Home › Forums › Feeding Issues › Tube Feeding › Update on Kendra
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March 23, 2007 at 4:43 pm #28295AnonymousInactiveHi all,
i’ts been quiet a while since i visited the site. I bet i missed a lot!We have had quite a week. We went to see the Ped GI last wesnesday and we left dissapointed. I really had high expectations; It might sounds unrialistic i know, but i was really hoping Dr. A will be solving all Kendra’s feeding problems. He took a look at Kendra and told us the same thing our ped has told us: “she has a severe oral aversion”. He wrote us a prescription for OT/SP and I left defeated and descorouaged. i had pesimistic thoughts for while “My baby is just going to have this feeding problems for ever”.
We came home and the next day (thursday March 15th) took our older dd to Disney for her 5th birthday as we have promised her before Kendra was born. It was a VERY stressful trip b/c of kendra’s feeding issues, but we manage to make it fun for Melanie. We came home early monday morning and kendra was sick with a cold and was drinking less and less. took her to the ped and found out she has lost 7 OUNCES in 4 days! i broke down in tears at the ped office. I just felt so upset. It takes us about a month to get her to gain that much, and she lost it in 4 days!
I think it wa good i cried (even though it was not intentionally) b/c the ped really paid attention to Kendra feeding problems at that point. She ordered all kind of test including allergy test (celiac, and other wird ones) and refered us to an allergist (we go to see him April the 11th). Some of the test came back negative and some she said the allergist will be discussing with us in our apppointment.
Since kendra has lost so much weight and there was no WAY of making it up, she admitted her to the hospital and placed a NG tube in. They told to stop the Breast milk and started her on pregestimil ( iam still pumping until i know for sure there is a severe allergy problems). While in the hospital they fed her every three hours around the clock. The poor thing was exhausted from no sleep and terrified of the nurses and doctors who came in to see her. She looked a t me every time , like “mommy who are these people and what are they doing? so sad. We were in the hospital for two days and while there i was taught how to feed my baby through a NG tube. Never in my wildest dreams, i thought i would be doing something like that with my child.
I know is not the end of the world and i am thankful that she can get some nurishment some how, but i was really hoping she would get better. We are meeting with a Pediatric Surgeon next wesneday to discuss a G-Button, since her feeding aversion would take time to overcome. So there is where we stand now. We have a NG tube and we start OT hopefully Tuesday, just to work with her sensory problems, but not food until they place the button.i guess i have lost of questions for all those brave moms who children get their main nurishment thorugh tube feeding.
1.What’s the best button to get placed (Bard, Mickey)?
2.i am sure the Ped sergeon will give me some info about that, but what does this work? they get the surgery first to place the tube, then a few weeks later she get the button? what are the discomfort of this surgery? complications? ( i am researching like crazy now, but your experinces its very important to me)
what else should i be asking?
iam sorry for all the questions and thanks ahead for any advice and for the support.__________________March 23, 2007 at 5:33 pm #28303AnonymousInactiveLeo, I’m SO sorry to hear what you’re going through with Kendra. We went through the same kind of stress with Hailey and it was awful. I have a few thoughts. Firstly, if you want to continue breastfeeding, then you should be able to do this even if there is an allergy. Hopefully someone can tell you how to do this (you can do an elimination diet), and if you want to know more, then maybe post another thread directly related to that topic. Docs are very quick to tell people to stop BF, imo, and often it’s not needed. Laura knows a lot of good supports about BF and diets etc.
About pregestimil, is that for allergies, or protein malabsorption? I know that neocate and elecare are the ones typically used for allergies if a child is going to take formula.
About tube feeding, there are a few moms of tube-fed babies on this site, but I would suggest visiting http://www.parent-2-parent.com/forum . There are many more moms on that site that tube feed and can help you out I’m sure. This site is great, but not too many moms are experienced with tube feeding or feeding aversions.
As for the feeding aversion, I think it’s great that they are going to start feeding therapy. This has helped Hailey a lot. I know as far as feeding aversions go it’s a long road, but hang in there. There are more moms going through this then you might realize.
HUGS.
March 23, 2007 at 6:41 pm #28308AnonymousInactiveWow Leo! I’d say you’ve had quite a week. I’m so sorry to hear all you and Kendra have been through. I definitely know how you’re feeling. Until I had Bryce I never knew you could bring a baby home with a feeding tube. I thought it was so crazy to have to feed my baby like that, and it broke my heart not to be able to nurse him like I did my other boys. When we first brought Bryce home, looking ahead was SO overwhelming for me, especially when his reflux got bad, but I started just taking one day at a time, and that really helped.
From my experience, I think the best thing you can do is get started with that feeding therapy (OT). That has helped Bryce a lot with his feeding issues.
Bryce also started out with an NG tube and later had a G-tube placed. To answer your questions, I would recommend the MicKey button. This is what Bryce has and it’s SO nice! Of course I don’t have any experience with the Bard…
As far as the surgery goes, they actually just place the button – it’s just one surgery. The button is the part that goes in the stomach, then when you feed her or give her meds you attach a long extension to the button, if that makes sense. When Bryce had his g-tube button placed, he also had two inguinal hernias repaired at the same time, so I’m not sure exactly how long it takes for just the g-tube, but even with the hernias it was only like 1-2 hours. He was only in the hospital over night, and once he was home only needed Tylenol for pain (and he had the hernia repairs too!). So it’s really a simple procedure, with minimum pain.
They will train you at the hospital how to feed her with the g-tube. It’s just a little different from the NG tube. They will also train you how to replace the button if it gets pulled out of her tummy and (at least for us) send you home with a kit to keep with you so you’re prepared. It all probably sounds really overwhelming and scary, but you get used to everything really quickly, believe me!
Well I hope I answered all your questions. Please feel free ask any more question you think of, and you can PM me anytime!
Good luck with everything!
what are the discomfort of this surgery?
complications? ( i am researching like crazy now, but your experinces
its very important to me)March 23, 2007 at 8:07 pm #28312AnonymousInactiveLeo…I just wanted to send you some cyberspace hugs. I haven’t had much experience with what you are going through, but I am glad that you now have some medical people on your side and Kendra can get the help she needs.
March 23, 2007 at 9:01 pm #28328AnonymousInactiveLeo, I’ve been thinking about you and hoping things were improving. I’m sorry that she has to have a tube now, but happy to hear that her docs are taking things seriously now and are looking for answers. I hope the tests reveal the cause of her problems and that her feeding tube will be for a short term. That’s great that she’s going to OT and SP.
Good luck and please keep us posted.
March 23, 2007 at 9:20 pm #28336AnonymousInactivepregestimil most likely wont help any allergy issues…it is milk based, just that the proteins are a little broken down. i would really try to continue breastfeeding, or if not, get some neocate. neocate is a formula meant for babies with food allergies-completely milk and soy free. its all amino acids. it has done wonders for my son. my doctor had actually never heard of it but i found out about it though this site and am so glad i did.
March 23, 2007 at 9:59 pm #28342AnonymousInactiveHi Leo
I have not been on the boards too much lately and i just read this (i saw you posted in the other board right now, missed it too).
First i want to say that I am sorry that it has come to tube feeding. Having been there, i think i may know how you feel and it is devastating — but for me at least, the second Matthew started gaining weight i realised that it was the best thing that we ever did for him and are so thankful to have the option to tube feed. Still does not change anything about how sh*tty it makes you feel, and all the disappointment, anger, emotions… but you are giving Kendra a chance to get the nutrition she neesd to grow and sometimes that is what we ahve to do as parents…
Your doctor is probably right about the Gtube – feeding aversions are hard and take some time to work themselves out. Right after we got the NG tube, i was petrified by it — the first couple of times it came out, i actually had to have a nurse insert it back — i would freeze… when they told me i had to change to a Gtube i was so scared and then realised that it is 100 times better!! The tube is there and Kendra will not know the difference… check the other forum – tons of posts about NG vs Gtueb and everyone loves the Gtubes.
Yes, there are different buttons. There are also 2 ways to put them in but it seems that you are going with the surgeon.
On the buttons – we have a mickey – it is probably the most common around but some people on other board have gotten a baloon-less one lately… i think that your surgeon will have a preference. I like the Mickey because the extensions are easy to put it, they lock, it is pretty small.
On the procedures – the surgeon will usually start an incision from the outside of the body vs a GI who will do it laparoscopically and make the incision from the inside. When was the last time she had an endo with biopsies? we chose the GI to place the tube to benefit from another look at esophagus/stomaha dn take some biopsies etc. This is something you may want to discuss. I was so worried after the surgery but all went great. There was nothing but a little incision there for a few weeks. Yes, then you can get things like granulation tissue there that is a pain to get rid of but is harmless… there can also be infections but these are rare. I would say that there is also a risk of the button coming out (heather has had the experience recently) but it is easy enough to put it back (although matthew’s has not come back). Matthew got some morphine at the hospital for pain — cannot do it again because affected his blood pressure etc… but we switched to tylenol and he was fine and himself within 24 hours.
as per the diet — what is important now is to actually measure how much she is taking in and whether she is gaining on that. once the tube is in, you will have ample time to experiment with different formulas, food even. It is important to know what you are feeding by mouth vs tube etc and to find a balance.
Good luck – usually on the other board these days although have not been around much. PM me if you have questions.
March 28, 2007 at 9:48 pm #28843AnonymousInactiveJust wanted to say I have a 5 mo old Owen who basically stopped eating, spent 5 days in Children’s hosp, ended up with a feeding tube (NG) for 8 weeks. We started neocate and it took a long time, at least a month for him to start eating better. He took what he could from the bottle and then the rest through the tube. I became the queen of replacing the tube even at 4 a.m.!!! I had been breastfeeding then tried Alimentum, but NEOCATE is the only thing that has totally broken down proteins that are lab created from what I understand, it is just so much easier for them to digest. I wish you the best. I am a physical therapist asst and from what I have seen and heard, Mickey works well. Wish you the best!!
Erica mom to Griffin 3yrs and Owen 10/6/06 MSPI, Reflux
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