Why do children have sensory food aversions? And, how can you help them overcome sensory issues with food? Get the answers and 8 simple strategies…
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From the very beginning of Your Kid’s Table, I have always wanted to help parents better understand sensory processing and anything related to kids and eating. Over the last few years, I have answered many comments about how the two things are related, and often result in a sensory food aversion.
I wanted to dedicate a post completely to sensory issues with food, to help you understand if sensory processing is playing a role in your child’s picky eating and, perhaps more importantly, what you can do help!
I first noticed my son’s sensory issues with food when I introduced food to him.
Knowing the red flags (you’ll read about those later), I also knew if I hadn’t introduced specific sensory strategies to help him learn to eat foods, we’d likely still be struggling, years later, because a sensory food aversion is on a whole different level than just your average “picky eating”.
Why Do Kids Have Sensory Issues with Food?
To understand food related sensory issues, we’ve first got to talk about sensory processing, which is our ability to interpret smells, tastes, sounds, touches, sights, and movement from our environment.
Although most of us process this information in similar ways, it is completely unique to every individual, to every child. We are bombarded all day long with various sensory input, and eating, which many of us do 5 or 6 times a day, is a huge sensory experience that most of us take for granted.
As adults, we have been quite desensitized to the textures, flavors, and smells of food, but many of our kids have not. In the first few years of life, mealtimes are all about processing the sensory input they are receiving from various foods.
Often, when kids display picky eating, especially those with food aversions/extreme picky eating, the touch, taste, or smell of a food is being processed in their brain as dis-pleasurable in some way.
And, by dis-pleasurable, I mean down-right uncomfortable. Think of something that makes you shudder… nails on chalkboard or touching a slug? That feeling that you have may be just as extreme for your child when they touch an orange.
Their brain is processing it all in different ways than yours does. A strong negative sensory reaction can even result in a sensory meltdown.
This of course can start your child down the slippery slope of a limited diet, narrow lists of favorite foods, and specific foods they won’t dare come near during mealtimes.
How your child responds to foods, may at least in part, be simply neurological. While a sensory overload can seem exaggerated, it is a real experience to your child. I hope that this information helps you as the parent depersonalize the refused dinners, at least at little, anyways!
Here’s the good news, children’s brains are extremely plastic. Meaning they are able to easily learn new things. When a child learns something new or experiences something differently, a new connection is made in their brain.
The more they have that same experience, the stronger that connection gets, and then they are able to react differently than they had previously because their brain is using a new connection to process the information.
Are you following me here? Let me say it another way by telling you about my son who has a long history of sensory food aversions. Isaac gags and shudders every time he touches chicken, but one day he helps me make chicken in a different way.
We cut it into small pieces and serve it with a fun dip in a cool little ramekin. I pretend the chicken is little baby dinosaurs jumping into a pond of ketchup.
Then, Isaac is really motivated and relaxed (because he isn’t being pressured), so he picks up his “little baby dinosaurs” and sends them soaring into his dip without a hint of a shudder or gag.
Guess what? His brain just made a new connection, and then I had a starting point to build from! I promise there is hope for your child who only dreams of eating chicken nuggets.
While I’ve mostly been providing examples of a child who is sensitive to textures because the brain is over processing the input, it is also entirely possible that your child may be under sensitive to sensory input.
Think of sensory processing as a spectrum with being sensitive or defensive to input (food texture, smell, etc.) at one end and seeking input at the other end with a whole lot of variability in the middle.
Not processing input well can also cause picky eating because children may not feel certain soft textures in their mouth well (as if the sensation is dulled), and thus avoid them.
These kids, in particular, will often prefer crunchy foods, seemingly spit out soft foods, or over-stuff their mouths to try and “feel” the food.
*Note that sensory processing isn’t just related to food, head over sensory sensitivities in kids to learn more.
Does My Child Have a Sensory Food Aversion, Sensory Feeding Disorder, or Restrictive Food Intake Disorder?
While there is no specific diagnosis for a “sensory eating disorder” or a sensory food aversion, these terms might be used when your child eats a very limited amount of foods because they have difficulty with how foods smell, taste, feel, or even how they look.
Remember this is because of the way their brain is interpreting the sensations they get from food, which leads to the question.
To help narrow down if your child’s picky eating is related to sensory, it’s first helpful to think about certain groups of kids that sensory processing difficulties affect more than other’s. I’m going to list them here because if your child has one of these diagnoses and has eating difficulties, it is very likely that sensory processing is at least part of the picture.
But, having sensory processing difficulties in general DOES NOT mean that your child has one of these diagnoses.
Kids that fall into one of these groups and are picky eaters, often have sensory based food aversions:
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- Sensory Processing Disorder (Note that many health care providers acknowledge this diagnosis, but it is not in the current version of the DSM, which means some insurances providers will not accept this as a reason to justify therapy).
- ADD/ADHD
- Children Born Prematurely (The sensory system is one of the last to develop in utero, which is why sensory processing difficulties are common. However, this is not a rule. Many preemies display no difficulties in this area.)
- Autism Spectrum Disorder
- Down Syndrome
- Children Adopted from Orphanages in Eastern European Countries or Russia
It’s also important to note that kids with significant sensory difficulties with food, whether they have one of the above diagnoses or not, could receive a diagnosis of Pediatric Feeding Disorder (PFD), which applies to kids through age 18.
Let’s talk about how these sensory “difficulties” actually show up in our kids when they are related to food, here are some specific red flags to look for…
Red Flags for Sensory Issues with Food
If you child has most or all of the behaviors here, it is possible that sensory issues with food may be part of the underlying reason your child is selective about what they eat.
You will notice some opposite extremes in the list below, which are indicating different ends of the sensory processing spectrum as I discussed earlier. As you’re reading, make a mental checklist of any that you see your child doing regularly:
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- Gags at the sight, smell, touch, or taste of foods. Gagging while trying to eat is a different cause that has to do with the mechanics of eating.
Gagging can also be a learned behavior that may have started from either a sensitivity to sensory input or difficulty chewing or swallowing food at some point. Read more on how to help with Gagging at the Smell of Food.
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- Avoids or dislikes their hands getting messy, and I’m not just talking about at meals. You will often see your child get uncomfortable with crafts or digging in dirt/sand, etc. (This is an important point, learn more about it in Everything You Need To Know About the Tactile Sense)
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- Over stuffs or pockets food excessively and/or frequently. Pocketing food can also be the cause of poor coordination and/or difficulty chewing.
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- Never went through an oral stage as a baby/toddler where they mouthed and chewed on toys and other objects.
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- Excessively mouths and chews on various toys past the age of 18 months.
Find more sensory red flags that cover all the senses, not just related to eating. And, if you’d like to dive into understanding sensory as it relates to picky eating, head over to oral sensory processing, you’ll find more tips and activities there!
Are My Child’s Eating Difficulties all Related to Sensory?
I realize I just wrote over 800 words describing how sensory processing may be the cause of your child’s picky eating, but it is rarely the sole cause.
Picky eating is a complicated animal that often has many layers to it. Even if sensory processing is the major player, learned behavior, routine, and other hidden reasons could be at play too.
Check out 5 reasons why your child isn’t eating to uncover any other factors that could be contributing to your kids difficulty eating.
How to Get Help for Picky Eaters With Sensory Food Aversions
I want to provide you with some solid strategies to begin to improve your child’s processing of sensory information (and I will in the next section). However, there are more specialized techniques that may be appropriate under the guidance of a therapist.
It is important to seek medical advice with your provider before making any changes in your child’s diet or health plan.
If your child is under 3 and you live in the US, you may qualify for free in home services. Another option is, a private evaluation from an occupational therapist that specializes in feeding and sensory processing may be appropriate, and can result in feeding therapy.
Whether you seek out further in person help or not, I’d also highly recommend our free workshop: 3 Keys to Turning Around Picky Eating. You’ll learn more about the basics of addressing picky eating and see so much more success with your sensory efforts if you put in.
8 Strategies for a Sensory Food Aversion
With that said, these few tools can be very powerful when used consistently over a period of at least 4-6 weeks because they help to desensitize the sensory system and can be foundational as you make a picky eating plan. Come back to these strategies as needed.
1.Play in a variety of sensory bins at least 5-6 times per week. This is often the first thing I suggest to sensory kids and picky eaters because it helps to break down the overall sensitivity at the brain level.
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- 2. Use a vibrating toothbrush two times a day. My kids use these all the time, but for smaller toddler mouths or those that are really sensitive, this brush is a great option.
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- 3.When brushing teeth, encourage your child to allow you to help, and brush the sides of the tongue top of the tongue and inside the cheeks as well.
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- 4. Build off of textures that your child is preferring. Think about making small changes to the foods they already like by changing up the brand, flavor, etc. This will help build a bridge to new foods in a way that is comfortable.
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- 5. Encourage them to interact with the food in some way. Take baby steps. They may need to spend some time just touching the food to get used to the texture, for example.
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- 6. Cook together. This is a no-pressure time that allows kids to explore new foods. They will often feel brave enough to try something new in the fun and relaxed nature of the moment. Again, the key here is breaking down some of that sensitivity through the exploration of food.
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- 7. If your child falls into the over-stuffing/seeking texture category, you will want to alternate crunchy bites of food with soft food. You can also give the cheeks a firm, but gentle squeeze if the stuffing or spitting out starts, or briskly stroke from the ears to the mouth a few times. This is not meant as a punishment, but to give input to help them process the sensation of the food better.
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- 8. Maximize the foods you are serving your kid. Oftent foods that have a uniform shape and even texture are more likely to be eaten. And, it’s very common for kids with oral aversions to have a strong preference for a specific type of texture.Use that to your advantage! For instance, I would serve a small cube of cheese instead of a slice of cheese that I had randomly torn into pieces. Or, if a child preferred crunchy foods I’d serve meats that veggies that had a crunchy texture. Want more specific examples? Head to picky eater friendly foods for inspiration and motivation!
I believe in these strategies, not only because I’m an OT, but also as a mom. I’ve used these food aversion tips with my own son. See the plan I used to help my son, who now eats a wide variety of foods, including salad!
By implementing these strategies in combination with a solid routine, you will likely see some significant changes in your child’s eating.
If you’d like a little help getting your routine rock solid so you can build on these other sensory specific tips, then grab our FREE 9 Tips to Improve Your Child’s Eating Printable.
Have a question about your child’s sensory food aversions? Ask below!
More for Kids with a Sensory Food Aversion
The Best Picky Eating Strategy
Are Food Jags Affecting Your Picky Eater? What You Need to Know…
When Has Picky Eating Gone Too Far… Is it Something More?
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Alisha Grogan is a licensed occupational therapist and founder of Your Kid’s Table. She has over 14 years experience with expertise in sensory processing and feeding development in babies, toddlers, and children. Alisha also has 3 boys of her own at home. Learn more about her here.
My son has asd and a handful of disorders and is an extremely picky eater. We recently started an herbal supplement, Genius drops by Joy springs, after one month my son was asking to try new foods for the first time in his life!
Wow, I haven’t heard of those, thanks for sharing!
Thanks for this interesting post, I have shared it
on Twitter.
Hi there, I have an almost 10 month old baby who refuses solids. He gags on the smoothest purees. He doesn’t seem to know how to manipulate food in his mouth. His bottom lip sticks out when trying to eat and it either comes out and/or he gags. Just the sight of a spoon makes him turn away, he wants nothing to do with food. Sometimes he shows a slight interest but after 1 or 2 small spoons he is over it. To me when he does that it seems like he likes the taste but doesn’t like the feeling maybe. We manage to get a spoonful or two on a good day which is rare. We don’t
want to force feed and make things worse. I think he might have a motor issue as well, not sure. Does this sound like a motor issue and/or hypersensitivity issue?
I have a distant cousin who had a similar experience as a baby and needed a speech therapist to work with him. It took several years. His parents told me that playing with the food was a big thing. They also said he was on a liquid diet for a long time.
My baby is still breastfeeding but his B12 is low and I fear he will start losing weight soon. What do you reccomend supplementing?
I live in Spain and we intend to search for a therapist. It is hard for us because we live 1 hour away from everything! I am so stressed out. Any advice or encouragement would be appreciated.
It sounds like this is at least partially an oral motor difficulty, it could also be a sensory sensitivity as well. I think trying to get a therapist is a great idea. I do have a couple more articles in here that would helpful for you. Check out Why my baby won’t eat solids and How to transition to table food. Also, check out the free printable that’s in there.
Hi Rocio, my baby is having the same problem with yours. I know its been years, i would like to ask if you could share how you helped your kid to eat and what did the feeding therapist help him in order to get comfortable with food. Thanks a lot
My 2.5 years old son is eating only mashed food.
If i give anything else like biscuits.. he keeps it in mouth for long.. or swallows directly.
While brushing he cries a lot. don’t like to put even finger in his mouth.
after 3 we need to start his school, don’t know how we will tackle the situation.
For first year of his life he was G-tube fed due to fundoplication surgery.
That can really be a lot to handle! It sounds like there may be some underlying issues going on, such as sensory and oral motor. Has he been in feeding therapy before? Also, I have a free in depth picky eating course where I teach a lot of my feeding therapy techniques. You can learn more about my basic principals in this class at yourkidstable/free
My son is 5, and we have been busy with o/t therapy and speesh therapy, and he is on medicine for ADHD , but I feel I can do more for him. I do not understand most of the times how to help him and I feel so frustrated as I often do not understand him. I do need help please
I love this information about Sensory Processing Disorder, My 4 year old grand son had all to some of these eating problems, we just never knew what it was. My daughter has took him to all the Doctors, and they all say the same he’s fine he’s over weight he’s fine he’ll grow out of it, but never has. Thank you so much for this Information.
Thank you Mary! So glad you found it too!
Hi Alisha
I just came cross your post. Thank you for all the information. I have a 3yr old who is very very underweight( I am talking about a 3yr still wear 9-12m cloth). I am not sure if he has sensory issue. He dose try everything we offered him, However, he only eats very little. No matter how I try to lure him to eat just couple more bites, we will not eat. The only thing that makes me feel he may have sensory issue is he doesn’t like being messy. Whenever his hand gets teeny tiny bite dirty , he will want to be cleanup. Even if he drop something on the floor, he will want to clean it up. Can please advise what can I do to get him eat more and help him gain weight quicker? Do you think you he may have food sensory issue? Thank you so much
Hmm, actually I wonder if some thing else may be going on! I’d check 5 reasons kids don’t eat and my post on oral motor exercises, as well. Does anything jump out at you here. Also, I’d highly recommend my free workshop, this gives you the tools you need to start addressing feeding issues. You can sign up here.
Alisha – I want to thank you so much for this. I am a minority among the commenters in that my son is 14 YEARS not months old. 🙂 His pickiness has been an issue for so many years. I will go back and read all the links you have under “start here” but I’m guessing there is a huge sensory component to his resistance. He only eats chicken in the form of strip/nugget etc… the breading disguises the texture of the meat! He will also eat bacon, but those are the only two items from the meat group that he can handle. Believe it or not, he’s actually commented that certain foods (even the sight, but especially the taste/texture) make his “arms feel funny.” Sensory for sure??? He LOVES pretty much any carb – bread, rice (even rice a roni!), plain pasta, crackers, etc. Luckily bagels/cream cheese and peanut butter sandwiches are among his likes, otherwise he might’ve starved at school lunch time all these years. He already gets made fun of for not liking pizza, hot dogs, etc…and he really WANTS to like those things and fit in with other kids, but he just can’t seem to do it. I wondered if any other readers of your blog have teenagers who are struggling this way? If so I’d love to connect with any of them. I feel so alone most of the time feeling like my kid is the only one with these struggles. Anyone?
Yes! The arm comment is for sure sensory, wow!
I’m getting more and more comments from other’s with teenagers in the same boat, you’re definitely not alone! Have you considered feeding therapy. I have a post on that here!
Hi Amy and Alisha, I too have a 14 year old son, who only eats chicken breaded and fried or KFC popcorn chicken and no other meat (won’t even try bacon or other meats); fruit (most kinds); cucumber, carrot (no other vegetables); pb&j (only on certain soft, sliced bread); yogurt; cereals; pancakes, waffles and French toast; bagels and baguettes. He’ll also eat nuts and drinks a ton of milk. He hates pizza (the smell of melted cheese makes him gag). He has no interest and won’t even try foods from the kids’ menu: hot dogs, pasta, burritos. He also has always hated eggs and hates the greasy texture of butter. He doesn’t like any kind of sauce, e.g., Ranch dressing. He likes some sweets, but often rejects sweets, saying they are too rich. Interestingly, he craves Taki’s and Flamin Hot Cheetos (which are super spicy and salty), and since the time he was a toddler, I had to watch him around my glass of wine or cup of coffee. He also always liked to suck on lemons. So, I doubt he’s supertaster. Smell seems to be a big part of the issue, but taste and texture play a role as well. Even the foods he likes, he will reject if they taste the slightest bit off. This started at age 18 months, and we’ve made little progress over the years. On his doctor’s advise, I stopped breastfeeding him at 3 1/2 years, hoping he would be more open to solid foods, but that backfired. He can seemingly go forever without eating anything at all and eats very little when he does eat. He’s always been a good athlete (with good energy and strength) and has a nice build, although he’s underweight and average height. He’s always been a good student until the last few years, and now he seems fidgety and inattentive. He’s always been well-liked by his peers, but he’s been irritable the past few years with his parents and some kids. I always hoped he’d grow out of this, but he’s as determined as ever to only eat what he wants and continues to refuse new foods. What shall I do?!
It’s so hard! I totally get it. I think a lot of these strategies here can still be helpful for kids at this age if you suspect sensory, but I’d also recommend this book that’s specially designed for teenagers and adults.
Dear Alisha,
I am trying to learn everything I can from you website, god bless you and your family for creating such a wonderful resource. My son is 20 months old and I don’t know how to classify him. He looooves milk whether breast milk (before) or cow’s milk (now) and showed little interest in eating. He also got his teeth very late, he got his pre-molar couple of months ago so he couldnt chew much till now. We fed him purees till now while distracting him toys an ipad. Now he is done with purees and wants to eat by himself. The problem is he will eat a little and be done. He wants to try new things, some he likes some he doesnt. but he just eats very little. Milk and yogurt is his primary sustenance. Is he a (extremely) picky eater? I am trying to follow your plan to the tee but i cant figure out if he has sensory issues. He eats anything if he likes the taste and texture but only a little. never gagged.
Oh Rishi, you’re so sweet! Thank you! Have you seen my post, why kids don’t eat? If not, check that out. If so, what stands out to you? It sounds like sensory could at least be a component and its very possible that its the main factor. I know he’s older now but I also want to point you to transitioning to table foods, since he did have a hard time doing that. I’d follow the steps I discuss there, is he able to do those skills (this will make sense when you read that post). Teeth actually have nothing to do with babies/toddlers eating so its likely he was either having sensory difficulties or possibly coordination/muscle related issues with eating. Those are the most common causes. Take a look at those links and let me know if you need more help! Either way, I’d use the vibrating toothbrush a couple of times a day:)
Thanks a lot Alisha, I really appreciate your response and it makes a lot if sense. (In fact now I think even i have sensory issues). We are doing the sensory bin thing albeit by taking him to the beach often, he hates the sensation of coarse sand but eventually gets used to it. I also got a step stool and vibrating brush and will start using that now. Hopefully hat does the trick. We let him eat whatever solid food he likes, however little. Some days are good some are bad but we have to try. I will keep following your website
So many adults have learned to cope with sensory “differences”, as I prefer to call them, and there is definitely a genetic link! I’m glad you have some ideas to start trying!
Thank you so much for this! We are just starting the process for my 2 year old son (had his first speech pathology apt today and was referred for ot for possible sensory issues). Since 10/11 months he was an easy gagger and frequent vomit-er even with just a liquid diet. This progressed with us noticing he didn’t transition well to baby food or solids. And now still struggles to eat anything. Crunchy preferred (cheese its, pringles, goldfish, I know all bad, but that’s all he’ll eat) , but also some doughy like food like donuts and semi solids like soft chewy protein bars. He loves dairy it seems. Sometimes he will eat string cheese, yogurt but can gag from that also. Yet, if a soft food suddenly has a different texture, here comes the gag and vomit. We are now worried about a speech delay (only says a handful of words) also and believe this is all connected somehow. He’s still on bottle and we are hesitant to take that away because of the little he eats.
Thanks for sharing your story Amanda, I’m so glad you’re in services! Hopefully some of the strategies you read here will be helpful at home!
Hi Alisha,
Thanks a lot for such deep information. First time I have come to know about Sensory food aversion. My daughter completely fall into this category. She can eat only crunchy stuff. She can’t eat semisolid stuff. She can’t play messy. and so on.
Could u pls suggest will vibrating tooth brush help here and for this age? And how to use it?
Thanks a ton
Anu.
Hi Anu!
I’m not sure how old your daughter is but its great for all age kids. Just brush her teeth like normal, but also try to get on her gums a bit and definitely the sides and top of her tongue. If she allows you can even do the inside of her cheeks. Glad this was helpful!
Hey Alisha, I love your site as a pediatric OT! I always get stumped by those kids that are sensory and will start to touch things but it is then making it that next step to the mouth I have a hard time grading in therapy. Tips? Thanks!
Thank you! Yup get them involved with play, will they hold it in their hand, pretend its crawling up their arm, touch it to their fore-head, their nose, their chin? I like to demonstrate and make this really fun, not like a checklist, but guide them through that list:)
I wonder if my 4yo daughter could be experiencing a sensory issue when eating. She was recently ill which required an overnight stay in hospital which involved the use of NG tubes and an IV drip.
She was discharged having been give the all clear but is now making every excuse under the sun to avoid eating.
Obviously my Wife and I are very concerned at the moment
Hi Dan, that is very possible. Have you seen 5 reasons kids don’t eat? I think that article will be really helpful. It’s very common for kids to have major food aversions after an event like your daughters. A lot of the tips in this article will be really helpful, just take it slow! Let me know if you have more questions.
My 3 year old was a good eater up until she turned 2. Since then (and I feel it might have been triggered by a bad case of stomach bug), she slowly eliminated almost everything out of her diet-one by one. Now she smells everything before she eats it. She displays interest in foods and says that she is hungry, but then no matter what I make, she will refuse to try it. Or even if she ends up trying it, she will eat one spoon full and spit out the rest. She still drinks milk, at least she did until two days ago, and would randomly eat a few things: homemade crapes, fries, chips, yogurt, cookies. She refuses all fruit and veggies. She stopped taking vitamins. So I started adding “Orgain” (organic food/drink supplement) to her milk so she could get at least some vitamins that way. As I mentioned, as of two days ago she gave up milk as well. Her pediatrician recommended feeding clinic, so I set up the appointment, but I am desperate for answers. She likes to help me cook, but she does not want to try what we make. Sometimes when her sister eats something new, she would display interest and even try it, but it’s a one-time deal. The next time I make it, she doesn’t want it. She does not want to even try fish or meat and she used to eat it before she turned 2. I really do not know what’s causing this. She complained of stomach pain a while ago. Her pediatrician out her on MiraLAX for a month. She stopped complaining of pain but still does not want to eat. Any suggestions would help. I am desperate at this point.
Hey Julia, I can totally understand how difficult this all is, its a lot. I’ve worked with kids in similar situations before. I’m not sure there is a lot of sensory stuff going on here, but using the vibrating toothbrush could be really helpful, like I talked about in the post because she may now be very sensitive to different textures. I’d also experiment with the sensory bins- if she doesn’t readily play in a variety of textures that shows you that you need to work on that! Also, I’d suggest getting some basic strategies going to, they may seem small but can have a really big impact. I have a free workshop that I think would be great for you. You can sign up here.
And, I’d also take a look at 5 Reasons Kids Don’t Eat– this in particular will be really helpful in helping you understand what’s going on. I think feeding therapy is a great idea, let me know if you have more questions!
Hi All my son is 4yrs old .He is a very clever and active kid… he has no medical problems but till date he hates the sight of food… the major problem was bcoz of my mom n me from small we juz gave me liquid n semi soild food and thought him juz to swallow i was hoping as he grows old he wil learn to eat n stop swolling but it juz got worse… till date he does not know how to chew or ate any kind of soild food or snack no biscuits, chocolates, fruits, veggies , rolls , buns,crackers , fries or chips…. nothin at all he juz swolles food aft force feeding each n every time takin a sip of water aft every mouth food…. every meal time is like a war for me im so worried frustrated n helpless in his case …. need help plz share ur ideas n suggestions
Thank you
Hi Preethi, it does sound like that could be sensory in nature. Actually the steps in this post would be perfect for him. I know it sounds strange but playing in those sensory bins and using a vibrating toothbrush can have a big impact. Also, making sure you are following the basics for a routine and structure- see the links in the post:) All of this is so important to set a foundation, so while you might not see changes overnight, know that you are laying a good foundation! Also, did you see the free picky eating workshop I’m doing tonight and tomorrow- I think it would be perfect for you! You can get a seat here.