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Feeding Disorders, Pediatric

Elizabeth J. Hait, MD, MPH Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Feeding disorder:

    • Inability to consume by mouth in quantity or quality the nutrition that is developmentally appropriate for that child

  • Dysphagia:

    • Disorder of swallowing characterized b...

DIAGNOSIS

HISTORY

  • Past and present medical diagnoses

  • Personal experience with therapeutic management or procedures in past or at present, especially those aversive to face and upper body (e.g., suctioni...

TREATMENT

  • Pharyngeal dysphagia: pulmonary referral, oral stimulation program, NPO as indicated by clinical exam and studies, initiate tube feeds; evaluation by speech therapist

  • Feeding disorders are co...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Appointment with multidisciplinary feeding team, if available within reasonable geographic radius 

Patient Monitoring

  • Patient’s weight should be checked within 2 we...

ADDITIONAL READING

  • Epp L, Lammert L, Vallumsetla N, et al. Use of blenderized tube feeding in adult and pediatric home enteral nutrition patients. Nutr Clin Pract.  2017;32(2):201–205. [View Abst...

CODES

ICD9

  • 783.3 Feeding difficulties and mismanagement

  • 787.20 Dysphagia, unspecified

  • 933.1 Foreign body in larynx

  • 307.59 Other disorders of eating

ICD10

  • R63.3 Feeding difficulties

  • R13.10 Dysphagia, unspecif...

FAQ

  • Q: What is the difference between aspiration and penetration in a swallowing disorder?

  • A: Penetration occurs when food or fluid enter the trachea, but remains above the vocal cords. Aspiration occu...

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