >>

Filed Under: Nutrition, Uncategorized Tagged With: bottle, dietician, feeding, feeding therapy, growth chart, infant feeding, infant formula, specialized formula

Research: Infant Colic

March 27, 2014 by Krisi Brackett 2 Comments

I wanted to pass on a summary of an article that was posted on medscape this week. It highlights that there is some encouraging research looking at probiotics and colic. There is so much going on in the world of probiotics and gut microbes! I'm going to a research talk on Friday about pediatric gut microbiotia and I will post the highlights!   Jordi Cuñé, Jonathan Santas. Infant Colic: Keep Reading >>

Filed Under: Gastrointestinal

The importance of gastroenterology in treating feeding problems.

March 23, 2014 by Krisi Brackett 5 Comments

At UNC Hospitals, I do about 7 new feeding evals each week. 5 of these are with our pediatric feeding team which includes speech, GI and nutrition and 2 are scheduled as a speech pathology/feeding evaluation. The evals are scheduled based on the doctor's referral so they come in earmarked for feeding team or written for a speech path feeding eval.   I've been making a mental note of the Keep Reading >>

Filed Under: Gastrointestinal Tagged With: constipation, feeding problem, gastroesophageal reflux, GERD, GI, reflux, vomiting

Neuroanatomy Review Relative to Swallowing: Part II Susan G. Butler, Ph.D., CCC-SLP

March 18, 2014 by Krisi Brackett Leave a Comment

Review of the Cranial Nerves We Assess Indirectly During Oral Mechanism Examinations   Cranial Nerve V: Trigeminal • The Trigeminal Nerve emerges from the pons of the brainstem. It has both motor and sensory components. Motor: Supplies muscles of mastication and some of the suprahyoid muscles (i.e., anterior belly of digastric, mylohyoid) that facilitate hyolaryngeal elevation. Keep Reading >>

Filed Under: Uncategorized Tagged With: neuroanatomy, swallow

Transitioning past a suckle oral transport pattern

February 16, 2014 by Krisi Brackett 1 Comment

By Cathy Fox MS OT/L & Krisi Brackett MS SLP/CCC       Children with feeding problems often get stuck in the suckle oral transport pattern and have difficulty advancing to higher level oral skills. The suckle is a normal transitional pattern that emerges as a child transitions from lower to higher level oral skills. It is important to determine what is blocking the child from advancing to Keep Reading >>

Filed Under: Feeding Treatment, Oral-motor and Sensory Tagged With: feeding therapy, oral motor, suckle pattern

Soy Protein-Based Formulas in Infant Feeding- use them or not?

February 16, 2014 by Krisi Brackett 3 Comments

Traditionally, soy protein-based formulas have been recommended as an alternative to cow's milk formula when an infant presents with colic or suspected intolerance or allergy. However, there is evidence and caution moving away from recommendations to use a soy and now indicating a better choice would be to trial a hydrolyzed formula. See below for information regarding the concerns for use of soy Keep Reading >>

Filed Under: Gastrointestinal, Nutrition Tagged With: formula, infant formula, soy

The Enteric Nervous System

February 14, 2014 by Krisi Brackett Leave a Comment

I saw this posted on the dysphagia list serve from Renee Campbell and thought I would repost: For information about the relationship between the CNS and the digestive system an excellent review is available at: The Enteric Nervous System http://www.scholarpedia.org/article/Enteric_nervous_system#Organisation_and_relationships John B. Furness (2007), Scholarpedia, 2(10):4064. Keep Reading >>

Filed Under: Gastrointestinal Tagged With: motility, nervous sytem

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