What... (i.e. camp, dance class, birthday party)
Pick a NYMetroParents Region: All Regions   Manhattan    Brooklyn    Queens    Westchester    Rockland   Fairfield    Nassau    Suffolk  




     Home  >  Articles  > Other Therapies
by Kaitlin Ahern

Related: feeding disorders causes, feeding disorders diagnosis, types of feeding disorders, how to diagnose feeding disorders,

Manhattan speech-language pathologist Heather Boerner explains the common types and causes of feeding disorders in children, including reflux, low muscle tone, structural issues, aspiration, and oral sensory deficits, and how they are diagnosed.


angry picky eater in high chairWhen a child isn't eating well or is having difficulties during mealtime and we suspect a feeding disorder, a speech-language pathologist or feeding specialist is called in. A lot of children come to our center who are having trouble transitioning from the bottle, or they may have difficulty moving from a pureed texture to a harder texture, or sometimes they might be intolerant of a particular texture or taste or temperature.

The first thing I do is act like a detective to figure out why the child is having difficulty with a particular food texture. Many times there’s usually some underlying cause contributing to why a child is a picky eater or why a child is lacking a variety of food in his diet. Some of these common causes are:


1. Reflux, which can cause the child to have a negative sensation while eating. That could cause a whole host of other issues where they don’t want to eat because they’ve had negative experiences or they know they experience reflux. If a child comes in having difficulties at mealtime and I suspect reflux, I might make a referral to a gastroenterologist [who would be able to confirm the diagnosis].

2. Another common issue is low muscle tone, when the child’s jaw muscles are weak and they need to build up the strength of their facial muscles and jaw muscles so they can tolerate harder textures. A child who presents with low tone has a weak jaw, has difficulty transitioning from soft to hard textures, and fatigues easily during meals.

3. Another less common issue is that they have a structural issue, such as a cleft palate, in which case you need to address those structural issues first before they can have success while eating. An ENT doctor will look at a child’s vocal folds to rule out any structural abnormalities—it’s not common, but sometimes there are structural issues that haven’t been identified.

4. Another thing I may do is refer the child out for what's called a modified barium swallow, also called a "swallow study," which is basically an X-ray taken of the child while he’s eating. I may make the referral if I think the child is aspirating, which means the food or liquid is going into their lungs because the epiglottis isn’t closing properly. This might be seen in children who are born premature or who have significant neurological issues. It doesn’t happen very often, but it’s extremely important to rule out that situation if you suspect it because it’s not safe for them to eat at that point.

5. And a child may have oral sensory deficits, which means they're intolerant of certain textures, temperatures, or taste, and we work on increasing their tolerance for that particular texture. Oftentimes children who have oral sensory deficits might have an underlying sensory deficit, which means they have difficulty accepting new textures in their mouth or they might just be sensitive to touch in general. A child with an overall sensory processing disorder has difficulty processing the information coming into them on daily basis—whether it be auditory information, tactile information—and in those instances I work together with an occupational therapist to improve how a child responds to processing information from their environment.


Also see: Boerner explains how to treat feeding disorders in children and how to get picky eaters to try new foods


Heather Boerner, MA, CCC/SLP, is a pediatric speech-language pathologist and the founder of Chatty Child Speech Therapy, PLLC in Manhattan. Boerner graduated from New York University with an MA in speech-language pathology and a minor in education, and she is licensed to teach speech- and hearing-disabled students.


Send Me More Info

Enter the code: 5972                   
Please send me NYMetroParents weekend highlights newsletter.

More Other Therapies Articles

How Does Cognitive Behavioral Therapy Work?
Ask the Expert: What is Functional Disconnection Syndrome?
Four-Legged Friends Help Kids With Special Needs
Ask the Expert: How Does Yoga Help Kids with Special Needs?
Ask the Expert: How Do I Get My Picky Eater to Try New Foods?

Be a good fellow parent and share this with a friend who would be interested
Email Friend

Local Other Therapies Sponsors

The Hagedorn Little Village School, Jack Joel Center for Special Children
750 Hicksville Road
Seaford, NY
The Hagedorn Little Village School, Jack Joel Cent...

Constellation Health Services
14 Westport Ave.
Norwalk, CT
Leadership in the delivery of educationally relate...

Sachs Center
235 West 76th Street #1b
New York, New York
(646) 807-8900
The Sachs Center is a full service boutique practi...

Rosenthal JCC Early Childhood Centers
600 Bear Ridge Road
Pleasantville, NY
914-741-0333 x21
More fun than you ever imagined! Rosenthal JCC sum...

Southfield Center for Development
85 Old Kings Highway N.
Darien, CT
Diagnostic, therapeutic, and educational services ...
See Our Other Therapies Directory

local zones


Nassau cont.


Suffolk cont.


Westchester cont.



Rockland cont.


Queens cont.


Brooklyn cont.


Copyright 2015 NY Metro Parents Magazine Site Design: THE VOICE