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[DYSPHAGIA] pediatric swallow
What were the medical problems? Any chance there could be obstruction or
pain with swallowing? Those are some pretty hard foods for someone that
little, I agree wth the previous post. What about trying very runny, baby
food types of things and very gradually working up?
It sounds ike a learned behavior, possibly from some experience where it
was painful or difficult to swallow those things. Will be interested to
see how investigation and/or therapy turns out.
Vikki Stefans, pediatric physiatrist (rehab doc for kids), e-mail junkie,
working Mom of Sarah T. and Michael C., and wife of Henry "My Travel Agent",
Arkansas Children's Hospital/ U of A for Medical Sciences, Little Rock, aka
vstefans@care.ach.uams.edu ...and EVERY mom is a working mom! (OK, dads too.)
On Wed, 7 Mar 2001, Tina Craft wrote:
> Breif case history: 2 1/2 year old, tube feeding since birth, multiple
> medical problems at birth, but now healthy and developing normally.
> She tries most foods presented and tries to feed herself, but pushes
> the food out of her mouth with her tongue before she swallows. She
> will chew solid foods (dry cereal, french fries, chips, beef
> jerky,etc.) but once the bolus is masticated, she spits it out then
> swallows. Occasionally, she will swallow a small sip of liquid from a
> sippy cup. She does handle her saliva. Any treatment ideas? (Have
> tried ice cream, jello, nectars, but not successful in initiating a
> swallow until after the bolus is expectorated). Thanks!
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