Posted By Posting
May 30, 2010
diana
questions on bolus feedings
I have a question for anyone who has lots of experience with bolus feedings. My daughter is just starting to do bolus feedings. She went from a GJ tube to a G tube last month and we are starting to try bolus feedings 75mls twice a day. I have been using a syringe with the help of gravity but it's hard to keep a 2 1/2 sitting still for 30 minutes while I do this. Can anyone tell me how to do this. I am suppose to work my way up to 90mls over the next two weeks. Can you push this volume in over 30 min. or can you use a gravity feeding bag or can I use her feeding pump? I have found info online about letting gravity and a syringe but I also saw some info on pushing formula in. Any help would be much appreciated.
May 31, 2010
jeddsmommy
Jessica, Mommy to Jedd, severe reflux, severe food and oral aversions, Finally G tube free!!! VSD repair 4-24-07 (open heart surgery), hypospadias, repaired 3 times and Ear tubes Visit Jedd at his CB site: www.caringbridge.org/visit/jedd
You can normally do it whatever way the child is most comfortable. With Jedd we had to use a pump.....then we were able to move to syringe gavage feedings (via syringe held in the air)

If you want to do it with a syringe you would need to set her in the high chair. That's what we did with Jedd. We gave him oral motor tools to chew on while we did it. This helps associate being "full" with oral stimulation. A BIG deal for tube fed kids.

Do you have bags already for night feeds??? If she just won't stay still for that long no matter what you do as she is in the high chair, you can set the pump, put it in the backpack and let her run about the house while she gets fed. Worked for us for a bit and when we had to do feedings on the run without a high chair.

We have also done "pushing in" of formula. You just have to be careful because if you push it in too fast, the child can get sick. That's why it's always nice to use a pump, it's slow and steady and much easier on the belly.

It's good news that you have been able to move from GJ feeds to G feeds though, that is just great!!!

I'd keep it slow like you are doing though. The stomach is a muscle and by doing GJ feeds, depending on how long you did them, it makes the muscle of the stomach shrink from non use. It's not permanent but can take time for it to be able to stretch again.

Good luck, let me know if you have any other questions.

Check with your
doctor first!