title: Optimizing an Aversion Feeding Therapy Protocol for a Child with Food Protein-Induced Enterocolitis Syndrome (FPIES).
abstract: This case study examines the difficulties of treating food aversion in a 9-month old child with a diagnosis of Food Protein-Induced Enterocolitis Syndrome (FPIES). Given the need to first identify a set of "safe foods" with which to work, the twin goals of doing food challenges and minimizing aversion are initially not complimentary, and require an approach outside the standard of care. The chosen plan encouraged flexibility and a positive relationship with feeding-related items, while only introducing one food item at a time. Mom and child accomplished goals surrounding food play easily. She has successfully introduced a wide variety of new foods in small quantities and is currently working on reducing dependence on breast milk. Therapists must be prepared to modify currently accepted interventions to accommodate and support the required medical intervention.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery and Communicative Disorders School of Medicine, University of Louisville, USA.
authors.forename: Rhonda
authors.initials: R
authors.lastname: Mattingly
authors.affiliation: Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, USA.
authors.forename: Vincent
authors.initials: V
authors.lastname: Mukkada
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery and Communicative Disorders School of Medicine, University of Louisville, USA.
authors.forename: Alan
authors.initials: A
authors.lastname: Smith
authors.affiliation: Department of Neurological Surgery and Kentucky Spinal Cord Injury Research Center, School of Medicine, University of Louisville, USA.
authors.forename: Teresa
authors.initials: T
authors.lastname: Pitts
keywords: Dysphagia; FPIES; Feeding aversion