For those of you new to this issue, here’s what went down at our first appointment with an occupational therapist. Our 2nd visit was much more productive. For starters, we saw a therapist who specializes in feeding issues with infants (vs our first visit with one who did not). She explained some of the reasons why this happens: one of the most common causes is infant reflux (GERD). Basically, as our son started trying finger foods, he choked and gagged. She said that chewing is a learned skill and he “learned” that it’s more trouble than it’s worth because it caused him discomfort.

She likened it to an adult getting sick from eating undercooked chicken or drinking too much. We’d avoid the offending food or beverage for a very long time!

The protocol to “fix” this is a 6-12 month program with weekly visits. <sigh> I don’t mind really schlepping him out there weekly. I just mind that he has the problem. Poor little guy. I worry that we’re setting him up for a lifelong uncomfortable relationship with food – something I thought was primarily the domain of women! (Only half kidding.) Is he going to hate food? Love it too much? Undereat when he’s older? Overeat? Use food as a weapon, a comfort, or something else? And how am I the one qualified to help him through this? I totally stress eat or stress starve.

This is not good.

We were told to do homework:

1. Put finger food on his tray at every meal. Do NOT try and offer it to him. If he throws if off the table, we are to pick it up and say “food stays on the table.”
2. Feed him only easily accepted foods. Don’t try anything too textural or that we know he won’t eat.
3. After the meal is over, have him help us “clean up” by picking up the finger food and throwing it into a little trash can (paper cup or bowl).
4. Then, we do an “exercise.” They gave us a thing that looks like a toothbrush, except it has bristles all around the tip. (Like a miniature blow dryer round brush – the size of a toothbrush.) We are to touch it to our lips three times, saying “Mommy’s turn . . . 1, 2, 3,” then touch it to his lips saying “Hunter’s turn . . . 1, 2, 3.” We have to do three sets of this.
5. When this is done, we are to recount what we did and praise him. “You ate your yogurt and helped Mommy clean up and did your exercises. Good job!”

So how’s it going? Well, much better after a VERY rocky start. The first few days, he screamed and cried every time we did the brush. It got to where he would scream and cry as his meal was ending because he knew what was coming. Now he lets us do it and even occasionally smiles during it.

He also showed an interest in playing with his baby food. OK, so he still won’t touch a Cheerio or a puff (except to throw them in the “trash”) but at least he’s touching food! Christopher (my hubby) thought he looked like Pooh with his hand shoved in the honey pot.

We have our next appointment tomorrow. I’ll let you know how it goes.