Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • faltering growth
  • signs of malnutrition
  • poor social history
  • poor quantity or quality of food or fluid intake
  • lack of clarity in communication between parent and child
  • abnormal feeding/eating behaviour
  • perinatal complications

Other diagnostic factors

  • family history of FTT
  • increased caloric loss
  • GI symptoms
  • comorbid medical history
  • recurrent ear infections
  • recent surgery/burns
  • signs of dehydration
  • cleft lip and/or palate
  • signs of abuse or neglect

Risk factors

  • small for gestational age
  • GI problems (reflux, coeliac disease)
  • poor carer knowledge
  • poor carer-child interaction
  • cerebral palsy
  • prematurity
  • poverty
  • food insecurity
  • lack of family mealtime routine
  • autism
  • other medical problems (e.g., fever, cardiac abnormalities)
  • allergies
  • swallowing disorder or history of choking
  • carer depression

Diagnostic investigations

Treatment algorithm

Contributors

Authors VIEW ALL

Professor

Department of Pediatrics

University of Maryland School of Medicine

Baltimore

MD

Disclosures

HD declares that he has no competing interests.

Professor

Department of Pediatrics

University of Maryland School of Medicine

Baltimore

MD

Disclosures

MB declares that she has no competing interests.

Peer reviewers VIEW ALL

Associate Professor of Pediatrics and Family Medicine

Department of Pediatrics

Hasbro Children's Hospital

Providence

RI

Disclosures

RR declares that he has no competing interests.

Professor of Pediatrics

Mayo Clinic

Rochester

MN

Disclosures

PF declares that he has no competing interests.

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