(1) Background: Pediatric dysphagia presents significant nutritional challenges, often
impacting growth and development due to reduced oral intake, increased nutritional needs, and
gastrointestinal complications; (2) Methods: This prospective quasi-experimental study assessed
117 children under 14 years old (20 patients were under 1 year old, 80 were aged 1–7 years, and 17
were older than 7 years), diagnosed with swallowing disorders, to analyze their caloric, macro-, and
micronutrient intake and identify potential deficiencies. The severity of dysphagia was established
using functional oral intake scales, and dietary records were reviewed over a 3-day period; (3) Results:
The study revealed that 39.8% of participants did not meet their total energy expenditure (TEE),
highlighting a high prevalence of malnutrition among these children. Furthermore, patients using
feeding devices exhibited a significantly lower caloric intake, and over half required significantly
modified food textures. After individualized speech therapy and nutritional rehabilitation, partici-
pants showed significant improvements in caloric intake, with their energy coverage increasing from
958% to 1198% of the daily requirement. Rehabilitation also improved tolerance to a broader range
of food textures; (4) Conclusions: This research underscores the importance of multidisciplinary,
individualized nutritional strategies to address the specific challenges of pediatric dysphagia, empha-
sizing the role of enteral nutrition and therapeutic interventions in improving the quality of life and
nutritional outcomes of these children. Further studies are recommended to assess the long-term
impact of such strategies.
