How to manage if my child has developed a fear of eating?

Question

Hello doctor,

My five-year-old son has suddenly developed an intense fear of eating. He is now refusing all solid foods, including his usual favorites like spaghetti bolognese and plain rice. When offered food, he becomes extremely distressed, crying, screaming, and repeatedly saying he is scared of food and worried that he will choke or that the food will go the wrong way. This fear came on very suddenly. Earlier in the day, he ate breakfast, lunch, and snacks without any issues. At the moment, the only thing he will consume is milk. This is not the first time it has happened.

About two months ago, he went through a similar episode and refused all solids for two days. We saw a doctor back then who was not too concerned since he was still drinking fluids. But I am growing increasingly worried he is already quite small and underweight for his age, and this recurring fear of eating is very upsetting for all of us. What should we do next? Is it time to consult a pediatric specialist, such as a feeding therapist, pediatric psychologist, or gastroenterologist?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on the information provided, this behavior of your child not eating food could stem from a past unpleasant or distressing experience. While your son may eventually forget it over time, if he sees similar foods or situations again, he might react the same way. This requires a very patient approach.

The most important thing is not to force him to eat solid food. As he is willing to consume liquids like milk, soup, and juice, focus on offering those for now. Encourage family members to eat solid food in front of him to demonstrate that nothing happens when eating. If he has a particular food he likes, try eating that food in front of him to encourage him, but avoid forcing him. As he is still accepting liquid foods, there is no immediate cause for concern. Give it a few days, and he may eventually forget the negative experience.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.