Inadequate calorie intake | Weight gain during refeeding | Inappropriate feeding technique | Disturbed mother/child relationship* | Inappropriate nutrient intake (eg, excess fruit juice consumption) | Factitious food allergy | Inadequate quantity of food | Inappropriate food for age | Neglect | No weight gain during refeeding | Psychosocial problems* | Maternal/infant dysfunction | Economic deprivation | Mechanical problems- adenoidal hypertrophy, dental lesions | Insufficient lactation in mother | Cleft palate | Nasal obstruction | Sucking or swallowing dysfunction (CNS, neuromuscular, esophageal motility problems) | Regurgitation (eg, gastroesophageal reflux disease) | Malformation | Congenital syndromes (eg, alcohol, pheytoin, drugs) | Genetic syndromes (eg, Turner syndrome) | Inadequate appetite or inability to eat large amounts | Psychosocial problems (eg, apathy*) | Cardiopulmonary disease | Hypotonia (eg, muscle weakness) | Anorexia of chronic infection | Immune deficiency diseases (eg, HIV infection) | Endocrine disorders (eg, hypothyroidism, diabetes insipidus) | CNS tumors | Genetic syndromes | Metabolic conditions (eg, lead toxicity, iron or zinc deficiency) | Anemia | Chronic constipation | Disturbance in appetite and satiety | | Inadequate calorie absorption | No weight gain during refeeding; increased losses | Psychosocial problems (eg, refeeding diarrhea, intercurrent illnesses, rumination, regurgitation)* | Malabsorption (eg, diarrhea [lactose intolerance, cystic fibrosis, cardiac disease, intestinal malrotation, IBS, milk allergy, parasites, celiac disease]) | Vomiting or "spitting up" or diarrhea (eg, gastroenteritis) | Intestinal tract obstruction (eg, pyloric stenosis, hernia, malrotation, intussusception, chalasia) | Biliary atresia/cirrhosis | CNS problems (eg, increased ICP [subdural hematoma]) | Chronic metabolic problems (hypercalcemia, storage diseases, and inborn errors of metabolism such as galactosemia, methylmalonic acidemia, renal tubular acidosis, diabetes mellitus, adrenal insufficiency) | Increased calorie requirements | Hyperthyroidism | Cerebral palsy | Malignancy | Chronic systemic disease (eg, juvenile idiopathic arthritis) | Chronic systemic infection (eg, UTI, tuberculosis, toxoplasmosis) | Chronic respiratory insufficiency (eg, bronchopulmonary dysplasia) | Congenital or acquired heart disease | Anemia | Toxins (eg, lead) | |