Children Who Have Difficulty Eating

Some post-institutionalized children may have difficulty with the physical aspects of eating. They may not be very good at oral motor skills like sucking, chewing, and swallowing. The strength and coordination of the mouth and jaw are the foundation for feeding and speech.

Children in orphanages are often fed in such a way that their oral-motor skills are at risk of delayed or abnormal development. Here’s why:

“Be patient, seek out the advice of a knowledgeable pediatrician. Consider talking with a dietitian or occupational therapist if your child is having trouble with new food textures.” -Betsy, mom to Caleb, adopted from Kyrgyzstan

Since foster children are at a higher than average risk of developmental delays, they are also at risk for oral-motor difficulties. Early neglect can mean fewer opportunities to develop oral-motor skills, so foster children should be observed closely while eating to see if they are demonstrating oral-motor delays.

Common symptoms of oral-motor delay/disorder include:

Parents concerned about their children’s oral motor skills should contact a speech-language pathologist for an evaluation. The speech-language pathologist can provide suggestions for improving the strength and coordination of the muscles needed for speech and feeding. If necessary, the child can receive on-going therapy services to help with feeding and/or speech.

SPOON Foundation

135 SE Main St, Suite 201, Portland, OR 97214

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