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