Hi, My husband and I just feel lost and out of options. My four year old son is very much a picky eater. We've worked not to make too many special adjustments for him, but there are times when we give him different choices to find what he does like. Since going back to daycare in August, my son has had several instances where he has stuck his hand in his mouth and made himself throw up. For a while, the boy would get him self so worked up about anything being on his plate that he didn't like that he wouldn't touch lunch at all. He'd cry when he saw what it was, then cry harder when they pulled lunch away. Then he threw up from throwing enough of a fit. After that, we think he figured that throwing up could get him out of lunch, maybe even get him home. So he'd do it on the way to lunch - not even knowing what they were serving. We have been working very closely with the school to try to fix the behavior. It got much better for a while when we talked about relaxing and just leaving on the plate what you don't like. We discuss the menu each day and if there are things that he just can't deal with he knows to leave it on the plate & eat what he does like. If the whole meal is 'bad', I let him bring a lunch. My husband doesn't even want to allow that - he believes in eat or starve...then severe punishment if he throws a fit. But the school and I just think it is too bad for him to skip lunch each day. Then last week, when we tought it had gone away, the boy did it several times in one day. Instead of comforting him or talking through it, we finally punished him. A night in time out and lot of discussion and a missed field trip to the pumpkin patch. We've had him repeating that throwing up is bad. He had to apologize to all of his teachers and several more things to hammer down the point. Just got a call from school - he's done it again. They are getting discouraged. It hasn't been said that they will kick him out if it happens again, but it is clear in their tone. I don't blame them. The vomit gets everywhere. They've caught him with his hand in his mouth. Its bad for him and for the other kids around him. We've ignored it. We've been sweet. We've talked through it. We've made accomodations. We've punished. We have no idea what to do. I'm desparate. I don't want food to be such an issue. Any advice? Anyone else been through this? I want to go to the doctor, my husband is against it. I'm not against spanking per-se.. but this seems like such a bigger issue than spanking him hours after it actually happened. I try to get him talk about it, but husband thinks we should send him to his room alone. This ONLY happens at school. I feel so terribly lost.