Children of all ages can present with feeding problems ranging from being a picky eater to wanting to eat only certain foods, certain textures, liquids rather than solids, solids rather than liquids, slow eaters and those with choking and gagging issues when they feed.
Sometimes feeding problems are due to a child's dietary preferences and other times might indicate an underlying medical problem such as aspiration (when foods, liquids or secretions enter the airway or lungs), swallowing problems, inflammation of the GI tract, anatomic abnormalities of the GI tract and motility (movement of food through the digestive system) problems of the GI tract. Motility problems may include celiac disease, delayed gastric emptying, eosinophilic disorders, GER and peptic ulcers.
It is reasonable to discuss your concerns about your child's eating problems with a health care provider. Depending on the clinical history, the provider may order additional testing and evaluation including a diet record, radiological studies such as upper GI barium study, video feeding study and upper GI endoscopy.