Exploring Feeding/Swallowing Disorders Versus Eating Disorders in Children

What would you say if a graduate student or clinical fellow asked you to explain the difference between a feeding/swallowing disorder and an eating disorder for pediatric patients? As a pediatric feeding and swallowing specialists, I answer this question with, “It’s complicated.” Often, an overriding medical issue—such as gastrointestinal issues or poor oral strength and coordination due to prematurity—causes feeding and swallowing disorders. As medical issues resolve, feeding and swallowing issues can persist. And, over time, these issues could gradually change from medically based issues to increasingly behaviorally based. Speech-language pathologists working in pediatric dysphagia constantly assess and reassess the nature of the feeding/swallowing issues and how they change. Was the problem clearly dysphagia at first, for example, but after a few months of treatment became more of a feeding difficulty? For older children, can they now explain an overarching fear with eating? I ask myself many questions after each outpatient visit with a patient and their family: Are there any new gastrointestinal issues? How did the appointment go? When is the next one? How was the visit to the pulmonologist? Were any tests ordered? How are things going during the school lunch time? How does intake look in this setting? Advocating for the child by reviewing these issues with parents is an integral part of all my outpatient sessions. Slowly, as children ge...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Health Care Private Practice Schools Slider Speech-Language Pathology Dysphagia eating disorders Feeding Disorders Social Media Source Type: blogs

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Pulsed RF of left superior cluneal nerves Do you guys think the contrast outlines branches of the nerves, or just muscle fibers of the glutes? I am not sure either way. Patient did have strongly concordant stimulation at the lateral most 3 branches with 50hz stimulation. This guy weighs around 400lbs so U/s was not a good option.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
I have a patient with several months of coccyx pain. Worse with sitting, TTP over coccyx. Otherwise normal exam. No trauma, but she has an anteriorly displaced coccyx. Failed NSAIDs and no one around me does good pelvic floor PT. I scheduled her for ganglion impar injection, but her insurance won't pay for it. They wouldn't even let me to a peer-to-peer... they just straight up said they won't cover it. Any other treatment options? I don't want to send her to a surgeon. Thanks.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Publication date: Available online 12 September 2019Source: Joint Bone SpineAuthor(s): Shoji Baba, Goro Motomura, Satoshi Ikemura, Yusuke Kubo, Takeshi Utsunomiya, Hiroyuki Hatanaka, Koichiro Kawano, Yasuharu NakashimaAbstractObjectives: To quantify the volume of bone-resorptive lesions in post-collapse osteonecrosis of the femoral head (ONFH) using micro-computed tomography (micro-CT) and assess their characteristics in post-collapse ONFH.Methods: We investigated 35 femoral heads resected from 35 patients with ONFH (20 men and 15 women; mean age, 47.2 years). On each of seven coronal high-resolution micro-CT slices of the...
Source: Joint Bone Spine - Category: Orthopaedics Source Type: research
Publication date: 14–20 September 2019Source: The Lancet, Volume 394, Issue 10202Author(s): Desmond O'Neill
Source: The Lancet - Category: General Medicine Source Type: research
Authors: Arai R, Fukamachi D, Ebuchi Y, Akutsu N, Okumura Y Abstract The diagnosis of acute myocardial infarctions (MIs) is challenging when no significant ischemic ST-segment changes are noted on a 12-lead electrocardiogram (ECG). We herein report two patients suffering from chest pain in whom non-gated enhanced computed tomography (CT) images were used to rule out aortic dissection and pulmonary embolism, aiding in the early diagnosis of an acute MI. Subsequently, urgent revascularization was successfully performed in these patients. In non-gated enhanced CT imaging, the infarcted myocardium is initially visible ...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
ConclusionsTPIAT can effectively relieve pain and reduce the risk of surgical diabetes with no increase in mortality or morbidity. Prospective, randomized, clinical trials are required to further evaluate selection of patients and the timing of TPIAT.
Source: Clinics and Research in Hepatology and Gastroenterology - Category: Gastroenterology Source Type: research
Publication date: Available online 13 September 2019Source: Molecular and Cellular EndocrinologyAuthor(s): Andreas KortenkampAbstractThere is concern about cumulative exposures to compounds that disrupt male sexual differentiation in foetal life, leading to irreversible effects in adulthood, including declines in semen quality, testes non-descent, malformations of the penis and testis cancer. Traditional chemical-by-chemical risk assessment approaches cannot capture the likely cumulative health risks. Past efforts of focusing on combinations of phthalates, a subgroup of chemicals suspected of contributing to these risks, d...
Source: Molecular and Cellular Endocrinology - Category: Endocrinology Source Type: research
Publication date: Available online 12 September 2019Source: EXPLOREAuthor(s): Arya. Nielsen, L.Susan. WielandAbstractCochrane is an international non-profit organization established in 1993 to produce and disseminate high quality and unbiased systematic reviews of evidence on health care interventions. At the forefront of systematic review methodology, Cochrane is generally accepted to be among the most carefully prepared and rigorous sources of systematic review evidence. There are numerous Cochrane reviews on nonpharmacologic interventions for pain and multiple Cochrane reviews evaluating acupuncture therapy in pain cond...
Source: EXPLORE: The Journal of Science and Healing - Category: Complementary Medicine Source Type: research
Publication date: Available online 12 September 2019Source: EXPLOREAuthor(s): Ben Kligler
Source: EXPLORE: The Journal of Science and Healing - Category: Complementary Medicine Source Type: research
ConclusionsOur findings confirm that auricular acupuncture therapy may be a valuable adjunct to analgesic therapy in patients undergoing episiotomy during vaginal delivery. The results prompt a question whether our current ‘best practice’ may yet be improved.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
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