|Jul 28, 2006|
Projectile VomitingI have a very cute 10 month old, who was born 14 weeks too soon! At five months of age Ian started refluxing. We tried all kind of formulas and medications, but they didn't work and Ian started to lose weight. My husband and I finally decided to do the G-tube. Ian has had G-tube for 5 weeks now and is gainnig weight. However, he still has projectile vomiting 2-3 times a day. He is on Prevacid and reglan, but I'm not sure how much they are helping. I am curious about what medicine combos have worked for other kids since we have an appointment with his GI doc next week. I just want to have some ideas to throw at his doc.
|Jul 30, 2006|
jan gambino burns
Jan Gambino, M.Ed
The Reflux Mom
P.O. Box 171
Mom to Rebecca: reflux and asthma, post nissen fundo, post g tube, post FTT and Jenna: reflux, asthma and POTS.
Author of Reflux 101: A Parent's Guide to Gastroesophageal Reflux.
G tube feeding ideasHello!
So sorry your little guy is having so many digestive problems. It is hard to say if there is a best combination of medications or treatments for that matter. Every child seems to need a different, custom approach.
I am wondering how you are using the g tube. when my daughter had a g tube, she could not tolerate a bolus-dump the formula down the tube and clamp. I had to use a feeding pump where I could adjust the speed that the formula dripped in. I found the rate and speed she could tolerate. If she had digestive problems: fullness, pain, etc I would stop the feeds or back up to a lower setting. I also found that she would get air trapped in her stomach. Before and after each feed, I would vent her tube. I placed her on her back and opened the tubing. A gush of air and sometimes stomach contents would come out. This brought a great deal of relief to her. I wonder if the vomiting is his stomach trying to get rid of trapped air or getting too full. Often a gi nurse or home health nurse can help with the mechanics of the tube. Also, the Oley Foundation has g tube support.
I wonder if a combination of medication and adjustment of rate and flow of food would help.
Other ideas I am throwing out...
I do know it is possible to thicken formula fed in a tube.
It may be important to keep him from moving around after a meal so he can digest. Some parents tube feed their active babies and then take a walk in the stroller so the food can settle.
Let me know if you want to chat some more.
|Sep 01, 2006|
baby quinn's mommy
Mom to a 3 year old baby girl with severe reflux: g-tube, nissen fundoplication. dx: RAD, failure to thrive, DGE, epilepsy, sleep apnea, paraesohphogeal hernia, high lactic acid there's more "unknown disease"... Hospitalized 12 times, PT graduate! ST graduate! OT graduate! Current Meds: singulair, zopeonex, pulmicort, reglan, Keppra, Trileptal, vitamin B6, Veramyst. Current weight: 34 lb. Current height: 39". g-tube dependent, oxygen 1-2LpM all day and night PIC: Ms. Quinn
|Hi, My daughter Quinn was not born premature, but she spent time in the NICU too. She is now seven months old and is falling drastically on the growth chart. she has only gained 2 pounds in four months. It is because she vomits her feeds too... sometimes projectile. You said that your son is 10 months old and has been on the G-tube for only 5 weeks? When did you figure that he needed the G-tube? We are trying to figure out what can help Quinn stop puking. She eats great, but can't keep much of it down. Our pediatrician recommended the Nissen Fundo surgery. I'm not so sure I want to go that route. Can you let me know what led you to the G-tube? I am asking because you said your son is now gaining weight. That's what we need Quinn to start doing. She is on Prevacid and Reglan as well and is taking the maximum amount of dosages for each. We have also gone through many differnent formulas with the winner being Nutramigen. I wanted to also add that we tried thickeners in her formula, but that caused horrible acid buildup and she couldn't throw it up causing severe pain. Could you help me out? I think a G-tube would be better than a surgery, but I need more information to go off that decision. Thanks a lot -Sarah||Check with your