FD is prevalent in children with EGIDs often presenting as maladaptive learned feeding behaviors with altered mealtime dynamics and physical difficulties in eating mechanics. FD can persist even after eosinophilic inflammation is successfully treated. Awareness of the increased prevalence of FD in children with EGIDs with enable earlier recognition of this problem, resulting in a comprehensive, individualized treatment plan with the desired outcome of improving the development, feeding, and nutrition of these children.

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As a selected group of children with uncomplicated GERD or EoE were without nutritional deficiencies but had maladaptive feeding, providing anticipatory guidance to minimize mealtime challenges, monitoring for improvement, or referring to a feeding therapist, may be beneficial. A trial of food allergen restriction may provide additional benefit for those with EoE.

Feeding dysfunction is a frequent presenting symptom of eosinophilic esophagitis (EoE). Here we present 3 children of various ages whose manifestations of EoE associated feeding dysfunction led to significant and life altering impact on their growth and development. Early identification of presenting symptoms of EoE will allow for prompt diagnosis and initiation of appropriate treatments. Recognition of salient features of dysfunction and treatment by feeding therapists and nutritionists led to symptom resolution and growth.

Feeding disorders are increasingly being recognized in children with food allergy. For some children, symptoms of feeding dysfunction may persist after allergens are removed from the diet secondary to learned associations with food and discomfort and reinforcement of maladaptive feeding behaviors. Many food allergic children require care from a multidisciplinary team of specialists, which includes allergists, gastroenterologists, mental health professionals, and feeding specialists. Early referral for feeding assessment by a pediatric feeding specialist can be a critical component of the food allergic child's care. This article reviews and discusses the recent literature regarding feeding disorders in food allergic children. A literature review was conducted using the PubMed database for English language articles published between January 1980 and February 2010. Additional information was obtained via review of recent textbooks and review of the general information web page of several established pediatric feeding programs.

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