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Infant feeding

Get advice and support with infant feeding from other users here.

19month old feeding getting worse, help!

14 replies

charley39 · 25/09/2019 18:17

Sorry in advance for the long post!

Just at my wits end with feeding my 19month old and looking for any advice or tips from other people in similar situations.

DS has never been a great eater in my opinion and has found the transition from purées to solids extremely difficult. He was weaned using jars and pouches and I realise this may be some of the problem in regards to him now not chewing any food and disliking lumps. Around 8-10months he was able to start holding finger size foods in his hands and eating them etc but around 11months we had an incident when he put too much food in his mouth and ended up nearly choking. Since this he has been reluctant to put anything in his mouth himself and started to make himself sick on purpose with dinners so we took him back to more smoother purées and have been gradually introducing more lumps since. In between 11months and 15months he had started to gradually make progress and he would eat more solid meals I.e fish fingers and mash. The past few months however he has now gone backwards again and I’m now at the stage where he is reluctant to try anything either himself or me putting it in his mouth. If I give him food to just play and explore with it just ends up on the floor etc. He has no interest in food and could happily go hungry if he was left to it. The final straw has been today when we decided to give lunch out a go which we haven’t done for a few weeks as it’s never overly successful but past few weeks he has been eating little bits of bread and butter or showing more interest in food off of my plate etc. He started spitting the food out and gagging right from the off and even refused bread and butter which yesterday he was more than happy to eat so he’s now had no lunch and I’ve been reduced to tears. All of my friends baby’s eat anything and everything and so the advice they give I find to be quite patronising and it’s a case of just give him bits to try or let him go hungry and then when he is hungry enough he will have to eat and feed himself. I feel like I have tried to encourage him as much as possible but just feel so alone in this. He is just starting nursery this week aswell and yesterday threw up the first mouthful of lunch they gave him which I wasn’t at all surprised at but I feel like I need to crack the eating so he can be left at nursery and me not worry about him not eating. I know he’s not going to starve if he misses one lunch once a week but I would be happier if he had eaten obviously.

Any advice from anyone in a similar situation would be greatly appreciated!

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LiliesAndChocolate · 25/09/2019 21:20

This is a very difficult situation and it must be very distressing.
I don't have an experience to share, but I have a couple of suggestions and hopefully one will help.
The first one is the seating. At 19 months , you can all sit at the table together so there is not the tension off him in a high chair and you in front of him, but just meal time and all the family members present in the house sit and eat .... the same thing.

This brings me to what he eats. I am French , DH is Italian and we have lived and raised children in different countries with sometimes very conflicting advice and menu, but here is what I love:
Start with lovely soup, which depending on how much water you put and how much you blend them can be very runny or dense. Soups are easy and tasty for the whole family. Carrot-pumpkin-onion soup, tomato soup (put 1 onion, 1 carrot, 1 celery stick, 4 ripe tomatoes cut into pieces , a bottle of passata, fill that bottle with water, a good quality stock cube and add it to the pot, cook for 45 min, last 5 minutes add fresh parsley, blend everything ) , then you can move to minestrone, with fresh veggies cut into the tiniest pieces you manage to chop,

You can also make a broth vegetables or meat broth, what in Italy is called brodo and is the based of weaning. in Italy. Once done you divided into portion. You can then cook soup pasta , starting from the tiniest like this one www.amazon.co.uk/s?ref=nb_sb_noss_1&i=grocery&k=puntine&tag=mumsnetforu03-21 Bring a portion of brood to boil in a tiny pot, when it is boiling, add the pasta and cook it for the amount of minutes on the packet. Once cooked, take a paddle of the brodo and pasta and pour it into a small bowl. Add freshly grated parmesan and a tiny piece of butter, mix well. Let it cool .

Then you can move to risottos. Boil 1 L of water and add stock in a container or use fresh broth if you have it. Chop half a onion and let it soften i a pan with extra virgin olive oil, add two handful of arborio rice, and mic it with onion for 1 minute, then add a ladle of broth and let the rice absorb it, then add another one, and keep adding liquid one by one until rice is cooked. In the last couple of minutes, add freshly grated parmesan and butter and a crack of pepper, and half a waffle of liquid, so the rice is still quite runny. Later one, it will be less soupy and more dry.
You can add, half a bottle of passata, instead of a paddle of broth, a hand full of pea, and even add some minced beef at the very beginning with the onion.

From there on, you move on to more varied food, adding fish and meat. You can boil some cod, and while it cooks, make a small sauce in a pan next to it, chop tomatoes, onions, fresh herbs, let them cook in a bit of oil, then add, a cup of water, and let the half of it evaporate. Then put a very tiny piece of fish in a spoon of the sauce and give it to him.

The French paediatrician told me once, never give your daughter something you wouldn't eat yourself, so always make something that is really lovely and hopefully it will be the pleasure he gets form the food that will help him overcome his fear and refusal.

Swiss paediatrician was strongly against pouches because eating in an all senses activity, and you don't see or smell the food. Most kids would totally refuse to eat the pouch if it was poured in a bowl because of the ugly colour and consistency it has, and because the pouch you suck and push the food against palate instead of chewing and swallowing. Let him be next to you while you prepare food, let the smell, noise of cutlery be part of eating and not just interruptions him from an activity to put in a chair with a plate in front of him.

Nice food is nice and can be shared by the whole family. In Italy, kids menu do not exist in restaurant unless it is a restaurant for tourists. Kids order half a portion. In Italy, kids from 1 year on, eat at the family table and share the family meal, their plate, will only be smaller, and whatever they have in the plate cut into small pieces or blended.

This is what I have taken from weaning my children and I hope at least one suggestion will help you. Ignore unhelpful friends.

KimchiLaLa · 25/09/2019 21:29

I love the post above. Great advice

charley39 · 25/09/2019 21:31

@LiliesAndChocolate thank you so much for taking the time to send such a lovely reply. Some good tips in there and ideas I hadn’t really thought of so thank you. And thank you for not judging meFlowers

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jaded247 · 25/09/2019 21:43

You're not alone. My DS is 21 months and I'm going through the same situation as you. He won't eat anything and most food just gets thrown onto the floor. I hope it's a phase because I can't put up with it any longer. It stresses me out knowing he's not eaten properly. Apparently a child's appetite slows down between the age of 1 and 5. Just keep trying and know that eventually your child will start eating. With my DS he'd rather have a bottle of milk than a meal so I'm trying to cut back on the milk.

charley39 · 25/09/2019 21:47

@jaded247 thank you for the support. It’s such a tough time and incredibly frustrating isn’t it. Seem to take one step forward and two steps back all the time.

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LiliesAndChocolate · 25/09/2019 22:02

Just reread my post, and the auto-correct made some very strange corrections .... apologies , coffee hasn't kicked in and it is early morning in Australia, where we are now based.

Australia brings me another doctor's recommendation to my mind. People here eat all the time, all day long, and I remember one of the doctors saying there are hunger hormones in the stomach that send signals to the brain to look for food when stomach is empty or has been for a while, and he told me never to give anything to eat or drink (except water) two hours prior a meal, so if lunch is at 12pm, from 10 am, don't give anything, not even a blueberry . Starving a child is wrong, but if the child feels that feeling and desire for food, it might help. This might apply more to older children, but see if it helps.

I have friends here with babies and toddlers and I am shocked at how they are left with little advice whereas in continental Europe, feeding is a very important part of the health care and is given by paediatricians.

Weaning is easy when easy, but no every child takes to it in the same way and when weaning is not easy, it gets so tense, because you eat at least three times a day.

Make it pleasant. Have him help you pick the tomatoes or zucchinis at the grocery store, if you can do so safely, have him sit on the kitchen top and put the veggies pieces you are cutting into a bowl, turn the blender on, and so . When you sit with the pot at the table, serve yourself first, then add the food to his plate, and you eat a mouthful, then help him eat one, then you again and so on.

A good fish my kids used to love and can't find in Australia is the sole (I know very French! ). Cut a generous piece of butter in a pan, let it melt, add the skinless fresh sole, cook on one side for 4-5 minutes, then flip, cook again after 3 minutes, if no butter left in pan, add another tiny this time,piece of butter, salt and pepper and put in a plate to carefully separate the flesh from the bones, it comes off very easily, add some of the melted butter from the pan on top. The flesh of the sole is very soft and .... delicious!

Do not hesitate to use fresh herbs, salt, pepper, butter and extra virgin olive oil.
Best wishes!

XXcstatic · 25/09/2019 22:17

Love LiliesAndChocolate's post. My family is half French. The thing they find so weird about feeding kids in the U.K. is that food never seems to be seen as a pleasure- it's something kids are encouraged to 'eat up because it's good for you'.

And I totally agree with lilies that eating is not just about taste but about the whole sensory experience.

BertieBotts · 25/09/2019 22:26

Brilliant post above.

You are not alone. DS1 barely ate anything at that age either. I followed all kinds of ridiculous and frankly unhelpful advice, and none of it worked. At 22 months he just suddenly started eating more, and from then on he had a totally normal seeming appetite.

At nearly 11 he is still fussy and frustrating about food - he won't eat things he just likes, only things that are his favourites, and absolutely not if he's decided he doesn't like it, and if anything slightly more interesting is going on he will want to do that instead. I think it was just his personality even as a toddler.

charley39 · 25/09/2019 22:32

@BertieBotts thank you! I agree it is the unhelpful advice that seems to really get to me and make me feel like a complete failure.

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LiliesAndChocolate · 25/09/2019 23:38

@charley39 you are not a failure, far from it. You are a dedicated mum tackling one of the many hurdles thrown at motherhood.
Some mothers will easily breastfeed, for others it is a nightmare, yet nobody would tell a mom, starve your baby, he will soon find out how to attach.
For some mothers, potty training is a walk in the park, for my third child is was highway to hell and back. I had successfully done it with the other DCs so it was even more frustrating.. Yet I wouldn't let her all day in soiled pants, as some "friends" suggested. Leave her in her poo, she will quickly learn. Seriously?
And it is and will be the same for many things, leaning to use scissors, lacing your own shoes, reading and writing.

There is not a one-size-fits-all when it comes to raising children.

Mothers are now far more exposed than when I had small children. I was at least spared Facebook and Instagram which only display the "perfect" moment of other mothers, and not how you spend 30 min of your knees cleaning the kitchen floor after that perfect kale-chickpea-quinoa-and other superfood stew was thrown at the mum's face.

You are far from alone. A lot of mothers struggle with weaning, they just don't shout it on FB or reach out.
You did, well done.

charley39 · 26/09/2019 05:35

@LiliesAndChocolate waking up to this message and close to tears at your kind words. Thank you again for being so patient and kind. Again you’ve spoke a lot of sense and I’m amazed at what suggestions you had for potty training I can’t imagine anyone saying that but just goes to show.

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LiliesAndChocolate · 26/09/2019 06:59

Be gentle to yourself @charley39, and remember how well your son takes to weaning doesn't define him as a person nor does it rule the relationship you have with him. Yes it would be fantastic if he was a great eater, but if - for a myriad of reasons - he isn't, it is ok. You are trying to make a change, and I am quite convinced you will see improvements. He or you are not a failure because he isn't eating like your friends' kids.
Keep in mind, that there are a lot of muscles involved in eating, the jaw, the tongue, the oesophagus, ...it will take time, trials, but remember he is 19 months old, not 19 years old.

If despite new foods, textures, flavours, things are not progressing, a visit to the GP to rule out huge tonsils or any other medical reason that could explain the difficulties or even ask for the help of a speech-language pathologists.

For now, give a go at some of the suggestions. In your opening post, you said that at the lunch out, he seemed interested more in the food in your plate, great, let him have it. Shred it into pieces and let him explore whenever he expresses that desire.

Talk to the nursery staff, tell them the weaning process is not yet mastered and to keep an eye on him at meals time.

gonewiththerain · 26/09/2019 07:14

My ds has issues with solids ( it’s to do with his tongue) and was totally food refusing at about 20 months. I just went back to the jars and pouches and put other food on his plate but it was upto him if he tried it. I also let him sit on my knee and eat from my plate.
He now eats more solid food than purée at 27 months.
We have seen a dietician which was very very helpful and it was accessed through the health visiting service. I have asked for him to see a SALT but it’s been repeatedly refused.
I am just accepting it will take longer for him to eat all solids, he’s meeting or slightly ahead with other targets.

charley39 · 26/09/2019 11:19

@gonewiththerain that’s reassuring to hear. I do think he is just going to need a bit of extra time and patience with his eating and hope that one day it just clicks. I think that starting him in nursery has just highlighted the issue to me again hence why I’ve felt stressed.

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