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Difficulties in Feeding an Infant Solid Foods

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There are various challenges that women come across while introducing solids to their infant's diet. Read the article to learn more about feeding problems.

Medically reviewed by

Dr. Sonal Prasad

Published At June 17, 2022
Reviewed AtMay 13, 2024

Introduction:

It is easier for some mothers to start giving solid food items to their babies. However, there are common challenges that a mother faces while weaning (introduction to solids) as a baby strictly refuses to eat any solid foods.

The babies may spit up, avoid new food items, or refuse to eat certain foods. Sometimes, the baby finds it challenging to hold food and liquid in its mouth. These problems are temporary and normal during weaning.

However, in some children, feeding disorders might be a reason for refusing food items. Some studies show that nearly twenty-five percent of all children experience feeding difficulties during infancy and early childhood, which may have an impact on overall health and development. According to WHO (World Health Organization), 45 % of child deaths are associated with undernutrition.

What Are Some of the Common Feeding Difficulties in Infants After Starting Solids?

Feeding with enclosed essential nutrients is crucial for a child's growth and development. After delivery, breastfeeding is sufficient for growing infants for the initial six months of life. After that, breastfeeding and other solid foods are needed to meet the optimum nutritional needs. Generally, the introduction of solids is a challenging task for mothers as they face various types of difficulty while starting to feed their babies with something other than breast milk.

Some commonly experienced feeding difficulties are:

  • Spitting and Vomiting:

This is one of the most commonly noticed problems while weaning. When feeding the baby with solids and other fluids rather than breastfeeding, the baby might experience spitting up the food that has been fed them. They may spit up the food items or sometimes may even vomit. To avoid this, the parents must feed their baby small pieces of food so that they can easily take it inside for digestion. They can try different varieties of food each day.

  • Taking Out Tongue From the Mouth:

The baby might take their tongue out when one try to feed it. By doing so, they do not allow the parent to provide any other types of food. In such cases, they can dilute the food and feed it with extracted breast milk or plain water to make it a familiar-tasting food for the baby.

  • Turns Face Away From Food:

They might already have experienced these signs in some infants or toddlers when the mother tries to feed them. It indicates that the baby is either not hungry or does not want to eat. To overcome this, they should be patient and try the same process someday.

  • Constipation:

Some mothers complain about constipation when starting solid food. They should modify the baby's diet by removing bananas, potatoes, and rice cereals in such cases. They should include fiber-rich foods such as fruits and veggies on the menu. However, if they find the baby in trouble due to constipation, they may consult doctor for suggestions.

  • Food Allergies and Intolerance:

If they find the baby getting rash after some time, they should try to feed some new food like eggs, peanuts, soy, wheat, or some other items; it may indicate a food allergy. Food intolerances are more common than allergies and can cause bloating and sometimes belly pain. They must seek attention from the doctor if they notice any of these symptoms. If the symptoms are mild, the doctor may ask the parent to repeat feeding with the same items to confirm the food allergy. Usually, these problems are temporary and gradually resolve as the child grows. They need to be patient during this period. However, they may seek help from the doctor or lactation specialist if the baby is not showing weight gain or if the parent feel like the baby is suffering from abnormalities causing feeding problems.

What Is the Difference Between Picky Eating and Feeding Problems?

Picky eating is when a baby rejects one form of a fluid (milk) for another fluid, or a toddler refuses certain foods. On the other hand, poor feeding can be caused by abnormalities like premature birth or congenital anomalies. After the baby grows up to six months of age, the doctor might encourage the parents to introduce solids or other fluids to their diet. At this stage, they will be asked to feed the baby with breast milk along with some solid foods to achieve adequate nutrition to support to the baby's growth. Some good examples of food are cereals, pureed fruits and vegetables, and pureed or soft meats. Some babies do not accept the solids as quickly as other babies.

What Are Some of the Tips to Help Mothers With Feeding?

They may find it troublesome to add solid food items to the baby's diet and breast milk. Here are some tips for raising non-fussy eaters; they are:

  • They should try to feed the baby routinely.

  • They may schedule breakfast, mid-time snacks, lunch, evening milk, and dinner, followed by bedtime milk.

  • Avoid making toddlers feed alone. Make sure they enjoy meals with their family and siblings.

  • Try not to repeat the same food every day.

  • It would help if one tried mixing cereal with solid foods.

  • Offering solids in small increments, especially when they initially start weaning.

What Is the Food Suggested From Eight to Nine Months?

As the baby’s first solid food is mashed and smooth, they expect more varieties and different food. Foods suggested for babies from eight to nine months are

  • Chopped and finger food like meat, cooked vegetables, and bread crusts can encourage chewing and self-feeding.

  • The baby should be encouraged to self-feed by giving them a spoon during feeding time.

  • Provide them with many varieties of fruits, vegetables, chicken, meat, and fish.

  • They can be given pasta, rice, and bread.

  • They can be given cow’s milk and yogurt.

What if the Baby Does Not Show Interest in Solid Foods?

If the baby shows no interest in solid food on the first attempt, the parent should not panic, and they should relax and try after a few days. Initially, most of the babies spit the solid food out when given for the first time, but they learn to accept it when fed continuously. Eventually, the parent will come to know when the baby is feeling hungry and when they are full.

Conclusion:

According to the recommendation of the American Academy of Pediatrics (AAP), an infant should continue breastfeeding for the initial six months. The gradual transition should be done to other varieties of food after six months. Solid food in combination with breastmilk should be given to the child for one year. It also advises avoiding cow's milk being fed to children up to one year of age. However, if a mother wishes to discontinue breastfeeding suddenly, she might talk to the doctor for suggestions.

Frequently Asked Questions

1.

Why Is It So Difficult to Feed Baby Solids?

Feeding babies is a difficult task for many parents. 
The reasons are as follows:
- Babies cannot eat solid food and drink only liquids until they are around six months of age. Because the digestive system of the babies is not mature enough to handle solid food.
- Some babies are sensitive to solid food's taste, texture, and temperature. Some babies have a high gag reflex when they eat solid food, the high gag reflex causes them to cough or choke.
- Some babies may have developmental delays, making coordinating tongue movements for eating solids difficult. 

2.

What Are the Feeding Difficulties?

The feeding difficulties are as follows:
- Infants can talk and communicate their hunger status to their parents, making it difficult to know when and how much food the child wants to eat.
- Parents need specially designed infant utensils such as feeding bottles and soft-tipped spoons. 
- Infants take a long time to eat, and they need breaks in between meals. - This can be difficult for the parents to feed with a busy schedule. 
- Some infants refuse to eat. This can be frustrating for the parents.
- Some infants with health issues such as tongue-tie or food allergies may make feeding more difficult.

3.

What Is the Poor Feeding Method in Infants?

Some examples of poor feeding techniques are as follows:
- Overfeeding can increase the risk of heart disease and diabetes.
- Underfeeding may lead to malnutrition.
- Improper positioning during feeding.
- Use of inappropriate feeding bottles.
- A lack of interest in feeding.

4.

What Are the Factors Leading To Infant Feeding Problems?

Many factors affect infant feeding, as follows:
- Infant Health: Premature infants or infants born with medical conditions can affect feeding.
- Maternal Health: The mother’s health impacts the quality of breast milk.
- Maternal Employment: Mothers working may have difficulty breastfeeding and require another feeding method.
- Socioeconomic Status: Mothers with low socioeconomic status may have less access to resources such as bottles or formula.

5.

What Are the Causes of Feeding Problems?

The causes of feeding problems are as follows:
- Infants with trouble latching onto a bottle or breast may lead to feeding problems. 
- Infants with digestive issues result in bloating, gas, and discomfort.
- Some infants may experience gastroesophageal reflux. The acid backflows into the esophagus and the stomach and causes discomfort.
- The congenital anomaly of the tongue, such as tongue tie, may lead to a condition.
- Some infants may be allergic to some food.
- Infants with an infection may lead to feeding problems.

6.

How Can Feeding Problems Be Treated?

The healthcare provider will identify the cause of the problem. The treatment measures are as follows:
- Adjust Feeding Positions: The healthcare provider may prescribe the mother to experiment with different feeding positions. 
- Encourage Frequent Feedings: The infants are struggling to feed. It may be helpful for a mother to give frequent small feeding to the infant. 
- Bottle Feeding Technique: The mother can use different types of bottles or nipples to help the baby suck and latch effectively. 

7.

What Is the Reaction to Poor Infant Feeding Practices?

Poor feeding practices have short-term and long-term effects on an infant's health and development. The effects are as follows:
- Malnutrition (infant body lacks vitamins, minerals, and nutrients).
- Dehydration.
- Infections such as respiratory infections and diarrhea.
- Delay in physical and mental development.
- Mental health issues.

8.

Describe Five Unhealthy Feeding Practices.

The five unhealthy feeding habits are as follows:
- Skipping meals.
- Eating too fast can lead to overeating. It can lead to poor digestion.
- Introducing solid foods too early.
- Using sweetened drinks.
- Overfeeding.

9.

What Are the Troublesome Feeding Behaviors?

The troublesome feeding behaviors are as follows:
- Emotional Eating: Emotional eating under stress and sadness can lead to weight gain, overeating, and health problems.
- Picky Eating: It is the common feeding behavior in which the infant refuses to eat certain foods. It may lead to an imbalance in nutrition.
- Binge Eating: It involves consuming large amounts of food quickly, leading to weight gain and health problems.

10.

What Are the Barricades for Healthy Eating for Children?

The barriers to healthy eating for children are as follows:
- Children who live in areas where access to healthy food such as fruits and vegetables is limited.
- Working women need more time for meal preparation. It makes it difficult for families to healthy meals.
- Healthy food can be expensive making it difficult for families with limited financial resources.
- Now, most of the children eat junk food. They do not like healthy food.
Dr. Sonal Prasad
Dr. Sonal Prasad

Obstetrics and Gynecology

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