Hi,
my name is K. and I'm an occupational therapist who works with children and many of them are picky eaters. Your daughter may be a picky eater for a few reasons. Due to having a cleft lip and palate as well as the surgeries to repair this, both inside and outside of her mouth may be more sensitive to touch, texture and taste; or she could also be hyposensitive or not have good feeling, which can also affect her food choices. Also, due to the surgeries, she may be resistive toward anything invasive coming toward or in her mouth. Is she also resistive or sensitive toward brushing her teeth, washing her face, etc.? In addition, she may be experiencing difficulty with oral motor control, which is necessary for chewing, managing food in her mouth, and swallowing the food. Does your child have difficulty moving her mouth in order to articulate words correctly? When a child has feeding aversions, they are generally a result of either a sensory, oral motor, food allergies/ sensitivities,or learned behavior/ protective response. In order to more fully identify the reason for your daughter's picky eating habits, an evaluation by a speech language pathologist, who is familiar with feeding issues would be beneficial. Also, if the reason is more sensory related, an evaluation by an occupational therapist would be appropriate to assess her sensory skills.
Another recommendation that works well for several of my clients who are picky eaters is a whole food supplement called Juice Plus. It is made from 17 different organically grown fruits, vegetables and grains, that are juiced, dehydrated, have the sugar and salt removed and the powder is then made into a chewable or gummie for kids and put into a capsule for adults. It's a great way to get fruits and veggies on a daily basis and it's backed by medical research that indicates it balances/ improves the immune system, which is necessary to fight off illness. You're definitely on the right track by linking your child's poor diet to her frequent illness. If you're interested in getting more information about Juice Plus you can contact me at ###-###-#### or reply back to this e-mail.
Hope this information was helpful and if you have any questions regarding therapeutic strategies as well as supplements, don't hesitate to contact me.
Best of luck,
K. M. Sailer
Occupational Therapist