My daughter wouldn't eat solid foods at all and at 18 months old I had a feeding evaluation done on her by an occupational therapist. She entered a feeding group for a couple of months, which sounds similar to the feeding class you took your son to. My daughter went into a room with other toddlers and was exposed to different foods, schedules, and sensory items to encourage eating. During that time, parents met with a nutritionist or child psychologist or another OT to help us manage our issues. It worked! What I learned includes the following (things I wished I had known when I had my first child that would've provided a better foundation for healthy eating habits):
- Experts say you can introduce a food to a child as many as 17 times before they will eat it. In OT we practiced this introduction in steps...touch the food, kiss the food, lick the food, bite the food (teeth marks were only required), eat (swallow) the food. We only encouraged one step at a time and celebrated each little accomplishment. For example, if I was introducing green beans for the first time, I would encourage her to just pick it up and if she did that, I would praise her and do nothing more with the green beans.
- Set a schedule. It's recommended that you have breakfast, snack, lunch, snack, dinner, snack. These should be scheduled and consistent each day. You set a timer and give the child that amount of time to eat. I think a 2yo can sit at the table for 10-15 minutes. When the timer goes off, remove the food and there is no other food until the next scheduled time. Even it your child refuses to eat, the expectation is to sit at the table for the designated amount of time. My daughter used to scream and throw food on the floor she didn't want to eat affecting the entire family's meal time. The OT had us move her high chair away from the table, but she was still expected to sit in the chair until she acted appropriately or until the timer went off. My daughter did not like being by herself and learned quickly what the meal time expectations were.
- Be patient. If you get frustrated, bribe, etc., your child has more power than you and will learn to use it. Your child knows and is entering the age to test his boundries and power. Don't stress.
- Check out a book called, "How to Get Your Child to Eat But Not Too Much" by Ellen Satyr. The book was originally recommended by my lactation consultant when I first started identifying the feeding issues with my daughter and was later recommended by my OT.
Good luck! I know this situation is challenging, but part of it is age typical. And, sometimes I think doctors worry too much about weight. I know too many children whose doctors worried about their weight, but God just made them small; nothing is wrong with them at all. Hang in there!