During the first year of my graduate program in speech-language pathology, I was very fortunate to be able to pursue my interest in breastfeeding support by completing an intensive lactation consultant certification program. As a student of both disciplines, I have observed the relationship between these professionals with great interest. In some ways, SLPs and IBCLCs are very much at odds with Keep Reading >>
Behavioral Treatment of Feeding Problems: Why and How by MaryLouise E. Kerwin, Ph.D., BCBA-D
MaryLouise E. Kerwin, Ph.D., BCBA-D Chair and Professor, Department of Psychology, Rowan University, Professor, Department of Biomedical Sciences at Cooper Medical School of Rowan University, Director, Center for Behavior Analysis Kerwin@rowan.edu Why are behavioral treatment approaches used with pediatric feeding problems? Answering this question requires an understanding of Keep Reading >>
How To Examine A Baby For Tongue-tie or Lip-Tie by Bobby Ghaheri, from the website DRGHAHERI.COM
I came across Dr. Ghaheri's website DRGHAHERI.COM after reading one of his blogs posted on the website Ages and Stages, http://www.agesandstages.net/. He generously gave me permission to re-post one of his blogs here on examining infants for tongue and lip tie. I am often asked about the frenulectomy's by parents, this website has been very helpful. Great information for feeding Keep Reading >>
Dr. Paul Hyman, Pediatric Gastrointestinal Motility Specialist explains the use of manometry and pain medicine in feeding intervention
Dyspepsia means that there is upper abdominal discomfort. In lots of folks with dyspepsia it gets worse after eating, or only happens after eating. In adults dyspepsia has been studied carefully. Endoscopy may show an inflammatory or acid-related disease that can be treated with drugs. However, most dyspepsia is functional, meaning that the symptoms are real but there is no easily discovered Keep Reading >>
Eosinophilic Esophagitis in Infants and Toddlers: What the Pediatric Feeding Therapist Should Know by Claire Kane Miller Ph.D.
(reprinted from The Pediatric Feeding and Dysphagia Newsletter, July 07, vol 8, no. 1, pg 6-8. ) Esophagitis (inflammation and swelling of the esophagus) is known to occur as a manifestation of gastroesophageal reflux disease. Treatment of GERD is necessary to heal injury, reduce inflammation and swelling of the esophageal mucosa, and to help relieve associated pain and discomfort Keep Reading >>
Oral Dysphagia (oral motor delay): Making recommendations for appropriate diet textures for the child with feeding difficulty
I'll give you the answer first: a child's diet texture should be appropriate for their oral skill level. Sounds so obvious right? I've seen this scenario many times... a child is referred for a feeding evaluation because of poor eating (not eating enough), choking with meals, pocketing or expelling foods, or having prolonged meal time. Parents are at their wits end, they don't know Keep Reading >>
Hypersensitive Gag Reflex and Pediatric Feeding Delays By Donna Scarborough Ph.D., CCC-SLP, BCS-S Miami University, Oxford, OH scarbod@muohio.edu
Introduction Historically, two clinical areas in speech pathology have tested the gag reflex response as part of a standard oral mechanism examination including: a) assessment of maximum velopharyngeal excursion (Mason & Simon, 1977; Pannbacker, 1985) b) bedside evaluations of swallowing (Daniels, McAdam & Brailey, 1997). However, due to the complexity of velar Keep Reading >>
Starting feeding therapy for the child with gagging, vomiting, G-tube feeding and poor oral intake.
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 >>
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