Common Breastfeeding / Bottle feeding Difficulties

  • Difficulty latching
  • Clicking sound during feeding
  • Always seems hungry, feeds frequently, seems to guzzle milk/formula
  • Fussiness during or after feeding
    • ex: crying, arching their body, pulling off the nipple, etc.
  • Symptoms of Colic or  Reflux
    • ex: having to be held a lot, or held more upright after feeding)
  • Excessive spit-up or vomiting 
  • Milk / Formula leaks out of the mouth excessively
  • Difficulty switching from breast to bottle
  • You may have had to try several different bottles and/or nipples before finding one that your child will “take”.  

 

 Common Feeding Difficulties

  • Difficulty transitioning from breast/bottle to purees
    • not handling purees well – ex: spills out of the mouth, doesn’t get much volume in
    • only wants to nurse or drink bottle, and not showing interest in purees after many tries
  • Difficulty weaning from the breast/bottle to a straw or cup
    • You may have had to try many different types of cups until you found one they will “take”; or they will only accept one type/brand of cup
  • Difficulty managing foods in the mouth
    • spits out pieces, especially when there are lumps/small pieces mixed into foods
    • prefers to eat only soft foods, and avoids foods that require more chewing
    • sucks on foods, or mashes the food to the roof of the mouth, or pockets food in cheeks
    • seems to swallow foods before fully chewed up
    • stuffing a lot of food in the mouth at once
  • Speed of eating is too fast or too slow
  • Guzzling down liquids very fast
  • Gagging, Choking, Vomiting during a meal (many possible causes)
  • Limited amount of food consumed at each meal
    • may eat less at meals and eats more snack foods
    • may drink more liquids than eating foods
  • You or Doctor may have concerns with their nutrition, growth, and/or weight
    • you may have added use of “toddler formulas” or supplements (ex: Pediasure) because you’re concerned about nutrition.
  • Feeding Difficulties can also impact older kids, teens, & adults

Common Picky Eating Difficulties

  • Limited variety of foods eaten
    • Limits their diet to one food group (ex: only eats carbs)
    • Only eats the same few foods every day 
    • Only eats a specific brand & flavor of food (ex: only Dannon’s brand of vanilla yogurt, or only a specific restaurant’s chicken nuggets, etc.) and refuses other brands/flavors
  • Food refusal
    • Refuses specific tastes or textures (ex: only eats crunchy foods;  avoids “mushy” foods; only eats bland foods, etc.)
    • Refuses any new foods or familiar foods that have been prepared differently
  • Mealtime tantrums
  • Gagging and/or Vomiting at mealtimes (many possible causes)
    • may occur at the sight of new or disliked foods
  • You or Doctor may have concerns about nutrition, growth or weight
    • For children: You may have added use of “toddler formulas” or supplements (ex: Pediasure) because you’re concerned about nutrition
    • For adults: You may be using nutritional supplement powders, shakes, or pills
  • Picky Eating can impact children of any age, as well as teens, & adults
    • Picky eating typically begins as a feeding difficulty early on in infancy or childhood 

 Common Speech & Language Difficulties

  • Difficulty producing sounds 
    • Substituting one sound for another
    • Dropping sounds from the middle or end of words
    • Struggles with specific sounds even after previous speech therapy
  • Unclear Speech
    • Mumbling
    • Single words are clearer than phrases or sentences 
  • Apraxia  = difficulty coordinating the complex oral movements needed to create sounds, combine them into syllables, then into words, and then words into phrases.
  • “Late Talker”  and  delayed speech & language skills 
  • Difficulty communicating with peers, affecting social interactions

 Common Tongue-Tie Difficulties – For Children & Adults

  • Difficulty producing sounds or speech is unclear
    • Sounds may be distorted or imprecise
    • Struggles with specific sounds even after previous speech therapy
  • Difficulty with eating:
    • For infants & children – difficulty transitioning to different food types 
    • For children & adults – difficulty managing food in the mouth 
  • Airway, Oral & Dental Issues – For Children & Adults:
    • Mouth breathing
    • Frequent congestion and respiratory illnesses
    • Excessive drooling
    • Misalignment of teeth, Jaw issues/pain
    • Snoring & Sleep Apnea symptoms
  • Whole Body Effects – For Children and Adults:
    • For infants & children – may have Torticollis
    • For children & adults – May experience neck, shoulder or back tension, and body misalignment.