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 >>
The importance of gastroenterology in treating feeding problems.
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 >>
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