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Writer's pictureTiana Quitugua

Pediatric Feeding Disorder (PFD)

Updated: Nov 24


baby eating with spoon

May is also PFD Awareness Month!


What's PFD?

Pediatric feeding disorder (PFD) is a medical condition when feeding is not age-appropriate with feeding skill, medical, nutritional, and/or psychosocial challenges. It can present as crying, choking, gagging, vomiting, refusal to eat, tantrums, restricted variety and quantity, or shortened or prolonged feeding time. PFD is often misunderstood, dismissed, and labeled as manipulation, a passing phase, or picky eating.


Some signs of PFD include:


Refusing age-appropriate foods or liquids

Limited variety of foods/ liquids

Limited quantity of foods/ liquids

Disruptive/inefficient mealtime behaviors

Delays or challenges with feeding skills

Concerns for nutrition, weight gain, growth

Mealtimes are too short or too long


Feeding and swallowing requires complex combination and coordination. Swallowing involves multiple cranial nerves and over 20 muscles working together to move food and liquid through the body!


For infants, feeding is hard work!

For kids, feeding becomes more complex with the addition of different types of foods and liquids (textures, temperatures), utensils, mealtime routines, and expected mealtime behaviors.


You can learn more about PFD at feedingmatters.org.


Talk to your doctor or an SLP if your child is having difficulty eating and drinking!

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