|Mar 04, 2009|
mom to 4 kids with probable
Dealing with Fundo, J tube feedings,Severe Dysmotility,Aspiration,Asthma,
Connective Tissue Disorder,
Visceral Hyperalgesia, and more
He will most likely take to full history and should order some testing, but may try some subtle changes first like med tweaks or formula changes to see if it will help before resorting to more testing.. As far as testing goes,I would say an endoscopy with biopsies should be done, also a gastric emptying scan, and possible a ph or impedence probe.Allergy Evaluation...Possibly some metabolic testing as well..so they dont shock you sometimes they also do an MRI/CT of the brain since he has no appetite(as precaution only because some neurologic impairments can cause lack of appetite). Sounds like he also may need evaluating for feeding therapy for aversion and GI will usually set it up. Dont feel bad,15 mg prevacid and reglan at 3 months certainly isnt unheard of or too high in terms of meds and dosages a baby with reflux may take.(at only 6/7 months my son took 60 mg a day!) An endoscopy will show if there is damage or not,if there is no damage the prevacid dosage is most likely fine.If there is damage, the dosage will need to be upped or switched to a different PPI.PH pprobe will also tell you if meds are working.If his weight continues to drop off the charts for several months after testing has been done and any treatment needed is begun, and the baby is dx Failure To Thrive and having complications like hospitalizations,supplemental tubefeeding may be discussed.
GI's handle a lot of feeding issues and reccomendations,but feeding therapists, and your ped, sometimes allergists may be involved as well. Brent is tubefed only, and only GI deals with his feeding. We deal with our GI several times a month,but that isnt the norm usually they see you every few months or longer, depending on the severity of the condition of the child and changes that are made