request for advice-Picky eater with Sensory Issues

Marguerite

Active Member
Nancy, you said, "...if he's gaining weight and is healthy then just deal with it."

THat is very important. It is a good idea to keep an eye on your child's weight and growth because it IS highly relevant. And if it's all OK, then don't sweat the problem too much.

What we're dealing with in this thread, are those kids for whom it IS a big problem, who are not growing or who are very much underweight, believed by the doctor to be connected to their picky eating.

Part of the problem also, you have reminded me to mention, Nancy (thank you) is that stimulant medications can often suppress appetite (just as respiradone can stimulate it). Because of this, our kids' pediaitrician (the prescribing specialist) monitors their height and weight at every appointment. He has been the one to call for action and closer supervision, on the issue of fussy eating and Sensory Integration Disorder (SID)/food issues.

GoingNorth, I've made tapenade, which is a puree of pitted black olives (good Greek kalamata olives for preference), anchovies, olive oil. No need to add extra salt, it's salty enough. A small amount is stirred into various Italian dishes to boost the flavour. It does sound similar.

Where possible I like to make my own sauces like this. Partly because I'm a cheapskate, partly out of a sense of accomplishment (it's likemaking your own pasta or baking your ownbread - yes, I do all that as well) and partly so I can control exactly what goes into it. It also generally tastes better when it's freshly made at home.

I make my own basil pesto sauce, it's supposed to be made using pine nuts but since BF2 is allergic to them, I now use cashews. Toasted, for preference, because it makes such a big improvement to the taste.

The main drawback from me doing this sort of cooking, is the kids became fussier as they got older, because they lerned to come home for a home-cooked meal instead of eating fast food that didn't taste as good. The plus side - I've been teaching them how to analyse a dish they enjoy, to work out for themselves how to reproduce it!

I envy you your mother. Minealso grew up in the "eat what is put in front of you" era, my siblings all said I got it easy, I never experienced all the kids sitting in a row at the dinner table until they ate their burnt rice pudding, or their tripe and onions, or their gramma pie. I never got the gramma pie (which I believe is quite tasty, I don't know what my mother did to it to make it taste so awful for my siblings) but I did get the lamb's fry like shoe leather, and the burnt rice pudding ("it will be perfectly OK once I carve off the black bits.") My mother usually was conservative with things like flavour and salt, especially sparing with butter and cream. Her macaroni cheese was almost completely macaroni alone, boiled until it all glued together, with maybe a teasoon of bechamel sauce added to it, and a few shards of cheddar somewhere in there. And loads of fresh thyme to disguise the lack of anything else other than pasta. I love herbs, but I cannot use thyme on its own, because of the association with my mother's macca cheese.
husband's mother makes macca cheese that must be about 40% cheese. No thyme at all. Lots of tomato, plenty of cheesy bechamel sauce. It's delicious.

My mother raised us as if we were still living in the Great Depression, which hit Australia very hard. We were isolated from the rest of the world, our international trade failed and then WWII forced the country to find its own way out of it. The Victory Garden" was one small way, I grew up with a back garden plus livestock that grew enough to feed all ten of us. That meant we HAD to eat what we were given. If only my mother had let me eat my food raw! I used to raid the garden for my raw food supplies, pulling up carrots and picking beans then eating them without even washing them, a lot of the time. But I had to be careful to not let the drop in production show.

I began to learn to cook in cooking class at school. Of course, helping with the evening meal had always been one of my chores, but they were my mother's recipes, not my choice. I finally was permitted to cook what I wanted, when I was in high school. About that time my older sister began travelling the world and bringing home new ingredients and new recipes for us to try. Australia was also becoming more cosmopolitan and I discovered that adding garlic and/or tomatoes to a recipe could make just about anything of my mother's taste edible.

We live in a different world, to the one in which a lot of us were raised. When I was a kid, a special summer treat for me, maybye every few years, was being permitted to **** on the seed of a precious mango AFTER my mother had cut up the rest of the fruit for a family party fruit salad. And today I just bought myself another box of mangoes, the third this summer. I forgot to buy pineapple - another fruit we didn't buy often because it was too much trouble (and expensive). We now have a pineapple slicer - a wonderful Aussie invention. Today I looked along the rows of frehs vegetables and realised that most of them were unknown to my parents when they were my age. And my parents were farmers! It's bizarre.

I'm not that old, either - 53.

Oh the Vegemite/Marmite thing - Marmite IS savoury like Vegemite (and also needs to be spread sparingly) but te amount of sugar is a trace. It's still enough to put me off it. I shared a flat once with a bloke who liked honey and Vegemite sandwiches, and he was a slob. He would not clean the knife between dipping it in the various jars, so we would have the Vegemite tainted with honey, plus black streaks trailing through the honey jar. It made both of them inedible to the rest of us. He would then leave the knife glued to the kitchen table.

Sometimes if your kid is faddy, it can be a good adventure to discover new foods together. When we go on holiday, it is our custom to shop for the local ingredients, and try to cook with them. Hence in New Zealand we ate a lot of kumara and also ate it in ways the locals do (kumara chips, or fries). One evening stuck in a blizzard in a motel, I boiled up some locally bought yams in the electric kettle. Different. tasty with a dollop of butter, though. Good comfort food. But after trying whitebait fritters, I will pass on them in future. To difficult child 3's credit, he did have a bite.
In Victoria (the state south of us) we've fished for Rainbow Trout and then steamed them with ginger, shallots and teriyaki sauce. difficult child 3 ate all his, perhaps partly because he caught the biggest fish.
As a kid I hated fish, my mother would always squeeze lemon juice over it to entice me to eat it. I would taste it and hated it for the soapy, acid taste. Then one week I was away on a school trip staying in a fancy hotel, and getting VERY hungry because it all tasted too strange. They served up fish and my heart sank. But tis time, I tried it (I was hungry) and realised, it was the lemon! I hated fish with lemon juice all over it! To test myself, I ate it all (enjoying it) and the last two bites, I put lemon on it. I had thought it was perhaps a particularly good piece of fish, but no - I couldn't eat it with lemon.

When I got home I had to keep reminding my mother, to NEVER put lemon on my fish or I wouldn't be able to eat it.

Sometimes the answer can be very simple.

We've now got to the point where difficult child 3 has discovered a lot of foods he really enjoys. There are still a lot of things he hates and we take this on board. He dislikes prawns (shrimp) so we won't force him to taste foods which are very similar - so no making him taste prawns, shrimp, lobster, crab in any form. But he enjoys calamari, octopus, smoked salmon (loves it!) and an increasingly wide range of fish.

Every success increases the chance of more success. That's another reason to not force the issue.

So keep tabs on the child's weight and height, compare it to the average as well as family history (ie don't stress if everyone in the family is petite) and let your child feel secure. First and foremost. Keep a variety of food available (or at least, a supply of frozen meals he WILL eat, for emergency use). If he has to wait while you microwave something he would prefer, then that is the natural consequence of not wanting to eat what everyone else is having. But otherwise, don't make a huge issue out of it or you make even more trouble for yourself.

I like the mental image of the "garbage can teen". BF2 is like this, it was a shock when he moved in. difficult child 1 is pretty much like this now. difficult child 3 - I doubt he ever will be. And easy child 2/difficult child 2 - never. I think if you cut her finger, she'd bleed ham, cream and pasta.

Marg
 

allhaileris

Crumbling Family Rock
It was me that commented on the carbs, but I was totally serious! Get the underweight kids to eat things other than carbs! My daughter is tall and skinny, as a baby we fed her a lot of things that helped keep her too skinny. I still have lots of issues with her clothing, by the time they fit around the waist they're too short. But although she's lean, she's never been undernourished.

Things high in good fat are good, like olives and avocados. I can't stand either, but kids love to put olives on their fingers to eat. You can make avocados into guacamole to help the flavor. Of course they're kids and need the carbs, but you have to balance it out so the weight actually sticks. Then when they're older they have conditioned themselves to eat better and won't get fat as a teenager!!! I'm always trying to add a little extra good fat to my daughter's diet. She loves carbs too but will only keep the weight on with a balanced diet. Add omega-3s, you can get strawberry flavored fish oil pills from Nordic Naturals.

And add more beans and legumes to the diet. They're little super foods packed with lots of good vitamins and protien. Carbs should be balanced with foods like this.

Someone else commented on the high carb level of a lot of the foods we were suggesting - again, we're not dealing with your average overweight teenager here, we're dealing with kids who are already eating an unbalanced, often very limited diet. If our child were overweight, we wouldn't feel a need to worry that they weren't getting enough to eat. In my case, my three younger kids have been below normal weight, often way below. With easy child 2/difficult child 2, she could **** in her stomach and you could see her spine - from the front! I had a helluva time getting school clothes to fit her and to fit difficult child 1, because anything that fit around the waist was far too short. I had to have easy child 2/difficult child 2's school shirts made to measure, and I got round te school trousers problem by getting non-standard stretch lycra (which on her never got the chance to stretch).
 

Marguerite

Active Member
On the issue of carbs:

It is worth taking into consideration - I do acknowledge the dietary problem presented by carbs, since I myself have to be extremely fussy about my carb intake. However, I have modified a lot of my own personal paranoia over carbs (and I do freely admit I can be over-the-top when it comes to monitoring my own carb intake) by reading the scientific literature in the current diet book I'm using. It's produced by CSIRO which is a very reputable scientific research unit in Australia (a QUANGO). In their book they outline just how much you can get away with, depending on your age, your gender, your metabolic rate, your level of activity - and it helps you calculate this. CSIRO are at least as reputable as FDA or similar. Probably more so. It's less a diet book, more a text book on healthy eating for all ages and all reasons - backed by peer-reviewed scientific research.

A lot also depends on what you are trying to do, in your attempts to get nourishment into your child. I've mentioned in examples before, a friend of ours whose daughter was diagnosed with muscular dystrophy (same as Witz's) when she was 3, by which stage she was small, thin, weak and unable to walk without support. The parents were told she would be lucky to live to reach her teens, by which stage she would be permanently in a wheelchair and completely dependent on them to do everything for her. It certainly seemed so. If she fell she couldn't stop herself. She had reached a point where she could no longer walk up or down steps. And her mother, previously a whole foods vegan who was incredibly anti-commercial, anti-technology, tossed out a lot of her ideas and embraced whatever she could to get the calories into her daughter. Needs must.
The little girl was generally too tired to finish a meal, too tired to chew for long. Her mother had been raised (as I was) that you eat at the table and stay there until your meal is finished; leave the table and the food is gone. But she soon realised that her baby was dying from lack of nutrition. The more she fell asleep mid-meal, the less she ate and the less she ate the weaker she got. Vicious circle.

So the mother began to make high-calorie, high-carb foods for her. High in fat, often the animal fats she had previously rejected. Her reasoning was turned on its head - animal fats are the ones that stick to your ribs (and artery walls). Animal protein is easier to metabolise, because it already more closely resembles the building blocks your body uses. Technically, cannibalism is best for an invalid, but it's very bad for the race overall because you lose energy in converting even human protein, to human protein. Someone always suffers and over time the numbers of the species drop off. OK, that's gross but a fact dug from somewhere way back in my scientific education. Sorry.

Anyway, the mother began allowing her daughter to leave the table to play, but would follow her around and slip another spoonful of dinner into her. She bought a popcorn machine - for her, the ultimate in commercialised, unnecessary technology - and used it many times a day. Because of the unlimited supply of high-butter popcorn, the house was always full of neighbourhood kids (which was stimulating for the little girl) and so with friends around wanting to play, a constant supply of high fat, high carb food (and Pringles chips, similarly highly processed, high-fat, high carb) the little girl grew stronger and gained a little weight. She always looked like an anorexia case and the parents often had to fend of social services because people would report them, constantly.
(Incidentally, I never allowed my kids to have Pringles chips - too highly processed, too high in fat and carbs with no redeeming virtue whatsoever - for them. For our little friend, however - they worked wonders).

That little girl has grown up steadily getting stronger. She's just been living in Scandinavia for a year on exchange. She is now 21, hasn't used her wheelchair in years, graduated school, is a strong swimmer, walks better than I do - but is still stick thin. She now eats the vegan diet endorsed by her mother way back when, but has a higher fat/carb intake because if she cuts back too far, she gets weak and sick again. She loves her beans but needs the easy calories.

What we eat, what we NEED to eat, varies a lot depending on our environment and our bodies. In Tibet they live on a high fat, high carb diet because it is what their bodies do best on. In Western culture it's a disaster because for us, we get too many calories too readily. Each one of us in America or Australia can reach out and find more calories each day than we can ever use. It's all too readily accessible, not just to our hands but to our bodies. When I first went on the Atkins Diet (which I don't recommend, by the way, except as a valuable learning exercise) it made me realise just how much we are pushed into eating refined carbs. Try to find low-carb options when grabbing a fast-food snack - it's almost impossible! Every burger comes with a huge bread roll. Even sandwiches in gourmet lunch shops serve foccaccia or a thick spare tyre of bread. Often hidden inside the fast food will be more carbs. Order a curry - it comes with a huge serving of white rice. Or spongy naan bread. We can't get away from it, it's ubiquitous.

But that's for 'normal' people. When we're trying to get calories into our recalcitrant kids, we take whatever we can get. Of course we try to herd them towards good nutrition (and hopefully, away from empty, refined carbs) but to begin with, we take what we can get (into them).

I am now at the stage of urging easy child 2/difficult child 2 to cut back on her fat and carb intake. She is also working this out for herself and choosing to eat more salads. We went out to a restaurant on Tuesday, with sister in law & her daughters (a farewell lunch before their trip home). We could choose anything on the menu. Interestingly, niece chose the very meal that easy child 2/difficult child 2 would have chosen six months ago - pasta carbonara. I swear, my girl would have lived on that in perpetuity if she could have afforded it. But I watched as my sensible girl chose a salad, with grilled chicken. Not because she is trying to lose weight (I hope not - she is stull underweight and knows it) but because her doctor has made it clear that her stomach problem will do better on a lower carb, lower fat diet.
I had fish and chips, with salad - and gave all my chips to difficult child 3. He's male, he's young, he's incredibly active, he burns it all up. And yesterday when shopping, I bought difficult child 3 his favourite treat - a bunch of Dutch carrots. These are baby carrots still with their green tops, very Bugs Bunny. Given a choice between a bag of sweets and a bunch of Dutch carrots, difficult child 3 will go for the carrots every time.

By all means keep the problem of carbs in mind, but the first step - get them to eat, an increasingly wide variety of food. Generally if they're faddy about food, they won't be paying too much attention to what everybody else thinks. So peer pressure, advertising, etc - won't be influencing them. The main influence is their own tastes. So once they've got a wide enough variety, THEN you introduce better quality.

I guess we can put it this way - eat first, ask questions later!

With kids like this, it really is a case of throw out the rule book - at least while it's not working. Later on you can bring it back in, we'ce come a very long way with difficult child 3 and are now at that stage, Sandy.

A modified suggestion on carbs, for those who feel the need to keep them in mind from the earliest opportunity - as soon as you can with your child, substitute whoegrain options. Get them used to the nuttier taste sooner if you can because it WILL mean they have a healthier diet later on. For example, thanks to my own current very strict diet I only eat brown rice rather than white (and then, only small amounts). Due to the hassles of cooking brown rice and then white rice, husband said he was happy to eat brown. difficult child 3 then tried it and said it was OK. So I have given him brown rice mostly, in the last year. He now likes it but will eat white also, about half the time it's offered. But if your child will eat white rice, a switch to brown shouldn't be too difficult. The problem arises if your child's preference for white rice is associated with a need for the rice to be gluggty and creamy (as in, they only eat risotto). That's when the switch to brown rice will need to wait a while longer. Meanwhile, you make risotto but pack it with as much protein, vegetable and calories as you can. In our case, I was never allowed to add anything other than stock to the risotto (easy child 2/difficult child 2 - no "bits" please, mother). Now, difficult child 3 gets his risotto with the lot - peas, carrots, chicken meat, cheese, butter, garlic, saffron, onion. And, of course, home-made chicken stock.

I need to go - difficult child 3 needs his lunch! Today I think it could be either a smoke salmon and salad sandwich, or maybe (because it's cold) I'll make him a chicken risotto. Or a brown rice fried rice.

The thing is, we NOW have choice. It wasn't always the way... and it took a lot of careful work to get us to this stage. NOW we can count carbs, but only now. And for difficult child 3 - it's still to early to worry too much. We still need to keep his diet diverse.

Marg
 

Numina

New Member
Sandy,

Don't think your advice on limiting fast white carbs is falling on deaf ears.

Low carb diets have been very good to me. I think the overconsumption of carbohydrates (especially wheat/bread) is the cause of many ills...but I don't think they are all evil, all the time.

Of course my main concern is getting enough protein into difficult child. Secondly he has been constipated for three year. So next I'm worried about fiber which means vegetables/fruits. Which he eats none of. After that he can make up his calories any way he pleases.

Another point is that he avoids visiting some of his friends because their mothers gently force food on him. He freaks out when offered unfamiliar food. This is the real problem.
 

Numina

New Member
Update.

difficult child received Paula Deen's 'My First Cookbook' for Christmas.

At first he ignored it and then about 10 days ago he started nagging me to help him. He's been whizzing through all the cakes, cookies and sweets recipes. This is a good thing right? He's in the kitchen handling food.

Initial meeting with the eating therapist left me with a referral to a encopresis/constipation specialist. (didn't realize there was such an animal). The food shrink seemed to think difficult child is okay nutritionally since he's growing and almost never sick. Of course the first priority is to stop the soiling. She said when a child ever has painful bowel movements that they start using their elimination muscle differently/improperly hence the soiling. And that he can be retrained by the specialist.

She also said that it was absolutely the right thing to not reveal the first psychiatric diagnosis to the school bcs obviously our GP has serious doubts about it. He's on a waiting list for a 2nd opinion.
 

Marguerite

Active Member
THis sounds really positive. ANd for difficult child to be cooking like that - that is great! There are some other kitchen resources I could recommend. If it's available in the US yet, I recommend te Nintendo DS "Cooking Guide". It's used with the hand-held Nintendo DS and it talks you through preparing recipes.

Also, for some Aussie recipes, a cookbook for kids is "Wombat Stew Cookbook". There is an Aussie kids story called "Wombat Stew" in which a dingo is trying to cook up a wombat he has caught, but the other animals all conspire to rescue the wombat. The cookbook has some great recipes for kids like "Numbat Nachos", "Tasmanian Devil Food Cake" and "Lizard Lemon Fizz". It's by Marcia Vaughan and published by Ashton Scholastics.

Or there's the internet - you can find amazing recipes and as he does them he can make changes to them and write those changes down on the computer to develop his own cookbook.

I also posted some recipes in "Healthy Living" which could be useful for a picky eater. I especially recommend gnocchi as a great recipe to make with kids. I used to make it with difficult child 3 when he was a pre-schooler. it also was recommended by the occupational therapist, because it helped with difficult child 3's hypermobile joints to roll out the dumpling mix (like a play doh snake) and then cut it into short pieces, then gently press each piece with a floured fork. It's really quick and easy to cook and you can do a lot of fun things with it in terms of sauces and other dishes.

I'm glad you've found some direction for help for him.

Marg
 

totoro

Mom? What's a difficult child?
I have found that if I jullienne things K will eat them Like little shoestrings.
So I jullienne carrots and squash yellow and any others I can find. Zuchs as well.

The yellow squash I add to noodles with butter and a little bit of Parm or what ever cheese your child may eat. Reggiano etc.
With the shoestring veggies they can dip them or eat them plain, but for some reason both of my girls love them this way. K will not eat squash any other way but like this. She eats it raw like this.

Revisiting foods while it is a pain really works at times. And getting over you dislikes of certain foods, (mayo).
For example, K hates strawberries. N loves them. So I have been making fruit Kabobs for them. K will eat Mango and Banana. So I keep putting strawberries on hers. I said last week just try one bite with a piece of mango and banana.
She loved it!
She does not want to eat strawberry by itself still, but will with a banana or a mango.
She is hypersensitive to certain things, she does have sensory processing disorder (SPD) and some times her medications affect her taste also.
So I respect her issues but I ask her to try things without freaking out! Even sometimes if it is just licking it.
My only rule is she can't spit it out on the table or plate!
K usually only wants bean and cheese burritos. So I try to add things into them that she may like. I will give her one that she loves and the other one will have, ground turkey, or sauted tofu and now she loves these things.

It is so hard, I have to kids with totally different likes as far as food. But they are coming around over the years.
I hate throwing out food, I hate wasting it. But I keep making it and trying.
The other thing is I never tell them they can't help me in the kitchen, I encourage it. Shopping also, even though I want to pull my hair out by the end of each trip to the store.
Sounds like he is doing pretty good though!
 

Marguerite

Active Member
We don't throw out food. There is always someone else who will eat it. Remember the nursery rhyme about Jack Spratt and his wife - opposite likes/dislikes but together they ate everything.

A suggestion, totoro - when she says she doesn't like something, ask her to try to explain what it is she dislikes about it. Point out this isn't to challenge her dislike, it's to encourage her to try to analyse it for herself, because this can help identify groups of foods that she might dislike, as well as characteristics to watch out for. It also can make it easier for you to find foods she DOES like. But deep down - it really helps a child who is simply feeling ANXOUS about certian foods, to really try to understand themselves.

I have BF1 to thank for this trick. It's made a huge difference to difficult child 3, he now eats much more than he used to.

Marg
 
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