大米产品在美国儿童的饮食中无处不在，并且经常被用来增稠饲料，作为治疗婴儿胃食管反流病的一部分。然而，美国食品和药物管理局 2015 年的一项调查表明，它们含有不安全水平的无机砷。无机砷暴露与严重的健康问题有关，包括皮肤癌、肺癌和膀胱癌。由于与成人相比，砷与体重的比例增加，较小的儿童面临更高的风险，以多种方式威胁他们的发育。其他增稠剂提供了经济高效、更安全的替代品。通过这次交流，我们的目的是提高耳鼻喉科实践中对这一问题的认识，从而使我们了解儿科和胃肠道医学协会的最佳实践，这些协会建议不要使用大米来增稠饲料，而是提倡使用替代的天然增稠剂如小麦或燕麦片。© 2024 美国耳鼻喉科学会-头颈外科基金会。

Rice products are ubiquitous in the diets of American children and are often utilized to thicken feeds as part of treatments for gastroesophageal reflux disease in infants. However, a 2015 Food and Drug Administration investigation demonstrated that they contain unsafe levels of inorganic arsenic. Inorganic arsenic exposure has been linked to serious health issues including skin, lung, and bladder cancer. Smaller children are put at higher risk due to the increased arsenic-to-weight ratio compared to adults, threatening their development in multiple ways. Other thickeners offer cost-effective, safer alternatives. With this communication, we aim to raise awareness of this issue within the otolaryngology practice thereby bringing us abreast of the best practices of the pediatric and gastrointestinal medical societies who have recommended against the use of rice for thickening feeds, instead advocating for alternate natural thickening agents like wheat or oatmeal.© 2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.