Case Report
A Case in Which Food Intake Training and Instruction Were Effective for Bottle Feeding Disorder
2013 Volume 17 Issue 2 Pages 170-175
Details
2013 Volume 17 Issue 2 Pages 170-175
Bottle feeding activity involves a series of motions that are done with coordination of suckling, swallowing, and respiration. Therefore, among infant bottle feeding disorders there are cases in which there are disorders in swallowing or respiration in addition to suckling, or problems in the coordination of these movements.
We conducted Videofluoroscopy (VFSS) and fiberscopic laryngoscope tests in a male infant with bottle feeding disorder, and determined that the bottle feeding disorder condition was due to laryngomalacia and laryngeal paralysis. In order to help him acquire eating function, we started in food intake training and instruction. He was able to acquire eating ability. Therefore I report this case.
In this case, there was no abnormality during pregnancy and childbirth. He caught pneumonia by bottle feeding disorder and so he needed tube feeding. Subsequently, he caught aspiration pneumonia on trying bottle feeding. He consulted my clinic in order to assess his swallowing function at 11 months old.
On his feeding liquid contrast medium by feeding bottle, aspiration was observed on VFSS. But aspiration was not observed on his feeding potage like contrast medium by spoon. On fiberscopic laryngoscope tests, we identified that laryngomalacia improved but there was laryngeal paralysis. On his first medial examination, we didn't identify development disorder except bottle feeding.
It was his condition that breathing in strongly caused aspiration because of laryngeal paralysis if protection for airway by swallowing was late. And so we thought that we needed to stop bottle feeding and start weaning food. With regard to feeding liquid, we started from thicker liquid, such as potage like water, and from by spoon to by cup and straw. He was able to drink thicker liquid by cup without choking on 1 year 10 months old. Next, we changed viscosity and so we made thinner to half of viscosity. He was able to drink normal water without choking on 2 years 9 months old. With regard to straw, we start from thicker liquid in some way. He was able to drink normal water by straw without choking on 3 years 9 months old. But he had still laryngeal paralysis slightly on that time.
