Abnormal oral rest posture

Mouth breathing

Tethered Oral Tissues (TOTs)

Atypical swallow pattern (e.g., tongue thrust)

Picky eating/Limited Foods Accepted/Nutritional Issues

Drooling

Noxious oral habits (e.g., thumb/pacifier sucking)

Articulation issues

Dental issues (malocclusion, gum disease, orthodontic relapse, halitosis)

High/narrow palate

Airway issues: snoring, noisy breathing, congested, mouth breathing

Sleep issues

Changes in appearance

Emotional Issues

Open mouth at rest/lips apart

Tongue low/forward

High/vaulted palate

Forward swallow posture (tongue thrust)

Inappropriate feeding behaviors

Prior list of infant symptoms

Prior removal of tonsils/adenoids

PE tubes/Hx OME

Sinus issues

Tension headaches/migraines

Hyperactive/inattentive

Inappropriate feeding behaviors

Drooling

Articulation issues

Dental Issues

Airway Issues (snoring, drooling, noisy breathing, congested)

Noxious Oral Habits (e.g., thumb sucking)

Sleep issues: strange positions, restless, wakes tired, enuresis, oral habits

Allergic Shiners (under eye circles)

Open mouth posture/daytime mouth breathing

Neck/back tension/pain

Snoring at night/ mouth open posture/OSA/UARS

Speech/stuttering difficulties

TMD (jaw pain, clicking, popping)

Clenching/grinding

Dental issues

Digestive issues (constipation)

GER/D

Prior removal of tonsils/adenoids, PE tubes/Hx OME; sinus issues

Tension headaches/migraines

Hyperactive/inattentive

Inappropriate feeding behaviors

(gagging, choking, packing, expelling, vomiting, swallowing whole, refusing, grazing, picky, prior list of infant symptoms)

Sleep issues: strange positions, restless, wakes tired, enuresis, oral habits

Allergic Shiners (under eye circles)

Aerophagia; reflux, splits up a lot; gassy, colic, fussy, hiccups

Latch issues (shallow, pops off breast/bottle/pacifier)

Anterior milk loss

Gumming or chewing nipples (breast or bottle)

Penetration/aspiration

Poor weight gain

Makes clicking/smacking noise while eating

Excessive drooling

Gagging, choking on milk or popping off nipple to gasp for air

Combative behaviors, at risk for aversion

Lip/sucking blistering

Fatigue; falls asleep feeding; wakes often to feed (every 1-2 hours)

Airway: snoring, noisy breathing, congested, mouth breathing

Extended feeds

Baby prefers one breast over the other

Lipstick shaped, cracked, blistered, bleeding nipples

Incomplete breast drainage, plugged ducts, engorgement

Mastitis

Thrush

Discomfort while nursing, nipple shield required

Compromised milk supply