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My son, he's almost eleven, is a high functioning aspie who's almost 5 feet tall, very thin boned, and weighs about 55 lbs. The doctors (and his mom and me) are getting concerned because he's actually lost weight over the last few months, instead of gaining it. He's been checked for cilliac disease (via a slightly invasive stomach lining biopsy!) and wheat and milk allergies, but has shown negative (he hasn't had any diarrhea problems, in fact the opposite). The GI specialists says this is typical for Aspergers, and may end up putting him on a feeding tube from time to time! He's on medadate (and yes I don't like it, but I've seen his school and social functioning with and without, and concede that that it does help, at least for now)and has also asthma, but is otherwise healthy.
He's a great and generally cooperative kid, who will sometimes try new foods, but sticks to his fav's like cheese pizza, chicken fingers, fish sticks, pasta with Alfredo, cheese, hot dogs, etc. a very mid-western starch and protein kind of diet, with some brocolli and carrots now and then, plus cheetos, ice cream, and some chocolate. He doesn't eat fruit (ever), or lettuce and tomatoes, and it's a chore to get him to eat lunch, even though we pack it. When he's with me, it seems he eats enough that he shouldn't be losing weight, usually breakfast (waffles) and a snack or two plus a decent amount of dinner. His mom says she was the same way and build when she was young, but doesn't remember losing weight (except once when she was very sick), but had far less medical attention and wasn't diagnosed an aspie until after he was. So my theory is that he's not absorbing as much of his food as he could, perhaps because of some nutritional deficiency or related condition.
Does anyone have any experience with this? I'm open to anything that has even a vague basis in science or empirical efficacy. Most of the alt medical posts you read online say no wheat or milk, that it's bad for ("or even the cause of") autism/aspergers, but what am I to think when the standard medical tests show negative on those, and studies with a GFCF (gluten free casein free) diet don't show any corroboration of the claims, except in unscientific single-blind studies, and single patient testimonials? There are also some studies that point out that thin boned children lose even more bone thickness when you take them off of milk. So generally what I'm looking for here is not the web-viral hear-say alternative cures that are all over, but some real experiences with approaches, supplements, etc. that might improve either his appetite and or food absorption. Any info or leads on this would be greatly appreciated, thanks
He's a great and generally cooperative kid, who will sometimes try new foods, but sticks to his fav's like cheese pizza, chicken fingers, fish sticks, pasta with Alfredo, cheese, hot dogs, etc. a very mid-western starch and protein kind of diet, with some brocolli and carrots now and then, plus cheetos, ice cream, and some chocolate. He doesn't eat fruit (ever), or lettuce and tomatoes, and it's a chore to get him to eat lunch, even though we pack it. When he's with me, it seems he eats enough that he shouldn't be losing weight, usually breakfast (waffles) and a snack or two plus a decent amount of dinner. His mom says she was the same way and build when she was young, but doesn't remember losing weight (except once when she was very sick), but had far less medical attention and wasn't diagnosed an aspie until after he was. So my theory is that he's not absorbing as much of his food as he could, perhaps because of some nutritional deficiency or related condition.
Does anyone have any experience with this? I'm open to anything that has even a vague basis in science or empirical efficacy. Most of the alt medical posts you read online say no wheat or milk, that it's bad for ("or even the cause of") autism/aspergers, but what am I to think when the standard medical tests show negative on those, and studies with a GFCF (gluten free casein free) diet don't show any corroboration of the claims, except in unscientific single-blind studies, and single patient testimonials? There are also some studies that point out that thin boned children lose even more bone thickness when you take them off of milk. So generally what I'm looking for here is not the web-viral hear-say alternative cures that are all over, but some real experiences with approaches, supplements, etc. that might improve either his appetite and or food absorption. Any info or leads on this would be greatly appreciated, thanks
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Re: Aspies and eating (again)
Fri, August 8, 2008 - 5:20 AMin all freaking seriousness? Starve him till he eats fruit. I don't know maybe hes too thin to take any kind of serous shock, but the real issue
in my opinion is you are letting him eat junk and using aspergers as his excuse.
Its true aspies can be finicky, but that doesn't mean you play to it, you have to be firm.
The other thing is don't underestimate the hyper rational approach.
"your body needs fuel. What kind of fuel should we give it? Lets study nutrition together."
Aspies respond better to information than to chiding and hoops and "do as i say because i say so."
Thats the reverse of most kids who don't have the capacity probably to learn the relevant info.
Reverse some of this and put it in his lap by really flooding him with information.
The other thing is interuption reminders and focus on eating. Living in basement universes its easy to forget one has a body to tend to.
Freindly reminders to come back to it can be more helpful than NTs might otherwise realize. And when he is eating or when its time for the family to eat, don't have the TV on and don't let him bring toys to the table. Total focus. "This is the food you have to eat. Its 6 pm. you can spend two hours sitting here until you eat it all or its time for bed, or, you can eat it and go back after to your basement universe."
Severity and mercy. Its a balance. Don't let yourself be too nice or too pushed over.
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Re: Aspies and eating (again)
Fri, August 8, 2008 - 12:49 PMIn addition to the good suggestions above, I would say try to figure out WHY he doesn't like fruit and other basic healthy foods. It may just be the texture of it, or he got squirted in the eye once, or certain flavors that he doesn't like. I can remember ruling out entire classes of foods based on one bad experience with something being prepared with vinnegar or what have you. I'm 35 and only now learning to tolerate a few mushrooms baked into something. I used to refuse to eat anything with any sort of peppers - now I know that's it's just the squishy cooked ones that I don't like biting into. Dice them up and I love them! Especially jalepenos. He may not be able to verbalize what the problem is at first - start simple and keep prodding him to just try a little bit of something and tell you what he doesn't like. Sometimes it will be something you can fix.
Schedules and consistent rules can also be good. Make him know that he needs to eat a certain amount of food at particular times each day and can't do other things he wants to until he finishes.