Posted By Posting
Jul 22, 2009
helen lai
Mom to Matthew, 01/16/08, GERD baby, has been on Zantac since 2 mos. Aidan, his twin brother, no GERD. Max-ed out on Zantac at 1ml-3 times/day, and switched to Prevacid 15mg split tab 08/20/08. Switched again to 20mg Prilosec 09/18/08 due to Prevacid's restlessness/headache side effects. Reflux was out of control again and had to switch to 10mg Nexium 02/11/09. Good result so far.
Let the child (with SPD) be hungry going to sleep-Therapist Suggestion
I appreciate any ideas you can help me with. We come back to feeding therapy because Matthew has major setbacks in term of eating textured food and doesn't try any new food. It's a combination of several factors, I think, teething molars + sensory issues + reflux induced food aversion + toddler picky eating phase (he's 18 mos old). He'd had good improvements and ate cut-up veggies, chicken nuggets until about 2 months ago when he started teething molars. Now 2 of the 4 first primary molars have already in and the other 2 are very swollen right now. He eats only yogurt, oatmeal, waffles, small shell pasta, puree (mixture of veggies + chicken/meat), cheerios, kix, crunchy cookies, cut-up fruits, and drink ~ 20 oz of toddler formula/per day. I tried but can't not expand his food selection. His reflux is under control and we can go a couple weeks without any symptoms and throw-up. He is a very sensitive child and has typical symptoms of SPD (Sensory Processing Disorder): sensitive to changes and transitions, motion, noise, new environment, new food, new texture, new people, etc. As he gets older and has more exposures, he makes very good progresses and can tolerate better the noise, sand, water, swings, car-seat, new people, etc. We're in the processing of getting him evaluated for SPD and get more therapy for him. The feeding therapist that we're seeing suggested me to reduce his formula intake, keep offering the textured foods, withhold the comfort food that he is used to, ignore the melt-downs he has when not getting the food he wants, and even let him go to nap/sleep without eating if need be. I tried everything except letting him going to sleep without eating. He would refuse the foods that are not right to him like cut-up veggies, meat, string cheese, bread/toast, etc. and if I keep offering them, he melts down. Once he gets upset, it's hard to calm him down and doesn't eat anything even if he's hungry. Meal times have been very stressful and there's one time that I let him melt-down several times for 1 hrs, still he didn't eat. When we went out and didn't have the puree, he didn't want to eat the table food even though he was hungry. Now I resort to either let him watch DVDs, or roam around the room or in the backyard, or hold him in my arm and feed him the puree and his favorite fruits (he loves sweet stuff). The therapist told me to stop all those things, let him meltdown and eventually he'd eat. I read in a book on SPD, it says the child with SPD doesn't have normal hunger cue and will starve himself rather than eating the offensive food to him. I don't know what to do. I'm trying to see other feeding therapist from the Early Intervention if he's qualified for. We'll have a person from The Regional Center coming out to do the assessment for him tomorrow. Have you had similar experience feeding your child? What would you do to feed a picky eater or child with food aversion? Thank you very much for any advice or ideas you can give me.
Jul 22, 2009
slimfast13
This is our dd, Alessandra. Dx with GER 10/07. Ran the gamut with meds and now done with them (crossed fingers). Using magnesium, probiotics and prebiotic supplements. With the exception of teething and general sassy attitude, all is well now. They really CAN grow out of it!
We've been going through this on and off, even without the SPD, and Allie's nearly 2 years old now. It is true that they will not usually willingly starve themselves, though there are cases that need extra attention. Pretty much, I try to give my girl something that she needs to eat or something new she hasn't tried yet, and let her play with it. If it's an absolute no-go, I take it away and let her play with crayons or something for a while. Then after a few minutes and the meltdown is ebbing, I get her something I know she'll eat. Then try the food again at the next feed.

The teething is a huge thing with eating - we've had a heck of a time with teeth. They take forever to erupt, and then within a day, they disappear again for a few more weeks, then we start all over again. Not only is it the tooth and jaw pain, it travels to the ear and throat. So, when the teething monster rears it's ugly head, I do only soft foods - yogurt, purees, ice cream, italian ice, etc...When it seems to calm, I start to give more solid foods. Once I stopped making a huge deal of it, she started to eat better on her own. I used to get so frustrated and angry, but my hubby told me to calm down and try his way. It does work, though I do still get frustrated that so much food goes to waste.

I'd say while the molars are breaking though, don't sweat it and do what works. Once you can see the teething has settled, then I'd try cutting the formula by a few ounces for a few days, though not all from the same cup. And if he won't eat what you try, just let it go and try again the next day and so on. It can take up to about 2 dozen times for a normal, non-eating-and-GI disturbed kid to accept a new food. It's so hard when they won't eat...and my kid never had aversions or was really all that picky. She's just busy all the time and sitting still to eat is too much of a hassle. Good luck!!!!

Jul 22, 2009
vigilantmom
Ryan was born May 20th 2008. 9 lbs 2 oz. Ryan’s magic bullet was 30mg of Prevacid capsules mixed with Caracream from Marci-kids (I am forever indebted to the team at Marci-kids), Claratin for the mucos, and Mirlax for the constipation. Within 2 months of this combo he jumped from the 6% to the 50% for weight and continues to climb. Be strong, listen to your instincts. Read his story for more specifics that just might help you too - Karen
I would have a very hard time with sending him to bed hungry or not letting him have his comfort food. I think it is easier for 3rd parties to tell you that when they did not go through the hell of reflux when they wouldnt eat anything at all. If there are things he will eat let him eat it and offer but dont force the other stuff. Remember that molars are really hard on kids, physically and emotionally. If it were me I would be tempted to let him eat what he loves until the molars are through. When you can eliminate them from the equation then I would feel better about the tough love approach. That is just me though. I hate the stress of meal times. I dont want to risk long term food issues so I really try to be flexible.
Jul 23, 2009
helen lai
Mom to Matthew, 01/16/08, GERD baby, has been on Zantac since 2 mos. Aidan, his twin brother, no GERD. Max-ed out on Zantac at 1ml-3 times/day, and switched to Prevacid 15mg split tab 08/20/08. Switched again to 20mg Prilosec 09/18/08 due to Prevacid's restlessness/headache side effects. Reflux was out of control again and had to switch to 10mg Nexium 02/11/09. Good result so far.
Thanks a lot for your thoughts and ideas Meghann and vigilantmom. It's a huge comfort to know that other normal kiddos also have a hard time eating while teething. In my guts I just think it's not right to follow the therapist's suggestion and send him to bed hungry. It's just like God answered my prayers or something because today at dinner, Matthew miraculously ate 1 small piece of chicken nugget, a bit of stage 3 toddler food that his twin brother left over, and on top of that some more puree. I am sooo grateful. I really need to relax more at meal times and continue to be flexible. Now I believe that I am not spoiling him by doing so, which was how I left feeling after meeting the therapist today. Thanks a lot Ladies!
Jul 23, 2009
jgbennett
Ginger Bennett
Mom to Stanton, 6/12/2008
dx with GERD at 7 weeks. dx with EE at 21 months
Past Life - Early Intervention Specialist and Eval Team Member
We are loving the book "Just Take a Bite" by Lori Ernsperger, Tania Stegen-Hanson, and Temple Grandin. The book talks about all you described....and a lot of what we are dealing with too! Lots of great suggestions to try. The book does point out to always have a small amount of one favorite food at each meal. This simple tip has kept our mealtime less stressful! Find a therapist that is willing to partner with you. I worked as an early intervention specialist for 12 years before becoming a mom. Now we're receiving early intervention services! Strange how life always comes full circle...
Jul 24, 2009
helen lai
Mom to Matthew, 01/16/08, GERD baby, has been on Zantac since 2 mos. Aidan, his twin brother, no GERD. Max-ed out on Zantac at 1ml-3 times/day, and switched to Prevacid 15mg split tab 08/20/08. Switched again to 20mg Prilosec 09/18/08 due to Prevacid's restlessness/headache side effects. Reflux was out of control again and had to switch to 10mg Nexium 02/11/09. Good result so far.
I just ordered the books on Amazon. Can't wait to read them. Thanks so much for the great tip, Ginger.
Check with your
doctor first!