Now Rubes, you be careful with the gardening! Not too much now...
Good luck with the parties, Veg and DB (you brave girls).
Wanted to summarise dietician?s thoughts in case it is of use to anyone or anyone you know (plus it?s quite interesting anyway). Feel free to skip. I was pleased as DD is now 9th centile so has gone up from the 2nd since we saw the paediatrician in June. Her height is 9th too.
The thinking is that she was traumatised by the vomiting bug she had before Christmas, (after which she never really regained her appetite, though she has never been a voracious eater, not since she has been weaned) ? this came at an unlucky time as, around the age of one, most children are going through the neophobic phase (fear of the new) as well as exploring issues of control (esp over their parents!) Anyway, all these things have got tangled up and it could take years to unravel them.
General points:
Our main task is to ?emotionally neutralise? the process of eating. No ?good girl? or ANY praise for eating, no persuading or bribing (sends message that food is so disgusting one needs a bribe to eat it) and certainly no blame or censure or parental demonstration of frustration WHATSOEVER. No referring to food at all other than saying ?It?s breakfast/lunch/supper now? and then ?breakfast is finished now? to signify the beginning and end. Avoid obviously watching them when they are eating (if you sneak a peek to see what?s going on, make sure they don?t catch you!)
Mealtimes last 20 minutes (ours was going on for well over an hour sometimes!) as, just like with adults, the brain sends messages to the tummy that the body is full after this time, even if only a few mouthfuls have been consumed.
When parents feed kids, it is about so much more than food as there is a whole emotional exchange going on (the child wants to please, rebel, or whatever; may feel guilt or pressure or other negative feelings which get in the way of eating). Get others to feed where possible (eg when we move, we are booking her into nursery for lunch 1-2 times a week). Also, eat with your child, and something that they are eating, at least once a day, as putting them in the highchair on their own can make them feel ?under the spotlight?.
As I mentioned, eating-resistant children need to see a food 15-20 times before the sight of it becomes familiar. To introduce new foods, put it on a plate with about three of the foods which your DC WILL eat, (as more foods on the plate than that blows their minds), and make sure none of the foods are touching as this also blows their minds. Just throw it away afterwards without comment. Rejoice if there is any touching or smelling. After 20 times of the food appearing on the plate (not consecutive) encourage next time first to touch, then smell, then lick, then bite then immediately spit out, progressing to swallowing - but don?t react if the child refuses. Just slow down the process or come to the food another time.
Encourage the child to pick foods in the supermarket, even if they don?t eat them, as it creates interest.
Get the child to experience different textures and smells without the worry and pressure of having to taste them by getting them to touch and smell (for eg) fresh herbs, and play with foods (start with something easy like dried pasta, moving on to wetter and stickier things).
Meat and fish can be hard for kids as the texture is either too fibrous or too slimy (like roast chicken) ? dietician recommended starting with Sainsbury?s mini breadcrumb bites than can be cooked quite crispy; salmon fish fingers instead of other sorts as these are drier and Sainsbury?s fine chipolata sausages, which are smooth inside. (Oddly she has started eating the occasional Quorn cocktail sausage).
We have been prescribed a short course of special formula and some iron drops to use for a few weeks as back up whilst we introduce the new regime. I also have to condense her two naps into one as the dietician thinks she is sleeping too much. I am a bit
about this as I think she needs it but I am prepared to give it a whirl.
It was a long and detailed consultation but those are the main points!