alexa Optimizing an Aversion Feeding Therapy Protocol for a Child with Food Protein-Induced Enterocolitis Syndrome (FPIES)
ISSN: 2161-105X

Journal of Pulmonary & Respiratory Medicine
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Case Report

Optimizing an Aversion Feeding Therapy Protocol for a Child with Food Protein-Induced Enterocolitis Syndrome (FPIES)

Rhonda Mattingly1*, Vincent Mukkada2, Alan Smith1and Teresa Pitts3

1Department of Otolaryngology-Head and Neck Surgery and Communicative Disorders School of Medicine, University of Louisville, USA

2Gastroenterology, Hepatology, and Nutrition, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, USA

3Department of Neurological Surgery and Kentucky Spinal Cord Injury Research Center, School of Medicine, University of Louisville, USA

*Corresponding Author:
Rhonda Mattingly
Department of Otolaryngology-Head and Neck Surgery and Communicative Disorders
School of Medicine 627 S. Preston Street
MDA 220H, Louisville, KY 40292, USA
Tel: 502-852-0347
E-mail: [email protected]

Received date: April 27, 2015; Accepted date: August 18, 2015; Published date: August 25, 2015

Citation:Mattingly R, Mukkada V, Smith A, Pitts T (2015) Optimizing an Aversion Feeding Therapy Protocol for a Child with Food Protein-Induced Enterocolitis Syndrome (FPIES). J Pulm Respir Med 5:287. doi:10.4172/2161-105X.1000287

Copyright: ©2015 Mattingly R, et al.. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

 

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 feedingrelated 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.

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