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Dr Harveen Singh

Paediatric Gastroenterologist and Hepatologist, Sydney

Feeding Disorders in Children

Specialised evaluation and treatment for feeding difficulties in young children.

Understanding the various causes and providing effective solutions for your child's feeding challenges.

Child with feeding disorder

Understanding Feeding Disorders

This term is often used in younger children who have difficulty with feeding. This can be because they have developed an aversion to certain foods, have not yet developed feeding skills that are appropriate for their age or they have an underlying gastrointestinal disorder that is preventing them from swallowing properly.

Young Children

Feeding disorders are most commonly seen in younger children who have difficulty with feeding for various reasons.

Food Aversion

Children may develop an aversion to certain foods, making feeding challenging and stressful for families.

Developmental Skills

Some children have not yet developed feeding skills that are appropriate for their age, requiring specialised intervention.

Gastrointestinal Disorders

Underlying gastrointestinal disorders may prevent children from swallowing properly, requiring medical evaluation.

Young Children

Primary focus

Multiple Causes

Various factors

Types of Feeding Disorders

Understanding the different types of feeding disorders helps guide appropriate evaluation and treatment strategies.

Food Aversion

Developed dislike for certain foods

Refusal of specific foods
Texture sensitivities
Color or smell aversions
Previous negative experiences

Developmental Delays

Age-inappropriate feeding skills

Delayed chewing skills
Poor coordination
Difficulty with utensils
Motor skill challenges

GI Disorders

Underlying medical conditions

Swallowing difficulties
Pain with eating
Reflux symptoms
Medical evaluation needed

Common Symptoms

Recognizing the signs of feeding disorders helps determine when specialised evaluation is needed.

Food Refusal

Consistent refusal to eat certain foods or entire food groups.

Mealtime Struggles

Prolonged mealtimes, tantrums, or avoidance behaviors during feeding.

Poor Weight Gain

Inadequate weight gain or growth due to insufficient food intake.

Texture Sensitivities

Refusal of foods based on texture, consistency, or appearance.

Gagging or Choking

Frequent gagging, choking, or coughing during eating.

Limited Food Variety

Very restricted diet with only a few accepted foods.

Evaluation Process

Comprehensive evaluation to identify the underlying cause of feeding difficulties and develop appropriate treatment strategies.

Detailed feeding history
Developmental assessment
Medical examination
Swallowing evaluation if needed
Nutritional assessment
Doctor examining child

Treatment Approaches

Personalised treatment strategies based on the specific cause and type of feeding disorder.

Behavioral Therapy

Addressing food aversions and developing positive feeding experiences.

Occupational Therapy

Improving feeding skills and motor coordination for age-appropriate eating.

Medical Treatment

Addressing underlying gastrointestinal conditions that affect feeding.

When to Seek Medical Help

Certain feeding difficulties require professional evaluation to ensure proper development and nutrition.

Poor weight gain or growth
Frequent gagging or choking
Extreme food refusal
Developmental delays
Family stress or concern
Child with feeding difficulties

Compassionate Care Approach

With a compassionate approach and personalised treatment plans, we aim to make every visit a positive experience, ensuring both you and your child feel supported and well-cared-for.

Comprehensive evaluation
Personalised treatment plans
Family education and support
Ongoing monitoring and care
Child receiving care

When to Seek Help for Feeding Problems

Early intervention is key for feeding disorders. Seek specialist evaluation if your child:

  • Takes more than 30 minutes to complete a feed
  • Drops below the 3rd centile or crosses two centile lines downwards
  • Arches their back, cries, or seems distressed during feeds
  • Chokes, gags, or splutters frequently during eating or drinking
  • Refuses the bottle or breast after appearing hungry
  • Has a very limited range of accepted foods affecting nutrition
  • Shows extreme anxiety or distress around mealtimes
  • Has a known condition such as prematurity, Down syndrome, or cerebral palsy affecting feeding

What to Expect at Your First Appointment

  • Detailed feeding, developmental, and medical history
  • Growth chart and weight gain trajectory review
  • Observation of feeding technique if applicable
  • Assessment for oral-motor difficulties
  • Investigation for underlying reflux, allergies, or structural issues
  • Coordinated management with speech therapist, dietitian, and occupational therapist as needed
  • Formula recommendations and feeding schedule optimisation

Referral & Medicare: A current GP or paediatrician referral is required for Medicare rebates. Please bring any feeding diaries or prior assessments.

Last reviewed by Dr Harveen Singh FRACP, Paediatric Gastroenterologist & Hepatologist — April 2026

Concerned About Your Child's Feeding?

Contact Dr Harveen Singh to discuss your child's feeding difficulties and develop a personalised evaluation and treatment plan.