RED FLAGS for PROBLEM FEEDING

Is this child a candidate for referral?

YES - if any of the following are present

Consider the child's behavior during the past six months. If you recognize more than a few of the following symptoms in a child, a screening for problem feeding may be warranted.

Download this list as a PDF file

____Ongoing poor weight gain (rate re: percentiles falling) or weight loss
____Ongoing choking, gagging, or coughing during meals
____Ongoing problems with vomiting
____More than one incident of nasal reflux
____History of a traumatic choking incident
____History of eating and breathing coordination problems with ongoing respiratory issues
____Inability to transition to baby food purees by 10 months of age
____Inability to accept any table food solids by 12 months of age
____Inability to transition from breast/bottle to a cup by 16 months of age
____Has not weaned off baby foods by 16 months of age
____Aversion or avoidance of all foods in specific texture or food group
____Food range of less than 20 foods, especially if foods are being dropped over time with no new foods replacing those lost
____An infant who cries and/or arches at most meals
____Family is fighting about food and feeding (i.e., Meals are battles)
____Parent repeatedly reports that the child is difficult for everyone to feed


The STAR Center   :   5420 S Quebec Street, Suite 103   :   Greenwood Village, CO 80111   Phone number: 303-221-STAR (7827)