My thirteen year old granddaughter has moderate learning difficulties and attends a Special School. There are many problems and difficulties but I want to help out my daughter by trying to find ideas for problems one at a time . My granddaughter was in and out of hospital as a baby as she absolutely would not be breast fed and would not take a bottle. It was a real battle. 13 years on she is extremely fussy and will only eat a few foods of certain textures. Every effort has been made for her to eat a healthy diet but even encouraging her to eat something brings tears and she will be heaving and sick. However she is constantly asking for food and will stuff it into her mouth as if she were starving. Her brother aged nearly 15 is horrified by her table manners and there are difficulties in that respect. My granddaughter will almost choke when putting so much food in her mouth and she will leave her face covered in food. All attempts to make her understand it is unpleasant to see her with food around her mouth only either causes distress or she will ignore all comments. This is only one of the many problems , some more serious , that my granddaughter experiences but I thought I would start here and hope someone would be able to give me advice and help. .