Guest: Dr. Richard Noel, MD
Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=The-Medical-Domain-of-Pediatric-Feeding-Disorder
In this episode, Dr. Richard Noel joins the discussion to shed light on Pediatric Feeding Disorder (PFD) and its medical domain. Dr. Noel shares his journey to becoming a pediatric GI specialist and explores the critical components of managing PFD. Key topics include the importance of growth and nutrition, management of upper GI tract issues, and the significance of airway and lung concerns. Dr. Noel also addresses common misconceptions about reflux in infants and the use of various appetite stimulants such as ciproheptadine and mirtazapine. Viewers will gain valuable insights into constipation management, the role of scheduled toileting, and the importance of multidisciplinary care in treating PFD. The conversation underscores the need for better medical understanding and care strategies for children with PFD.
Timeline:
00:00 Introduction and Guest Welcome
01:41 Journey to Becoming a Pediatric Gastroenterologist
05:32 Understanding Pediatric Feeding Disorders
06:51 Medical Domain of PFD: Key Considerations
08:24 Addressing Nutritional Concerns
14:17 Managing Constipation in PFD
21:39 Behavioral Strategies for Feeding
23:36 Family Involvement in Feeding Therapy
26:04 Family Routines and Feeding Therapy
26:47 Medications for Appetite Stimulation
27:03 Ciproheptadine: Uses and Effects
31:18 Mirtazapine: An Appetite Stimulant
34:49 Megastrol: A Powerful Appetite Stimulant
37:07 Managing GI Issues in Children
38:03 Reflux and Vomiting in Infants
43:09 Cyclical GI Disorders: Abdominal Migraines and More
47:20 The Role of Multidisciplinary Teams in Pediatric Care
48:56 Challenges in Pediatric Feeding Disorder Education
53:46 Advocacy and Access to Multidisciplinary Care
About the Guest: Dr. Richard Noel was born in Mexico City and grew up in San Antonio, TX. He has MD/PhD degrees from the University of Texas Southwestern Medical Center in Dallas and did a residency in Pediatrics at Wake Forest University in NC. He trained in Pediatric Gastroenterology at Cincinnati Children’s Hospital Medical Center, where he developed an interest in working with children with pediatric feeding disorders. He worked for 10 years at the Children’s Hospital of Wisconsin with Dr. Colin Rudolph and then transitioned to Duke University, where is currently Division Chief for Pediatric Gastroenterology, Hepatology, and Nutrition.
Watch this Interview on YouTube: https://youtu.be/NVGPdIzfobs
Mentioned in this episode:
Nourishing Connection: Trauma-Informed Feeding Therapy a course from Erin Forward
This comprehensive course supports you in providing authentic, trauma-informed feeding therapy for neurodivergent and medically complex clients. Through 18 hours of ASHA CEU credits, you’ll engage with a weekly live lecture (that can be rewatched as a recorded version) plus dedicated office hours for additional questions if you’re unable to join live. You’ll gain access to a supportive group for ongoing discussion and receive a 50+ page ebook filled with valuable resources, including a goal bank. Explore the key principles of mealtime literacy—connection, comfort, and curiosity—designed to help children engage with food in a way that respects their individuality. Scroll down for a detailed topic breakdown and start building your confidence in a flexible, child-centered approach to feeding therapy. Learn more/sign up: https://www.erinforwardslp.com/courses