What to do now? Need advice

[Anonymous]

Hi there. So I feel like I am at a crossroad with my daughter. We found a good formula for her, or so we thought. She is now on pergestimil with maalox and 15 mg of prevacid which we give 2 times a day. We thought things were going great until she went for her 2 month check up and didn’t gain one pound, only a few ounces. She went from 9lb 4 oz to 10 lbs. Before the pregestimil, she was spitting up a lot so maybe that was why she wasn’t gaining enough. So, the pedi wants to see her to 2 weeks to make sure she is gaining enough. He also talked about Neocate and maybe having her scoped. Here is my question. One, how long do I wait to have her scoped? Do I try the Neocate before having her scoped? I’m really scared about sedating her but her not gaining enough weight scares me!! Thoughts? Advice? Thanks!

[Anonymous]

This is just me, but I would probably go back in 2 weeks to check her weight… if she hasn’t gained close to the recommended amount (ie: the appropriate oz or grams per day) then I would push for another 2 weeks for another weight check.

THEN, if she hadn’t gained close to the needed oz/grams per day for that 4 weeks total then I would discuss other options w/ ped (or ped GI).

Why is he suggesting Neocate? Does she have mucous/blood in her stool still?

Also, is she drinking the minimum amount of oz/day for forumla? (I know this sounds obvious but obviously if she’s not then it doesn’t matter what formula/med she’s on… she’s not going to gain enough if she’s not drinking enough).

My ds was scoped @ 10 wks old so I’m certainly not against that… but in your case, I would wait if your dd isn’t in pain (ie: seems comfy most of the day) & doesn’t have mucous/blood in her stool. I would re-assess in 2 wks, then again in 2 wks.

I would probably ask ped about supplementing her formula w/ calorie supplement (my ds gets this currently @ 16 mths old) if the weight gain issue seems to persist – again, assuming she isn’t showing obvious GI pain or reflux symptoms that point to needing to be scoped.

Hope that helps & hang in there!erinntx2009-10-05 12:15:09

[Author]

Posts