signs & symptoms

Signs and symptoms that indicate a need for a feeding evaluation for Breastfed or Bottle-fed Infants

  • uncoordinated suck-swallow-breath pattern
  • uncoordinated suck pattern
  • weak suck
  • frequent gagging or coughing
  • irritability during feeds
  • feeding times extending over 30 minutes
  • inefficient milk transfer
  • lack of weight gain
  • poor latch to breast and/or bottle
  • loss of milk out of the lips during breast and/or bottle feeding
  • tongue tie (including posterior tongue tie)—this can severely impede breastfeeding
  • aspiration during feeds
  • difficult and/or stressful to feed
  • decreased arousal during feeds
  • frequent pneumonia or respiratory infections
  • nursing mothers with: pain during or after breastfeeding, reoccurring infections such as thrush or mastitis, compressed nipples after feedings

See Services for Breastfed or Bottle-fed Infants

Signs and symptoms that indicate a need for a feeding evaluation for infants transitioning to solid foods

  • refusal or inability to accept spoon feeding
  • refusal or inability to finger feed
  • refusal of certain textures
  • limited variety of accepted foods
  • limited variety of accepted textures
  • general food refusal
  • difficulty chewing or swallowing certain textures
  • pocketing food in cheeks
  • aspiration of solid foods or liquids
  • gagging/choking
  • coughing during eating or drinking
  • refusal or inability to accept cup drinking
  • extended meal times (over 30 minutes)
  • oral motor disorders or delays (difficulty with lip closure, tongue lateralization, tongue elevation, chewing, biting, or controlling food within the mouth)
  • difficulty transitioning from the breast or bottle to spoon feeding/finger feeding.
  • frequent pneumonia or respiratory infections

See Services for Older Infants Transitioning to Solid Foods

Signs and symptoms that indicate a need for a feeding evaluation for toddlers and children

  • food refusal
  • food selectivity
  • limited variety of accepted foods
  • limited variety of accepted textures
  • refusal to chew or swallow certain food textures
  • refusal or inability to accept cup drinking
  • difficulty chewing or swallowing foods
  • rarely tries new foods
  • pocketing food in cheeks
  • extended meal times (over 30 minutes)
  • disruptive behaviors during meals
  • aspiration with solid foods or liquids
  • coughing after eating or drinking
  • gagging/choking

See Services for Toddlers and Children

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