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Mandy-Lee Adno Paedriatric Feeding Specialist in Bondi Junction | Speech pathologist



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Mandy-Lee Adno Paedriatric Feeding Specialist

Locality: Bondi Junction

Phone: +61 2 9369 5757



Address: 79-85 oxford street bondi junction 2025 Bondi Junction, NSW, Australia

Website: http://www.sydneyfeedingspecialist.com

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25.01.2022 Thank you Melanie Potock for the most inspirational 2 days. Listening to and learning from you was an absolute privilege! I cannot wait to put everything that I learnt in to practice with the kids and families that I see.



25.01.2022 Couldn’t have said this better...

24.01.2022 Positive and negative pressure can have a huge impact on a child’s willingness to eat and enjoy eating. Sometimes when looking at eating, praise can be as negative as pressure. When it comes to meals, it should be in a neutral environment with absolutely no focus on what your child is or isn’t eating. According to Ellyn Satter, as parents our role is to decide what foods are being offered, where and when they are are offered and for your child it is for them to decide what they want to eat and how much they want to eat.

24.01.2022 One of the biggest things that I stress to parents is ‘any food is food’. We living in a world where the focus is all on sugar, organic and health and yes I do believe these things are important! BUT, when working with fussy eaters and problem feeders, food shaming parents and children, just makes the problem worse. We need to focus on bringing in a new food, whatever that new food is. As, once we have a child’s trust and they start enjoying new foods, they will start bringing in a variety of foods. Remember, judging parents is one of the harshest things someone can do as most people don’t understand the battle that they have gone through to feed their child or bring in any new food! Let’s try support rather than shame!



23.01.2022 Some really great tips of Do’s and Don’ts with your picky eater!

23.01.2022 Official recommendations around using pouches for feeding solids have been developed. The nutrition commission of German society for Pediatrics and adolescence has highlight the importance of giving babies food with texture, foods that they can hold, self feed and explore and foods that taste and look Like what they are made of rather than containing large amounts of apple and fruit to disguise the taste of the food. Feeding therapists have been advising for years against th...e use of pouches for feeding as they lead to oral motor delay, lack of exposure and exploration of food and fussy eating. Next time you purchasing a pouch for your baby to suck on or eat from, think again! https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403273/

22.01.2022 We often lose sight on how many carbs our little ones need. For adults the trend is high protein low carb placing stress on parents of fussy eaters. In reality children need more carbs than protein in their diet. Balance is what is key!!



21.01.2022 Have you noticed that when you ask your fussy eater if they ‘like’ a food, the consistent response is ‘NO’! This article perfectly describes why there is always that response of NO! What I advise parents is to either ignore what their child has tasted or to speak about the food in terms of how it felt and tasted, if it was wet/dry, crunchy/soft. This takes away the opportunity to answer NO and reduces the stress on your child while eating! https://www.jocormack.com/2019//12/the-do-you-like-it-trap/

21.01.2022 Grapes in their whole form is a NO NO!! Cut them, dice them, purée them... just please do t give them whole to young kids! https://www.google.com//lack-of-awareness-of-grape-choking

19.01.2022 The AAP has finally updated their recommendations for starting solids! The new recommendations advise giving all foods early to avoid the development of allergies. This is in keeping with all of the research coming out that delaying the introduction of high allergy foods has been found to increase the incidence of allergies in children. Early introduction is best for allergy prevention and oral skill development! https://edition.cnn.com//food-introduction-alle/index.html

18.01.2022 There is a lot more to eating than we realise... We all focus on fussy eating and behavioural feeding but one of the most important things to look at is oral motor skills and chewing. This article describes the importance of looking at chewing and the oral phase of eating when working with babies and children with feeding difficulties and fussy eating.

18.01.2022 If you have a fussy eater, it’s important to eliminate the self blame and know that it’s NOT something YOU did! We all start off with the best intentions to feed our little ones only healthy home cooked foods, but for some babies these foods are just not tolerated! https://www.vogue.com/a/picky-eaters-food-shaming-kids-menu



18.01.2022 Introducing baby Jack Samuel Adno. Born on the 13th March into all this craziness. A new baby definitely brings a ray of sunshine and hope into everyone’s lives. To all the parents and ‘soon to be new parents’ out there, together we can do this!

17.01.2022 One of the most common comments that I hear is ‘my child isn’t eating enough!’ Parents often have a distorted view on how much their child really does need to eat. I believe strongly in developing a competent eater and a child that listens to their body. I often tell parents to ask their kids ‘Is your tummy full?’ If their answer is Yes, then they have eaten enough! The key to developing a competent eater is frequent meals with no pressure to finish their plate!

16.01.2022 Starting solids is definitely a milestone in your baby’s developmental journey. It can be a very exciting time, but it can also be filled with a lot of anxiety and stress! If you are feeling overwhelmed with the thought of starting solids, unsure on how or when to start or how to progress your baby into different textures, I am here to help! PM to discuss further or to set-up 1:1 or small group video consultations. Weaning made easy Mandy-Lee Adno Paedriatric Feeding Speciali...st #startingsolids #weaning #babysolids #weaninghelp

16.01.2022 There is a time and a place to be feeding your child directly from a pouch, however it should be limited. The effects on oral motor skill development, development of the jaw, acceptance of a wider range of foods and good teeth development can all be affected by continual feeding directly from a pouch. Think twice before relying on a pouch and rather move to more traditional ways of feeding your child. A combination of spoon feeding with increasing textures in purées as well as safe finger foods is what is recommended for the development of good oral skills, speech development, facial development and dental health.

15.01.2022 Did you know that we all taste foods differently? This differentiation can affect the foods that you are willing to eat. Three different groups of ‘tasters’ have been identifies the ‘supertasters’ the ‘non-tasters’ and then those in between. Being on the extreme ends of this continuum can lead to fussy eat and food refusal! What type of taster do you think you are?

14.01.2022 Have you ever thought why your child is ‘stuck on’ kids meals? 1. They easy to eat/chew 2. They are always the same 3. Often the quickest and easiest option for parents to prepare. If your child is stuck on kids meals, it’s important to try and introduce some new foods that challenge their oral skills and develop their taste palate. ... This article describes ways to introduce new foods and when to get help in increasing your child’s variety and range of foods. See more

14.01.2022 Hiding foods in your child’s favourite foods... think again! Children develop trust in the people that are feeding them. Mealtimes and eating becomes about a child trusting their carer. That trust can easily be lost by hiding foods or tricking your child. Rather work on exposing and building up their tolerance of foods until THEY are ready to try them.

11.01.2022 Another great article on how to speak too and interact with your fussy eater. Sometimes praising them isn’t advisable... this article gives some great ways to ‘praise’ without praising!

11.01.2022 A personal perspective from an adult picky eater. One of the biggest things that we stress is to not shame, belittle or place stress on your picky eater to try or taste new foods. This article describes the long lasting impact this has on a person!

11.01.2022 Mess... has no boundaries

11.01.2022 This is for all those babies, children, adolescence and adults with swallowing difficulties!

10.01.2022 Not all picky eaters are the same. When looking at fussy/picky eaters it’s essential to establish whether: -It’s normal fussiness -It’s picky or problematic eating -It’s ARFRID Once a clear diagnosis is made, a thorough assessment on oral skills, eating history and eating ability is essential. ... Once this information is obtained an individualised treatment plan for that child can be developed. As a parent, if you are concerned about your child’s eating it’s important to follow your instinct and get help! Fussy eating is not always about poor weight gain, there is so much more to it. https://www.verywellmind.com/what-is-arfid-4137232 See more

10.01.2022 In today’s times, there is so much focus on HOW babies are being fed that we are losing sight on the bottom line... no matter how a baby is fed, FED is best!! https://www.facebook.com/877480425617844/posts/2697831313582737?s=100014121547649&sfns=mo

09.01.2022 What are the effects of thumb sucking and dummy use on your child's teeth? Find out more: http://bit.ly/2WUkcXi

09.01.2022 NO! Pouches are not part of the feeding continuum or the food introduction process. There are multiple reasons why babies should not be allowed to suck out of pouches: 1)delayed oral skills 2)fussiness in terms of tast and texture 3)abnormal understanding of what food is and where it comes from 4)inability to explore food which is essential for learning about food. And the list goes on....

09.01.2022 Does pressuring your child to eat really work?? This article perfectly highlights some of the critical Do’s and Don’ts when feeding a picky eater. The most important thing to remember is a parents role in eating is deciding what food is being served, where it’s being eaten and at what time. It’s the child’s role to decide what and how much of the provided food they want to eat. Coercing and pressuring does not lead to improved eating.

07.01.2022 Choking does not only happen in babies, it can happen at any age in life. Ensure you are cutting grapes in 1/4 pieces and not giving any foods that are round and the size of the airway which can lead to choking!

07.01.2022 Some great tips on how to introduce solids and develop competent eaters.

06.01.2022 Great article highlighting early signs of picky eating and when to look for help!

05.01.2022 Don’t need to say more...

04.01.2022 Shared from : Extreme Picky Eating Help CAUTION: If you see an article on "ARFID" (Avoidant Restrictive Food Intake Disorder) that espouses one treatment model;... from ABA (applied behavioral analysts) to SOS (sequential oral sensory) to CBT (cognitive behavioral therapy) to exposure therapy to FBT (family based therapy)... or one explanation (it's sensory, it's emotion regulation, it's a tongue tie, it's behavioral), this is dangerous. There is no one "protocol" to help folks struggling with eating. "ARFID" is a tricky diagnostic term. It can be applied to a 13 year-old who ate well until she choked on a piece of chicken and quickly lost weight after developing a fear of swallowing/choking (phagophobia). It can also apply to a 13 year-old who was born early, struggled with feeding from the start, had parents who tried everything to "get" her to eat, maybe "failed" multiple therapies. It can apply to a neurotypical adult who was a typical picky eater as a child but for various reasons spiraled into severe challenges. "ARFID" can apply to children or adults with severe sensory challenges, or a neurotypical child who had a feeding tube due to medical or surgical challenges and a complex history. This is why we talk about #responsivefeedingtherapy. If someone needs help with feeding and eating challenges, their unique history, preferences, traumatic past, early feeding challenges, and how they have reacted to past attempts to address eating MUST be considered. If what your child (or you) are being asked to do in therapy is making anxiety or power struggles worse, increasing vomiting or gagging, it is likely the wrong approach. Alas, some therapists are only trained in one area with one approach. If you only have a hammer, everything is a nail. Parents, make sure whomever you are working with knows the whole picture and trust your gut. Image may contain: text that says '"ARFID" is too complex and inclusive a diagnosis for any one protocol to be "the answer." Responsive Feeding Therapies: Various strategies (tools in a toolkit) can be used while keeping feeding and therapies pleasant, keeping the child's autonomy and safety (physical and emotional) a priority. extremepickyeating.com'

02.01.2022 https://pediatrics.aappublications.org///15/peds.2019-0281

02.01.2022 Learning about and exploring food is always the first step towards eating a food. We all explore the world, using our senses and it’s the same when it comes to food. Allowing your child to touch, fell, squish, kiss and lick food can be the steps leading up to eating. Play is something that children know how to do best, so let’s encourage it with food too!

02.01.2022 Enlarged tonsils and adenoids can have a huge impact on breathing with a knock on impact on feeding and eating. As humans, breathing is more important than eating so if we are challenged or compromised with our breathing, our feeding will be affected.

02.01.2022 This sums it up! The cornerstone of feeding is allowing a degree of CONTROL and TRUST! A child’s trust in their parents/therapist and you trusting your child enough to not pressurise, push or force! Allowing your child to control certain variables - which new food should we learn about, which plate should we use. Allow controlled control!

02.01.2022 Mouth breathing and snoring in babies, children and adults is never normal. Mouth breathing and snoring can have multiple effects on a child’s sleep, respiratory function, dental health and development. It’s important to speak to your healthcare professional if you are concerned.

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