Viewing blog posts tagged with "Selective Eating"

How to diagnose the child who “won’t eat”

posted by Julie O'Toole on January 29, 2014 at 10:57pm

This blog will be short as I am preparing to attend and speak at the F.E.A.S.T. conference in Texas this week.  Very exciting!

Recently I was asked to consult on a child who “won’t eat” and who hasn’t eaten for several weeks. Her situation is complicated by English not being the family’s first language and by her entrance into the medical “system” being through the emergency room, but it did remind me how complicated making the correct diagnosis can be in a child who won’t eat. This…

Read More

Thank you for this patient

posted by Julie O'Toole on January 1, 2014 at 3:23am

In my life as a pediatrician I have twice now had the astonishing, humbling and even joyous experience I am about to relate.  Only twice.

The first time was many years ago when I was a younger doctor.  I had recently moved to Portland and joined a busy general pediatrics office as the first (and only) female.  It was a busy practice, with each of us seeing about 30 patients a day.  One Friday, after an exhausting week, the nurse handed me the afternoon’s schedule and said “the last…

Read More

Selective Eating revisited

posted by Julie O'Toole on November 7, 2013 at 1:30am

I recently blogged on one of the childhood eating disorders (incidentally not yet recognized as such in the DSM system) called selective eating.  I got a deluge of parental comment and interest, which I would like to try and address here.

What exactly is selective eating?

Selective eating (SE) is a condition present since earliest childhood where a child eats only a very narrow range of foods and refuses all others and yet where his or her linear growth is normal. Such children are…

Read More

Selective Eating in Children

posted by Julie O'Toole on March 15, 2013 at 2:48am

[Ed. Note: a more recent blog on this subject can be found here).

There is a little talked-about pediatric eating disorder that I have not covered extensively in my blogs, nor is it covered well in most discussions elsewhere, including the various iterations of the DSM.  As a general pediatrician, like all other pediatricians, I ran into it, but it wasn’t until I read Dr. Rachel Bryant-Waugh and Dr. Bryan Lask’s  Eating Disorders: A Parents' Guide  years ago, that I was introduced…

Read More