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NidoMed

Nido Family Center – comprehensive medical care for children and adults in Kraków.

+48 577 550 025[email protected]

ul. Władysława Żeleńskiego 86, 31-353 Kraków

Pon-Pt: 8:00 - 19:00

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Nido Family Center in Kraków

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Feeding Therapy

Assessment and therapy for feeding difficulties in infants and children. Support for food selectivity, food refusal, and sucking problems.

Book appointment+48 577 550 025
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Price

250 zł – 280 zł

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Duration

45-60 min

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Who for

Children & adults

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Referral

Not required

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  • ADOS-2 — Autism Diagnostic Assessment→
  • Feeding Therapy
  • Frenotomy (Tongue-Tie Release)→
  • Orthopaedics→
  • Osteopathy→
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  • Sensory Integration Therapy→
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Feeding Therapy

What is feeding therapy

Feeding therapy is specialist work with infants and children who have difficulties with food intake. It may involve problems with breastfeeding or bottle-feeding, transitioning to solid foods, food selectivity, food refusal, or gagging during meals.

At NidoMed, feeding therapy is provided by speech-language pathologists with additional training in clinical feeding. We work with the full picture: we assess not only feeding technique, but also orofacial muscle tone, oral anatomy (frenulum, palate), reflex integration, sensory development, and the child's posture during meals.

When to consider feeding therapy

  • Your infant has difficulty latching onto the breast, keeps slipping off, feeds for a very long time, or feeding is painful for the mother.
  • Your infant is not gaining sufficient weight.
  • Your child gags on solid food or refuses food of a certain consistency.
  • Your child eats only a few foods (food selectivity) — refusing new flavours and textures.
  • Your child vomits during or after meals (beyond reflux diagnosed by a paediatrician).
  • Mealtimes have become a source of stress for the child and the family.
  • Your child was born prematurely and needs support learning to eat.

What to expect

Feeding therapy is work with the child, but also with the parents. The therapist demonstrates techniques, explains the underlying mechanisms, and guides parents step by step. Sessions may include a meal (the child eats during the visit while the therapist observes and corrects) or may be purely diagnostic. For infants, the therapist assesses sucking directly and may suggest techniques to facilitate feeding on the same day.

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Content verified by: Marta Karwot-Pięta · 10 February 2026

What to expect during the visit

1

Parent interview

The therapist asks about the course of pregnancy and birth, feeding history, current diet, the child's behaviour during meals, and previous attempts at diet expansion. Important: bring the child's health booklet, any test results, and a description of a typical feeding day.

2

Feeding observation

The therapist observes feeding under conditions similar to home: how the child takes food, their posture, and how the tongue and jaw work. For infants — observation at the breast or with a bottle. For older children — a meal brought from home.

3

Orofacial assessment

Examination of facial, tongue, and jaw muscle tone. Assessment of frenulum function (tongue range of motion, elevation, lateralisation). Assessment of reflexes (sucking, swallowing, biting). This is a non-invasive, hands-on examination.

4

Therapy plan and techniques

Based on the observation, the therapist presents a plan: what is causing the problem, which techniques to use (orofacial stimulation, oral muscle exercises, sensory desensitisation, positioning changes), and what parents can expect in the coming weeks.

Pricing

ServicePrice
Neurologopeda wizyta (terapia)250 - 270 zł
Neurologopeda wizyta (diagnostyczna)260 - 280 zł

Full pricing available on our pricing page.

Who is this service for

Newborns and infants with breastfeeding difficulties

Latching problems, painful feeding, slipping off the breast, low milk transfer. Assessment of sucking and orofacial tone.

Bottle-fed infants with feeding problems

Gagging, milk leaking from the mouth, bottle refusal, excessively long feeds.

Children transitioning to solids (BLW / spoon-feeding)

Gagging on solid food, strong gag reflex, difficulty progressing from smooth to lumpy textures.

Children with food selectivity

Limited diet (only a few accepted foods), fear of new products, sensory difficulties with food.

Premature infants

Immature sucking and swallowing reflexes, suck-swallow-breathe coordination, difficulty gaining weight.

Children with ankyloglossia (tongue-tie)

Functional frenulum assessment, pre- and post-frenotomy work, restoring proper tongue function.

Children with sensory processing difficulties

Hypersensitivity or hyposensitivity affecting acceptance of foods with different textures, temperatures, and tastes.

Indications

  • Difficulty latching onto the breast
  • Painful breastfeeding (for the mother)
  • Feeding lasting over 40 minutes without effective transfer
  • Poor weight gain in an infant
  • Gagging and choking during feeding
  • Milk leaking from the mouth during feeding
  • Breast or bottle refusal
  • Difficulty transitioning to solid foods
  • Strong gag reflex when introducing new textures
  • Food selectivity — child accepts fewer than 20 foods
  • Food refusal or mealtime anxiety
  • Vomiting during or after meals
  • Difficulties with biting and chewing
  • Excessive drooling beyond 2 years of age
  • Suspected tongue-tie or lip-tie
  • Feeding difficulties in premature infants
  • Feeding requiring special positioning or equipment

Contraindications and limitations

  • Active oral infection (mouth ulcers, cold sores) — therapy after symptoms resolve
  • Child vomiting blood — requires urgent paediatric consultation before therapy

When to seek urgent medical help

  • Suspected gastrointestinal obstruction (persistent bilious vomiting, distended abdomen, no stool) — urgent paediatric consultation or emergency department
  • Severe breathing difficulties during feeding (cyanosis, apnoea) — urgent paediatric consultation
  • Weight loss in an infant with signs of dehydration (dry mucous membranes, reduced wet nappies, sunken fontanelle) — urgent paediatric attention

Therapy goals

  • Pain-free and effective breastfeeding
  • Proper suck-swallow-breathe coordination
  • Appropriate weight gain
  • Safe transition to solid foods
  • Reduced gagging and choking
  • Expanded diet for a selective eater
  • Reduced mealtime stress (for child and parents)
  • Improved oral muscle function (tongue, lips, jaw)
  • Age-appropriate speech development (as a secondary benefit of improved orofacial function)

Realistic expectations

  • Latching difficulties in a newborn — improvement often after 1-2 sessions with positioning techniques.
  • Gagging on solid food — improvement within 3-6 weeks with consistent work.
  • Food selectivity — the process takes months. New foods are introduced gradually, without pressure. The outcome is expanding the repertoire by a few foods per stage of therapy.
  • Feeding after frenotomy — improved tongue function noticeable within 1-2 weeks post-procedure, if accompanied by therapy.
  • Results depend on: consistency with home exercises, parental cooperation, and any co-existing issues (reflux, food allergies, sensory difficulties).

When to consider a different consultation

  • If the child is not gaining weight and you suspect a metabolic or gastrointestinal problem — start with a paediatrician.
  • If feeding difficulties stem from muscle tension or asymmetry — consider infant osteopathy (at NidoMed we combine these approaches).
  • If the child has speech difficulties, not just eating problems — consider a speech-language pathology consultation.
  • If the frenulum is clearly restricted and limiting function — consider a frenotomy at our clinic.

Frenotomy (Tongue-Tie Release)

Frenulum release procedure, often combined with feeding therapy

Osteopathy

Working with infant tension and asymmetry to support feeding

Sensory Integration Therapy

For sensory-based food selectivity

Ultrasound (USG)

Infant hip screening during a visit to the clinic

Want to book an appointment?

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Frequently asked questions

When should I seek feeding therapy?
As early as possible when you notice a problem. For breastfeeding difficulties with a newborn — even in the first days after birth. The sooner a therapist assesses the situation, the quicker effective solutions can be implemented.
How many sessions will be needed?
Simple latching problems in an infant — often 1-3 sessions. Food selectivity in an older child — a process lasting weeks or months, with sessions every 1-2 weeks. The therapist establishes a plan after the first meeting.
What should I bring to the appointment?
The child's health booklet. For breastfeeding — simply come with the baby (a live feed will be observed). For older children — bring a meal from home (both something the child normally eats and something they refuse). Comfortable clothing for the child.
Is feeding therapy painful for the child?
No. The orofacial examination and exercises are non-invasive. The child may protest because touch around the mouth can be unpleasant (especially with oral sensory sensitivity), but the therapist works at the child's pace.
Is food selectivity just "fussiness"?
No. Food selectivity has a sensory, motor, or anxiety-based foundation. It is not a parenting issue — the child does not refuse food out of defiance. Therapy helps to understand the cause and systematically expand the diet.
Do I need a referral?
No. You can book directly. If the child is under the care of a paediatrician or gastroenterologist, please bring test results and recommendations.
How does feeding therapy relate to frenotomy?
If the therapist determines that a restricted frenulum significantly limits tongue function and affects feeding, they may recommend a frenotomy. Feeding therapy then includes preparation before the procedure and post-procedure work to help the tongue learn new movement patterns.

References

  1. Arvedson JC, Brodsky L. "Pediatric Swallowing and Feeding: Assessment and Management." 2nd ed. Delmar Cengage Learning, 2002.
  2. Geddes DT, et al. "Tongue movement and intra-oral vacuum in breastfeeding infants." Early Hum Dev. 2008;84(7):471-477. PMID: 18262736 [link]
  3. Cordray H, et al. "Quantitative impact of frenotomy on breastfeeding: a systematic review and meta-analysis." Pediatr Res. 2024;95(1):48-57. PMID: 37608056 [link]
  4. Morris SE, Klein MD. "Pre-Feeding Skills: A Comprehensive Resource for Mealtime Development." 2nd ed. PRO-ED, 2000.
  5. World Health Organization. "Infant and young child feeding." WHO Fact sheet, 2021. [link]

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