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Food refusal (Diagnosis (History (PMH Growth and development Other…
Food refusal
Diagnosis
Examination
General exam
Nil
Investigations
Bloods
FBC (any anaemia), Fe studies (any Fe deficiency)
Bedside
Obs (nil)
Height/weight (centile chart - normal)
History
PMH
Growth and development
Other medical problems or behavioural issues
DH
Meds, allergies
FH
Behavioural problems
Mental health problems
PC/HPC
Child refusing to eat meals,
set meal times or irregular meals,
eating between meals,
unsuitable meals, large portions,
distractions around mealtime,
prevous force feeding of the child
SH
Living arrangements, nursery,
social interactions, parental anxiety
Epidemiology
Common
Preschool ages (<5y)
Definition
Behavioural problem in children
of refusing caregiver food
Pathophysiology
Multiple factors i.e. genetic,
psychological, social
Clinical
presentation
Refuse to eat much/any
of meals provided
Management
Conservative
Information, advice, support
Mealtime setup (regular timing, reduce snacking, sensible portions,
suitable food, relaxed atmosphere, rewards for compliance)
Food diary (monitor intake)
Monitoring (FBC, ferritin)