I have asked this over a year ago, but Nicky only eats Basically Grilled cheese and chicken Nuggets for dinner with the occasional Pizza with no cheese. He is 5 and a half and I'm starting to worry about his diet. Any suggestions would be appreciated. I told him last night that this summer he has to start to try new foods. Bad thing to do bc he had a really big MELT DOWN I once read that having a feeding tube as an infant can cause picky eating when food is introduced. My youngest son (probably NT) was born with an infection and was in neonatal for a week, and part of that time he had a feeding tube. He turned out to be a picky eater. My autistic son didn't have a tube and has very few food issues. We have a "mix textures" problem here. Took me months for pasta with sos. Also a big problem fruits and vegetables. In one year we managed to advance from banana to apple. Now I'm working on salad (you don't want to know). I have to confess that my son meltdowns are mostly about food. The sensory is so powerfull that he can not self-regulate himself. It looks like torture but with practice and in a long time I saw results. And yes mom6, he tends to get stuck on certain foods that's why I change it all the time ..... he is not fooling me anymore. Change something, anything, all the time even the brand. When they get used with the idea of changing ... it gets better. Example: - starting from Mcdonalds chicken nuggets, try some diferent shape of nuggets (when they are very hungry) and then a fish nugget and then not-miced meat breaded - pasta ... plain like boiled in soup, then colored with tomato sauce just a pale color, later on sone meat ball (plain) next to it - fries , add some parmesan on it (just for the smell), later on visible - chips/popcorn ... there are a lot of flavours out there ... - there are pasta in shape of animals/letters and different shapes of nuggets - omlet plain and cut into sticks, then omlet with a litthe sausage in it or mushrooms .... (the same for pizza) It helped a lot to see other kids eating (daycare). He was curious to try it but not eating it. Also eating in the park (when very hungry) no other options. That is a hard one because it's about sensory ..... and everything about sensory was so hard to deal with in my case. For us a "new food" takes months now but it used to take years . It also helps if you can figure out what sensory is unconfortable for them. It's the texture or is the mix of textures or is about smell or taste ..... and work around that issue a while (just for change) then start addresing the specific problem. If it's just a pattern not a real sensory then it should be easier ..... just change all the time. The idea of reinforcing with favorite food did not work very well in our case because the sensory it's too powerfull and ends in throwing up. So time and change was a better solution. ok, we were old-school with this, but this was partially because we didn't know the girls were autistic until they were just turning four. Basically, we had two rules that we consistently enforced. The first rule is that all the kids eat what's being served or nothing at all. Yes, it's ok not to eat - that's their choice, but we will not prepare seperate meals for kids. Second, we have dessert a couple days/week, but no one can get dessert without eating what's been served for dinner. These are old school rules, but they work - at least they did for us. All of our kids eat a wide variety of food. My non-asd son is actually the pickiest eater of them all. My NT nephew is like most of the autistic kids I read about on this board - he'll only eat a couple of things and they have to be prepared in a certain way (PB&Js must have the crusts cut off and cut in triangles - that sort of thing - he won't eat them otherewise). Yes, our kids have missed a meal hear and there, but they seem to get the point and we've never had a problem with this, knock on wood. I know this approach isn't possible with all ASD kids - that some will starve themselves before giving up this control, so I'm just describing what we've done without an expectation that it will help anyone else. WOW -- THREE FOODS is a lot
There is a book called, "Just Take One Bite," that you might find helpful. And we find, dd is not above the ONE BITE of anything, if it is given alongside a regular portion of fake nuggets or pizza. EVEN broccoli! I have yet to incorporate most of what she will take one bite of, but it is a start. I know your son is no longer a toddler, but this brochure might help: "Understanding and Managing Extreme Food Refusal in Toddlers." http://www.infantandtoddlerforum.org/objects/pdf/fact_sheet2 .3.pdf Good luck with everything. Oh we have this same problem. He will eat Those are the only things he will eat. I have to make him seperate meals when the rest of us eat because he will completly skip eating all together for meals at a time if the correct foods are not served. Get them really hungry (like after the park or an outing), and give them the new food. When kids are hungry they will eat anything, autistic or not!!! That is what I do, and my kids eat anything (like their mama
http://www.iidc.indiana.edu/irca/Medical/mealtime.html elle, im sorry to hear about the feeding tube, that is one thing i havent had to deal with in my son, however, know that you arent alone in the what they want or starve. my son has absolutely no concept of hungry or full. if he doesnt want it, he will boycott food all together even if days on end. my theory has always been, what ever it takes to get ANY food in them. when we were gluten free *still dairy free* if he wasnt going to eat anything, well, ya do what ya got to do. you only want wheat *wheel* pasta, thats what youll get. good luck to everyone!!!!
don't eat...but it was nice to know we are not alone in this struggle. DD has
her few foods--and VERY specific about those (McD's or Wendy's nuggets
only, for example), it's been a frustrating time, and she literally will either
eat what she likes or nothing at all. I don't know if she really ever gets
hungry or thirsty. She has a feeding tube, and we are trying so hard to get
rid of it. It was amazing to read how many others are dealing with the
exact same thing--and really wonderful to read about older kiddos who
have greatly expanded their food repertoire!!
1. Toleate food on the table.
2. Tolerate food on their plate.
3. Tolerate toching food.
4. Tolerate Kissing food.
5. Tolerate licking food.
6. Tolerate biting food.
7. Swallow.
(If kid isn't too picky, you an just do 4-7.)
I'd recommend not pushing them to the next step until they've done the prior one two times, WITHOUT being forced to. This will give them a lot of time to get accustomed to the food. We also reinforce with favorite foods, once they do (kiss/lick/bite) once, they get their favorite. Once they get to the point of actually eating the food, we match them bite for bite with their favorite (1 bite of nonfav, 1 bite of fav.)
All of the suggestions on making things slightly different are awesome, we do that a lot and it can really help.
Fred-I LOVE how you've headed off the whole issue, I wish everyone would take that approach!
Jess
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