Feeding disorder of infancy and early childhood

Failure to eat adequately as reflected by weight loss or a failure to gain weight.

Causes, incidence, and risk factors

Feeding disorders are diagnosed when the infant or young child does not eat adequately and the problem is not caused by a medical condition (such as cleft palate, congenital heart disease, or chronic lung disease), or a mental condition (such as any disorder that causes mental retardation ). The cause of such disorders is unknown, but often results from a variety of factors such as poverty, dysfunctional child-caregiver interactions, and parental misinformation.

Signs and tests

  • Physical examination
  • is performed to evaluate for potential medical illnesses which may contribute to the problem. Evaluation of the growth curves for height, weight, and head circumference are important in any evaluation of feeding/weight problems. Laboratory and imaging studies are used to complete the medical workup, but often are normal in children with growth problems.
  • Treatment

    Depending on the severity of the condition, measures will be taken to increase the number of calories and amount of fluid taken in by the infant, correct any vitamin or mineral deficiencies, and uncover (correct) underlying physical illnesses or psychosocial problems. Many times a short period of hospitalization is required to accomplish these goals.

    Expectations (prognosis)

    There is no quick cure for the majority of infants and children with a feeding disorder. Rather, a multidisciplinary approach is required with pediatricians, outreach nurses, dietitians, social workers, behavior specialists, and parents all working together to improve the child's well being and nutritional status.

    Calling your health care provider

    Call for an appointment with your health care provider if you have concerns about your child's appetite, behavior, development, or growth.

    Prevention

    Following recommended guidelines for nutrition can help ensure adequate caloric and fluid intake for an infant. Regular frequent well-child visits can help to pick up feeding and growth problems earlier.

    Treatment Options – Sorted by Soonest Available

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