Children seen by the program may include those who have:
- Poor appetite/poor intake
- Difficulty regulating their own intake
- Failure to thrive/poor weight gain due to poor eating
- Food selectivity
- Unable to advance onto age-appropriate foods
- Gagging on foods
- Avoiding foods following a traumatic event
- Unable to wean off their tube feedings
- Avoidant restrictive food intake disorder (ARFID)
- Medical or developmental issues that impact feeding
We do not see children or adolescents with suspected eating disorders such as anorexia nervosa or bulimia – they are treated in the Children’s National Eating Disorders Clinic. We also do not see children with obesity as a primary concern, as they are treated in the Children’s National Obesity Program.
Evaluating Your Child for a Feeding Disorder
To evaluate your child for a feeding disorder, your child will have an initial appointment will be conducted with our coordinators who are also nurse practitioners in gastroenterology and nutrition. The coordinator will assess your child’s feeding concern, take a comprehensive feeding, nutrition and medical history of your child, and review growth records, food records and medical tests. They will determine if your child needs to be seen by other members of the team and whether any further medical work-up needs to be done. A feeding will not be observed at the initial appointment.
If the coordinator recommends that your child return for a full evaluation with the entire team or any individuals on the team, it will include an observation of feeding and occur on a later date.
Preparing for your Visit
On the day of your initial appointment, please bring with you:
- A three (3)-day food record where you write down everything your child eats and drinks for three (3) days in a row
- A copy of your child’s growth chart (can be obtained from your pediatrician)
- Any pertinent medical records (blood tests, x-rays, endoscopic tests)
- A referral for gastroenterology, if required by your insurance