WHAT IS THE FEAR OF EATING?
The fear of eating is one of the four subgroups of eating disorders. Children with this disorder refuse to eat. As soon as the child sees a spoon, a high chair, or a bottle, they start crying and are excessively anxious. They may exhibit symptoms such as vomiting, gagging, coughing, and behaviors like escaping from the table. They have pronounced sensitivities in the mouth, nose, throat, and esophagus. This feeding difficulty is more common in children who have had a frightening feeding experience, such as after esophageal surgery or incidents like choking, vomiting, or force-feeding, or in children with gastroesophageal reflux. Experiences of overly coercive and pressuring feeding also contribute to the development of this disorder. In our society, the most common causes are reflux and coercive feeding methods. Severe growth and developmental delays can be observed in these children.
What can be done?
Treatment varies according to the cause for each patient. If the cause is reflux, it should be treated first. If there is a coercive feeding relationship between the parent and the child, this situation should be corrected. After eliminating the cause, the treatment plan is adjusted based on the child’s age and preferences for what they want to eat or not. For example, if the child does not want to eat solid foods, they can start with liquids and gradually transition to normal foods. Depending on the severity of the condition, psychological support can also be sought.
What should not be done?
Absolutely do not force or pressure the child to eat! This will only increase the child’s fear and distance them from eating. Over time, it can lead to a breakdown in the parent-child relationship and conflict not only in eating but also in other areas.