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Feeding Problems, Pediatric, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Problems may present in 1 or several of the components of “feeding”:

    • Getting food into oral cavity: Appetite, food-seeking behavior, ingestion

    • Swallowing food: Oral and pharyngeal phas...

Diagnosis

Signs and Symptoms

Common presentations: 
  • Caregiver concerns regarding feeding or postfeeding behavior

  • Poor weight gain/failure to thrive

  • Recurrent or chronic respiratory illness

History

  • Onset of ...

Treatment

Pre-Hospital

  • Assess vital signs and hydration; resuscitate as necessary.

  • Assess for and treat hypoglycemia.

Initial Stabilization/Therapy

  • Cardiovascular/respiratory/fluid resuscitation as needed

  • ...

Follow-Up

Disposition

Admission Criteria

  • Suspected systemic infection

  • Inability to maintain hydration

  • Sustained hypoxia during feeding

  • Significant failure to thrive:

    • Particularly in infants <3 mo

  • Decompen...

Pearls and Pitfalls

  • Successful feeding in infants requires coordinated, effective interaction of complex physiologic, developmental, and environmental factors.

  • The factors are interdependent—disruption...

Additional Reading

  • Arvedson  JC. Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches. Dev Disabil Res Rev.  2008;14(2):118–127.

  • Bernard-Bonnin  AC. Feedin...

Codes

ICD9

  • 779.31 Feeding problems in newborn

  • 783.0 Anorexia

  • 783.3 Feeding difficulties and mismanagement

  • 787.20 Dysphagia, unspecified

  • 307.59 Other disorders of eating

ICD10

  • P92.9 Feeding problem of newborn...

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