When Krisi asked me to write something for her blog about feeding therapy, I thought about all the various aspects of helping kids to eat: the physiological and/or medical concerns, the sensory piece, the motor skills and the learned behaviors. But what keeps popping into my head are the lessons I learned from many expert clinicians, like Krisi. (She’s turning red right now, but let me Keep Reading >>


Working on Cup Drinking: The Benefits of Using an Open Cup
When it is time to start working on cup drinking, I typically start with an open cup. Every child's situation is unique and must be considered individually when making the decision about which cup to use. These are typical scenarios where an open cup may be beneficial: The child refuses the cup and is solely dependent on bottle or breast feeding. The child will drink water in Keep Reading >>


Bottle or Breast Feeding Dependence and Transitioning to a Cup
Cup Transition For most children, the recommendation to transition from the bottle to cup is typically around 1 year. Prolonged bottle use can cause: tooth decay or bite malformation may encourage your child to drink much more milk than he needs may find it hard to Keep Reading >>
GI Issues that interfere with successful feeding: How to recognize the symptoms
There are many reasons that infants and children develop feeding problems. Many of these children have a history of prematurity, neurological dysfunction, respiratory issues, gastrointestinal dysfunction, and learned patterns of behavior as well as other issues. Research supports that a significant number of children have feeding difficulty related to their GI dysfunction. Hyman PE. 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 >>
Aversive Feeding Behavior: Getting full mouth opening for the spoon and why it’s worth the trouble
Many children with feeding difficulty have aversive feeding behaviors or learned refusal patterns around the act of eating or feeding. I often tell my students that if a child doesn't want to eat, you can't make them. By the time children come to our feeding team, many caregivers have tried multiple ways to get there kids to eat. Usually they have tried force feeding and/or letting the child get 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 >>
Transitioning past a suckle oral transport pattern
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 >>
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