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My 15-month-old son eats only the foods he chooses, and more specifically only what he gets (e.g. vegetable cutlets, corn crisps, rice waffles, sandwiches, apples). On the other hand, he swallows the food I serve with a spoon, regardless of their consistency. I give him lunch with lumps, and he doesn't bite it at all, and so does other dishes. I used to combine the size of the pieces, lumps, fluidity, showing him how to bite, eating the same thing together - it doesn't do anything. As if he had coded to himself that what he was getting from the spoon is to be swallowed. With every meal my son gets his own spoon (except the one I feed him), but when he takes a spoonful of food himself, it is exactly the same - swallowing. Choking, sometimes even making him vomit when the lumps are too big. What to do?

I think the best solution is going to a neurologist who specializes in feeding therapy. It is worth working with a specialist through the entire feeding process and observe where the problem lies. Since the child has developed the function of chewing, biting and swallowing solid products, the therapy will probably focus on the texture, form of administration, and stimulation of appropriate swallowing of other structures. Sometimes children show oral hypersensitivity.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Agnieszka Ślusarska

Owner of the 4LINE Dietary Clinic, chief dietitian at the Plastic Surgery Clinic of Dr. A. Sankowski, tel .: 502 501 596, www.4line.pl

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