Immediate Questions

A. Does patient have problems with feeding, swallowing, or choking? These problems may suggest gastroesophageal reflux, swallowing dysfunction, congenital abnormalities, or inappropriate feeding practices.

B. How much does patient ingest orally in a 24-hour period? Using the term daytime may cause parents or other caretakers to underestimate child's total caloric intake.

C. If an infant, how does parent mix formula? Distinguish formula preparation (ready-to-feed, concentrate, or powder). Check recipe for caloric density.

D. Does water used for mixing formula come from a well? Well water may be a source of an infectious agent (eg, Giardia).

E. Is there a family history of food allergies, cystic fibrosis, or metabolic disease? These conditions may be associated with malabsorption and poor weight gain.

F. Are there associated symptoms? For example, cyanosis may suggest cardiac disease; diarrhea suggests infection, malabsorption, or food allergy.

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Food Allergies

Food Allergies

Peanuts can leave you breathless. Cat dander can lead to itchy eyes, a stuffy nose, coughing and sneezing. And most of us have suffered through those seasonal allergies with horrible pollen counts. Learn more...

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