Welcome Speech

Kids’ “picky eating” is a common complaint among parents, many of whom worry that their children’s nutrient intake suffers as a result.  As a toddler, your child may start to refuse to eat some foods, become a very picky eater or even go on binges where they will only want to eat a certain food. An important way that children learn to be independent is through establishing independence about feeding. Even though your child may not be eating as well rounded a diet as you would like, as long as your child is growing normally and has a normal energy level, there is probably little to worry about. Remember that early childhood is a period in his development where he is not growing very fast

This new study, combined with past research, suggests the following advice: Don’t assume that children will grow out of picky eating. The number of foods kids like does not change much from the age of two or three to age eight. In fact, new foods are often more likely accepted at age two to four than at four to eight. Don’t hold off a wide variety of foods, assuming children are too young.

Also, most children do not eat a balanced diet each and every day, but over the course of a week or so their diet will usually be well balanced. You can consider giving your child a daily vitamin if you think he is not eating well, although he probably doesn’t need it.

Although your child will probably be hesitant to try new foods, you should still offer small amounts of them once or twice a week (one tablespoon of green beans, for example). Most children will try a new food after being offered it 10-15 times.

Other ways to prevent feeding problems are to not use food as a bribe or reward for desired behaviors, avoid punishing your child for not eating well, limit mealtime conversation to positive and pleasant topics, avoid discussing or commenting on your child’s poor eating habits while at the table, limit eating and drinking to the table or high chair, and limit snacks to two nutritious snacks each day.

You should also not prepare more than one meal for your child. If he doesn’t want to eat what was prepared for the rest of the family, then he should not be forced to, but you should also not give him something else to eat. He will not starve after missing a single meal, and providing alternatives to the prepared meal will just cause more problems later.

What most parents don’t realize is that all toddlers are picky eaters. And it’s perfectly normal, even expected developmental behavior. It may surprise you to find out that this behavior has very little to do with the taste of food and is mostly about wanting control of a situation. Most toddlers learn very early that eating is very easy to control and it is likely to get a response out of you. This makes it fun (for your kid, not you)!

The big challenge for parents is NOT to give into this behavior, and DON’T fall into the trap of offering bland, unhealthy foods as a replacement for flavorful, healthy foods. This can be a difficult time.

Sulit makan pada buah hati kita adalah keluhan yang sering dialami oleh para orangtua dan pengasuh anak. Hampir 30% anak seusia balita pasti pernah mengalaminya. Karena, terlalu banyaknya anak yang mengalami sulit makan seringkali dianggap biasa dan dianggap masa anak memang harus mengalami sulit makan. Hal yang dianggap biasa oleh orangtua bahkan sebagian klinisi ini kalau dibiarkan dalam jangka panjang akan mengakibatkan berbagai komplikasi yang mengganggu tumbuh dan berkembangnya anak.

Gangguan kesulitan makan bukanlah merupakan sesuatu penyakit tetapi merupakan manifestasi dari sesuatu kelainan  atau penyakit yang ada pada anak. Penyebab sulit makan sangat banyak dan bervariasi. Picky Eaters Clinic Jakarta mengadakan penelitian ternyata penyebab terbanyak adalah gangguan fungsi saluran cerna. Penelitian mengejutkan lainnya ternyata penderita Picky Eaters sebanyak 32% seringkali mendapatkan overdiagnosis Tuberkulosis atau orang awam mengistilahkan sebutan “fleks”. Overdiagnosis artinya belum tentu mengalami penyakit TBC tetapi diobati sebagai TBC. Kesalahan yang sering terjadi lainnya orangtua datang ke dokter seringkali hanya meminta vitamin obat nafsu makan tanpa menanyakan penyebab gangguan sulit makan itu terjadi.

Picky Eaters Clinic Jakarta, melakukan intervensi penanganan anak sulit makan dengan melakukan identifikasi secara klinis tentang penyebabnya dan mengatasinya. Identifikasi klinis adalah upaya diagnosis dengan meminimilkan pemeriksaan laboratorium dan pemeriksaan penunjang lainnya. Intervensi lain yang bisa dilakukan adalah denmgan memberikan terapi okupasi oral motor untuk mengurangi gejala sisa gangguan mengunyah dan menelan.

Strategi dan tips pemberian makan pada anak sulit makan yang selama ini banyak dipublikasikan oleh media dan disampaikan oleh dokter dan klinisi tidak akan banyak membantu bila penyebab sulit makan tersebut tidak dikenali dan diatasi.

Sedangkan pemberian vitamin, enzim atau penambah nafsu makan jangka panjang bukan solusi penanganan permasalahan sulit makan pada anak, bahkan hanya akan mengaburkan penyebab sulit makan itu sendiri. Pemberian vitamin atau obat bukan fokus utama dalam penanganan penderita. Seringkali pemberian enzim atau perangsang nafsu makan hanya membantu sementara, saat vitamin tersebut habis keluhan timbul lagi. Bahkan adakalanya diberikan berbagai obat dan vitamin, keluhan kesulitan makan tidak membaik. Hal ini terjadi karena penanganannya tidak dikenali sumber penyebab dan atasi penyebabnya.

Oral Sensory feeding program of The Picky Eaters Clinic Jakarta Indonesia protocols used:

  • Open Elimination Provocation Dietary for Allergy and Hypersensitivity Gastrointestinal
  • Sensory diets
  • Talk Tools oral motor program
  • Beckman oral motor program
  • Oral Placement Therapy
  • M.O.R.E. oral motor program
  • Sara Rosenfeld-Johnson horn and straw program
  • SOS program (Sequential Oral Sensory Feeding Program)

Professional Health Care Provider Picky Eater and grow Up Clinic:

Dr Widodo Judarwanto, pediatrician : Biological Intervention

Dr Narulita Dewi SpKFR , Physical Medicine & Rehabilitation : Oral Motor Intervention

supported by

PICKY EATERS AND GROW UP CLINIC (Klinik Khusus Kesulitan Makan dan Gangguan Berat Badan)  GRoW UP CLINIC JAKARTAYudhasmara Foundation  GRoW UP CLINIC I Jl Taman Bendungan Asahan 5 Bendungan Hilir Jakarta Pusat 10210, phone (021) 5703646 – 44466102 GRoW UP CLINIC II MENTENG SQUARE Jl Matraman 30 Jakarta Pusat 10430, phone (021) 44466103 – 97730777 email : judarwanto@gmail.com narulita_md@yahoo.com http://growupclinic.com

WORKING TOGETHER SUPPORT TO THE HEALTH OF ALL BY CLINICAL, RESEARCH AND EDUCATIONS. Advancing of the future pediatric and future parenting to optimalized physical, mental and social health and well being for fetal, newborn, infant, children, adolescents and young adult
“GRoW UP CLINIC” Jakarta Focus and Interest on: *** Allergy Clinic Online *** Picky Eaters and Growup Clinic For Children, Teen and Adult (Klinik Khusus Gangguan Sulit Makan dan Gangguan Kenaikkan Berat Badan)*** Children Foot Clinic *** Physical Medicine and Rehabilitation Clinic *** Oral Motor Disorders and Speech Clinic *** Children Sleep Clinic *** Pain Management Clinic Jakarta *** Autism Clinic *** Children Behaviour Clinic *** Motoric & Sensory Processing Disorders Clinic *** NICU – Premature Follow up Clinic *** Lactation and Breastfeeding Clinic *** Swimming Spa Baby & Medicine Massage Therapy For Baby, Children and Teen ***
Professional Healthcare Provider “GRoW UP CLINIC” Dr Narulita Dewi SpKFR, Physical Medicine & Rehabilitation curriculum vitae HP 085777227790 PIN BB 235CF967  Clinical – Editor in Chief : Dr Widodo Judarwanto, Pediatrician email : judarwanto@gmail.com curriculum vitae  Twitter: @WidoJudarwanto http://www.facebook.com/widodo.judarwanto Mobile Phone O8567805533 PIN BB 25AF7035

We are guilty of many errors and many faults. But our worst crime is abandoning the children, neglecting the fountain of life.
Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider

Copyright © 2013, Picky Eaters and Grow Up Clinic, Information Education Network. All rights reserved


2 responses to “Welcome Speech

  1. Dok sebenarnya masalah makan anak kami masih normal karena beberapa menu kesukaannya selalu minta nambah, yg kami ingin tanyakan adalah masalah susu. Dari beberapa dokter yg kami kunjungi menyarankan memakai susu soya karena ada indikasi alergi susu sapi tetapi ada juga dokter yg melarang menggunakan susu soya karena ada bahaya jangka panjang. Mana yg benar Dok? dan kalo pakai susu soya selain NURSOY & ISOMIL anak saya tidak selera, masalahnya klo NURSOY labelnya hanya untuk usia 1 Thn dan jika pakai ISOMIL berat diongkos Dok.Apakah bisa NURSOY dikonsumsi terus sedangkan anak kami usianya sudah 2 Thn?


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