Children with oral motor delays or feeding issues

   Submitted by Michele on May 14, 2008 - 7:24pm.    

Just wondering if there are any parents of children with oral motor delays or feeding issues out there. If so, what kind of activites do you do at home and if your child sees a therapist who does he/she see? My son is 3 1/2 & does not chew his food. We have been seeing a therapist weekly for feeding but my son is not very cooperative during the therapy session & was looking for extra ideas for at home. Thanks!!


LoveBeingAMommyx3's picture
Submitted by LoveBeingAMommyx3 on May 14, 2008 - 8:54pm.

Okay, I myself don't have children with feeding issues/oral motor delays, but my niece does, and I care for a little girl who does. They both see a speech therapist, (sounds little strange, I thought) and both have actually been sent to the Pediatric Gastroenterologist. There, they work on plans for feeding etc, and do like a feeding clinic, if you will, where they try to make it a little more fun. With both kids that I've had experience with, they just say at home to just encourage them to play with the food, and to basically let them try to tell us when they want to eat something. Although I must say the one little girl I care for, does not necessarily eat the best things! A lot of cereal, crackers, and M&M's. She never really learned to eat and swallow, so it's been a process. Hope that helps a little. I would guess your son is already under the care of a doctor, so you may be trying the same things as described here. I do feel for you, as it is very difficult as a parent, when you want so bad for your child to be able to do something, and they just can't/won't, and you can't do it for them. I hope it gets better!

iandjsmom's picture
Submitted by iandjsmom on May 15, 2008 - 2:13am.

Our son, who is 19 months, has HUGE feeding issues. He has once again stopped taking the bottle, so we have to Thank God that we had his feeding tube placed or we would be back in the hosp. again.
We have someone come into our home and we also attend the feeding clinic at the childrens clinic. There are alot of things we do. My son will not eat anything. Your lucky if he will put something in his mouth to eat. This wk so far, he has taken 7 bites of things and that is it. He is licking things, which is positive.
We just put things on our sons tray, if he chooses to pick it up, he does, if not, ok. He does like to play and get messy with the food, but will just not eat it anymore. He was doing great for 6 months and then it all went away again.
Feel free to pm me if you have any questions!

momuv8im's picture
Submitted by momuv8im on July 22, 2008 - 9:47pm.

My son has a g-tube, placed at two months. He has down syndrome and also had a stroke in utero before birth. He has never been able to swallow or take a bottle properly. We have taken him to a feeding clinic in Stanford, CA. We are doing the same things the other parents mentioned. He is eleven months now and can safely swallow but still is 100% g-tube dependant. It is really hard overcoming oral aversions. He was on a vent for pulmonary hypertension at birth and then on an NG tube. He was on home oxygen until four months. He just had lots and lots of issues early on that kept him from being able to feed properly. He was never able to breastfeed, no muscle tone and very floppy.
We are just happy now that he sits at the table, plays with food and puts it in his mouth. Tonight he munched on several french fries, let me feed him four bites of pureed meat and some sips of water and that is a lot for him. Of course most gets spit right back out and not swallowed so then I have to tube his meal afterwards.

We are actually moving to SF so that we can live near a feeding clinic and have more help with him. We drive three hundred miles each way now in order to get to the closest feeding clinic.

One of his favorite things is licking peanut butter off of saltines so you might try to find something like that.

iandjsmom's picture
Submitted by iandjsmom on July 23, 2008 - 9:54am.

When you get to town if you want to get together, pm me!! I would love to get together. Where are you going to feeding clinic at?

Jazzy mom's picture
Submitted by Jazzy mom on July 23, 2008 - 7:37am.

My friends little boy had poor muscle tone in his mouth which caused trouble eating and talking. His theripst had him blow bubbles all the time. They did it in the tub and outside. The other thing they had him do was try to blow canned whipped cream off a plate (done outside of course). They also would put whipped cream around (different spots each time) his mouth and he would have to use his tongue to try and lick it off. They also told her to let him chew bubble gum, helps strengthen the muscles.

iandjsmom's picture
Submitted by iandjsmom on July 23, 2008 - 9:47am.

Blowing bubbles, its amazing how that helps the muscle tone!! We have done that with Jacob as well. His tone has gotten lots better:) We will have to try the whip cream.

evansmom's picture
Submitted by evansmom on July 23, 2008 - 10:56am.

Just wanted to put this info out there. If you suspect ANY sort of delay, disability, ect with your children, please contact the Birth to Three office in SF. They will help you with PT, medical equipment, and the cost of all these if you qualify!! My son has torticollis and wears a helmet for flat head and he gets PT through CCHS and the cost of the helmet was covered for us! Thank God!
~Amy~

tisonlyme's picture
Submitted by tisonlyme on July 26, 2008 - 8:28pm.

Robin Mills, OT, at Children's Care Hospital and School (CCHS) is wonderful!!

mom 2 two's picture
Submitted by mom 2 two on July 26, 2008 - 11:26pm.

My oldest has an oral motor and eating delay. She has never been a good eater since birth. She sees speech therapy twifce a week and occupational therapy once a week through birth to three. They've gotten her diffent "talk tools" its a company but they had us work with straws and chewiesn to strengthen her mouth and get her tongue moving. She also goes to the sanford childrens clinic and sees Dr Neidich with a feeding clinic. Hope this helps its acctually nice to know were not the only ones that have a picky child.

iandjsmom's picture
Submitted by iandjsmom on July 26, 2008 - 11:33pm.

If you ever want to talk, feel free to PM me.

HPEmomofone's picture
Submitted by HPEmomofone on August 2, 2008 - 2:07am.

My son was born with a brain malfomation called Holoprosencephaly (HPE for short), he has many, many health problems and one being oral motor. We were told he might lose the ability to eat anything by mouth but after lots of ST and OT he is doing pretty good. We go to CCHS for OT and his ST he had from birth to three worked alot on oral motor issues. We used different vibrating things, gum rubbing on the inside cheeks and in OT now they use one of those baby mesh bag things, I can't think of the name but you find them in the baby isle.
My son takes a bottle and eats baby food but loves Gerber cereal puffs. He isn't able to eat lots of foods because of his DI.

2amom's picture
Submitted by 2amom on August 2, 2008 - 3:43pm.

My son is 6 years and just had an OT eval for sensory at CCHS. We thought maybe he had sensory issues that were keeping his diet so limited and he was unable to spit and if he had something in his mouth he didn't like would throw up his whole meal. We found out that it is an oral aversion due to tongue weakness and poor movement of the tongue. We were given lots of written information and exercises for him to do at home to help strengthen his tongue. They were really helpful and even told us of a plan to re-introduce foods once he is stronger. Hope this helps.

GTBMommy's picture
Submitted by GTBMommy on August 19, 2008 - 9:34pm.

I am an OT with experience in feeding issues. I would make sure that your therapist has had experience in working with children with feeding issues. It sounds like your son may have oral motor weakness. If this is the case, I would look into having him begin a talk tools program for oral motor strengthening. This is a fun program for kids that uses horns, bubbles, straws and other tools so it is less threatening for children. I have used it with great success. I would recommend outpatient therapy at Children's Care in conjuction with the therapy that you are currently getting.
GTBmyloves