Home › Forums › Infant Reflux Support › HELP!!! › 2.5 year old refusing to eat
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July 11, 2007 at 4:34 pm #39021
Anonymous
InactiveHow much Duocal do you give him per day? Do you mix it with the formula? We were told to mix with rice cereal or baked potato (tolerate issues).
July 12, 2007 at 1:33 am #39044Anonymous
InactiveLori, neocate active has more calcium and iron in it. It also comes in blackcurrant and vanilla aswell as original. It is a product that is available in the UK. The neocate advance that James is on at the moment I think is equivalent to neocate 1+ so I am thinkiong that the neocate active may be the equivalent to neocate junior but not sure. It apparently has all the same ingredients as the neocate advance but just has more calcium and iron.
Brenda, James has 1 level tsp added to 7 oz of neocate advance 4-5 times a day. Some days it will be less because James is still having days where it is a struggle to get him to drink it. I suppose I should not complain though as at least his weight gain is good again now.
July 27, 2007 at 5:41 am #39942Anonymous
InactiveWe have not had James weighed for 2 weeks as it has clashed with other things unfortunately. We only need to have him weighed once a month at the moment anyway its just me that likes to keep a closer eye on things. James is seeing his consultant on Monday and hopefully the dietician will be there aswell. We are hoping to get things moving. My husband and I are going to push for an endoscopy with biopsies to rule out anything more serious as we feel this has been going on for far too long. After reading lots of information recently we really do feel that this is neccessary. Will update you after our appointment.
Brenda, how is Carson at the moment?KellyJuly 27, 2007 at 10:16 am #39956Anonymous
InactiveActually Kelly, I thought Carson was doing SO well! He turned 2 yesterday and he has had several good days in a row. I have been feeding him *dinner* which is not much, at 5 or 6pm. I then give him his Prilosec at about 9 and feed him a bit of rice cereal at 930. He has been sleeping well and not vomiting! I don’t think it is helping with his weight, but it is sure nice to have a *normal* acting child without worrying about vomiting all the time and our nights have been so much better! He had a party last night and ate late – and ate several times – and we had a screaming fit and wiggles until just past midnight – typical of Carson.
I wonder if he just needs to have an empty tummy when he goes to sleep. We go in a week from today (I think) and I am anxious to tell our doc what has been going on. He has been out of town for 3 weeks! It makes me think an emptying agent would work well for Carson if we did it just before bed.I am so anxious to try a new food with milk/soy. Do you ever get that way? I think it is too early but it would be SO NICE to be able to give him other foods! I think: what if he could tolerate something else now and I am not giving it to him? I am wasting time! I also think it could be to soon and it would set him back, so I just wait!Our doc also likes to only record weight at a month’s interval. He said it is more accurate to do it that way. It is hard to wait, tho. I hope you are having a good two weeks until you are weighed! I have told my husband about your little guy also – he says some day we are going to have chubby boys and we will look back and smile. I sure hope so!August 3, 2007 at 4:52 am #40418Anonymous
InactiveOk, here we go. James went to the hospital on 30th July and it was not his normal consultant. They explained that this wasdue to his appointment being changed even though I had said that we were to see the same person. The person we saw was a senior registrar(sp?). He asked lots of questions so that he had the full picture. He would not refer himfor an endoscopy as he had read on the notes that the consultant did not think it was needed at this point. He is looking into getting James refered to the feeding clinic though asthe dietician has not followed up on this. He also wants James to see a psycologist(sp?) as he thinks it would be of help. We have to ring back if we have not heard anything in 6 weeks time. So whilst they will still not refer for an endoscopy with biopsies at least they are getting things moving. At the moment I am unsure what to do. We don’t really have the money to go private for a consultation to get a second opinion at the moment which makes things more difficult. We could possibly ask my in laws to pay for it though, but though don’t seem to think the situation is as bad as it is. They have always dug their heads in the sand when it has come to James’s eczema, allergies and feeding issues.I think I will see what happens at the feeding clinic etc. I should at least give them a chance to help James now they are actually doing something. If we don’t hear anything in the time frame given then I can start mythering them again and also convinve my in laws that we do need to go for a second opinion.
August 3, 2007 at 7:03 am #40420Anonymous
InactiveIf you have options for feeding therapy, I would look for someone who uses a behavioural approach with an understanding that the feeding aversion stems from reflux (i.e. generally an SLP or an OT trained in feeding therapy). I personally prefer this to a psychological/psychiatric approach- with us, they took the approach that Hailey’s feeding problems were due to me trying to “force feed” her at some point early on…. not true! We found that the right approach made all the difference. Good luck.
August 3, 2007 at 12:57 pm #40439Anonymous
InactiveI am so sorry you are still going through this. I was hoping James was getting better. I know it is so difficult to have an older child and thinking – why can’t my little boy just eat and be healthy?. It is so hard. Big hugs to you. I would think it would be better to find someone who feels that James has reflux and MFPI and DUE to those conditions, he now has a feeding aversion. That is what our GI Peds specialist says. As moms, we have a huge job in trying to get our LO’s to eat = it shouldn’t be that hard, but it IS. But, to have a doc who says that the reflux and MFPI are causing the aversions – that took a lot of weight off my shoulders. You are doing everything you can. It is just so very, very difficult.
Carson sees our specialist and he has a few other docs that he sees who then report back to our Peds Gi Spec. I have found – purely by mistake – if you ask clinics and hospitals and possibly private doctors, they will work on a sliding scale. One place had me fill out a finantial form. I just printed a month out from our Quicken on the computer and they give us free visits due to the expense of Neocate, meds and prior hospital bills. Whine a little bit
and tell them of your situation, your expenses and they may give you a break. It may not be much, but maybe worth a try. I’ll go to KWFA also. Big hugs to you!!!August 6, 2007 at 3:23 am #40556Anonymous
InactiveThank you for the replies. We really want to get a second opinion but as we don’t have the money at the moment it is difficult. My in laws said that we should wait and see what happens at the feeding clinic first.
September 4, 2007 at 6:35 am #42139Anonymous
InactiveWell we have been on holiday for 3 weeks staying with relatives so was low cost. We are now back and it is time to face reality. I am trying to gather information and find a specialist that has dealt with children like James before. Then I will make an appointment with the GP to try and get a referal for a second opinion.
September 8, 2007 at 4:47 am #42331Anonymous
InactiveWe had an appointment on Friday with the pars GP to get a referal for a second opinion. It was a complete waste of time. We went in and explained how James was still only having the neocate advance and eating raisins. How he looked frightened if you even attempted to give him anything else. How on the odd occasion that James had tried anything different that it would usually end up in him screaming in pain at night pulling at his stomach, mucousy nappies and an eczema flare. First of all the paed Gp did not believe that was all he was having and said that on the last letter from the hospital (which he read off the computer whilst I was there) it did not state that James needed to be on such a restricted diet. I said I know that but James will not eat anything else. He then suggested to give him toast with butter and a soft boiled egg as most children love this. I then stated that James is allergic to egg, wheat and dairy and whilst we can get safe bread and a safe sunflower spread James will not even touch it so no chane of him eating it. He then suggested to keep a food diary as this would help to find the foods that he reacts to, like we have not done this before. I then stated that all it would consist of is food that he is offered and then taken away as he will not eat it and neocate and raisins of course. He then asked what I would like him to do as he is not a specialist and I explained that we wanted a referal for a second opinion. I gave a list of hospitals that had allergy specialist and GI specialists. He said that he would not consider refering James at this point until we have had the next appointment with James’s consultant and explained the whole situation otherwise we could upset the consultant as he has been seeing James for a long time now. I responded by saying that he has done a lot for James when it comes to his eczema but nothing seems to be being done to help James atthe moment. After a long talk he said that he will refer James after the next appointment if we still feel nothing is being done to help but it would be to another paediatric consultant as he feels that they are specialised enough to deal with situatins like this. Well in James’s experience so far that is certainly not true. In a couple of months we should have more money coming in so will be able to pay for a private consultation for James to try and get things moving. I just felt so fustrated, annoyed and completely let down by the nhs after the appointment. This should certainly not be the case when a child is concerned.
September 8, 2007 at 12:04 pm #42342hellbennt
Keymasteroh my goodness I feel so frustrated for you!!
can you write a letter to a politician? a local person to appeal to with your story? how about notifying the news?!!!is their a local paper?anyone?I wish I knew someone to help you!!!!can dr philips help? maybe there’s someone in a teaching type hospital that he knows???I would certainly contact him, as he might have connections?oh how you must feel!!!!September 8, 2007 at 12:15 pm #42343Anonymous
InactiveOh Kelly, I was hoping things were better. I had really hoped that you would get your referal at this last appointment – as this doc isn’t giving you any help with the allergies/eczema. Poor James. and you must be so frusterated. I think I would become a *pain in their side* so that they would give you the referal just to get rid of you. I wouldn’t have suggested this as your situation is different than ours in the US but now I don’t know which other way you have to go. They clearly aren’t taking you seriously. I also follow this on the KWFA and will see what they suggest there also.
Carson still has issues but he is eating more foods than he previously was and the Erythromycin is doing wonders for his appetite. It is truly time for James to take a good corner and start to be able to eat other foods – although without allergy testing I would be scared to give him other foods – it is such a horrible ordeal.I send you big hugs across the miles. You may have to get ugly with your now doctor and begin to call every other day. I don’t know what else to do. You have been through it all with little James. It is time they helped you.September 8, 2007 at 12:16 pm #42344Anonymous
InactiveKelly, what did James weigh?
September 9, 2007 at 2:26 pm #42377Anonymous
InactiveKelly
WOW – is all i can say… sounds like a nightmare, what you have been going through. You have to deal with your son + the doctors… as if you did not have enough taking care of your little one.I have no experience with the UK system but there are a couple of moms in another forum that are from the UK. the forum is http://www.parent-2-parent.com/forumThere is a welcoming sub-forum but there is also a feeding and aversions forum where i post often. People over there deal with aversions similar to yours and there are great ideas, therapy recommendations etc.I read your post yesterday so bear with me…there is a mom called Caroline (i think that is her username in the other forum) that is in the UK… maybe search her and see if you can make contact with her. She ended up taking her daughter to a feeding clinic in Germany…Katiesmum is wonderful too — her daughter has several disabilities and i am sure she is really knowledgeable about the system there! Maybe she can offer some ideas/suggestions…Apart from that, there are moms with older kids but someone will direct them to you if you ask for UK help.Anyway — i second what others have said re ped GI and allergist…. hopefully those moms have some suggestions about how to bypass the system?!It seems like your son’s oral skills are not age-appropriate (if i can say so, i am no speech pathologist). But my son is 2 and we are mainly on purees as well. MAtthew could chew raisins, no problem. But raisins are easy… they do not separate into tiny pieces and require little chewing… at least that is what we have been told. So i would think you also need some help on oral motor issues. Matthew is now willing to eat but he cannot and if we offer something hard for his skills, he will gag and cry and vomit… he has got better at knowing what he can handle, but it has taken us a long time to get here and several therapies and a stay at Kennedy Krieger, at their feeding clinic, so i have no idea how they expect you to deal with what you are dealing with on your own.You know, a while back i had some books written by UK speech pathologists… they are in the attic but will try to find them. I have found out that some of those therapists, at least here in the US, are really willing to help via email, give suggestions etc.Anyway — i have to go soon but will be around. PM me if you want but i would consider posting in the other forum… will give you some stuff to do to desensitize mouth etc if you want… browse through the other forum… we all use the same techniques.September 10, 2007 at 4:25 am #42400Anonymous
InactiveBrenda, James weighs 27lb 7oz so his weight is good at the moment when you look at the charts.
Matthewmama, thank you for the website will have a good look at that and post James’s situation on there and see what information we get.Kelly -
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