TY - CHAP M1 - Book, Section TI - Feeding Issues A1 - Gamulka, Beth D. A2 - Zaoutis, Lisa B. A2 - Chiang, Vincent W. PY - 2017 T2 - Comprehensive Pediatric Hospital Medicine, 2e AB - Feeding difficulties are frequent comorbid conditions in infants and children with both acute and chronic illnesses and can alert the clinician to an underlying condition. In fact, feeding problems can precede the diagnosis of cerebral palsy in 60% of children with both cerebral palsy and oromotor dysfunction.1 Decreased oral intake can lead to nutritional deficiencies, failure to thrive, and dehydration. The ability of infants and children to feed and grow relies on safe oromotor coordination, endurance while feeding, adequate caloric intake, an appropriate food source, and positive feedback with respect to the feeding experience. Although poor feeding may be associated with many other pediatric illnesses, by far the most common feeding-related issues are gastroesophageal reflux (GER) and gastroesophageal reflux disease (GERD). Dysphagia and feeding aversion are two other distinct feeding-related diagnoses that will be addressed. Complications related to feeding aversion and to aspiration are also often concomitant diagnoses in medically complex children. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/09 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1146117216 ER -