This can occur after prolonged enteral or parenteral feeding, vomiting or food anxieties in the family. It is associated with delayed weaning and autistic spectrum disorders.

Important features from history

• Prematurity, prolonged enteral feeds, intestinal failure, significant vomiting in infancy
  
• Patterns of family eating: eating together at a table, home cooking, snacking
  
• Other sensory aversion
  
• Parental anxiety and ‘force-feeding’ can exacerbate food aversion
  
• Family history of food aversion