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GT night feedings

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,

You didn't mention how old tte is, or how much she weighs

(you probably posted it previously, but I have a hard time keeping

track of everyone, esp. since this list has grown so much!).

We've been told that should get 1200 calories per day.

At night, he now gets 20 ounces of pediasure through his tube,

which is 600 calories, about half his requirement. We hope

that he'll eat the other 600 calories; if he eats poorly, we

give him extra bolus feeds during the day.

We too have noticed that he eats better when we give him less

pediasure at night, but not enough to make up the difference.

Have you ever tried keeping a food diary / calorie count,

esp. on the days after her " nights off " ? We sometimes give

nights off from the pump (like if we're travelling or

have other things going on), and he'll eat pretty well the

next day, but nowhere near 1200 calories, even adding butter,

oil, etc. to everything.

As for the pump rate, we're very fortunate that has never

had a problem with reflux, and can tolerate a very high pump rate:

250 cc/hr. That sounds awfully high, but it's really only one

8 ounce can dripped slowly in per hour. The advantage of this

high rate is that he gets all of his pediasure before 11PM (he

goes to bed around 8PM), and has the whole rest of the night

to build up an appetite for breakfast. Also, we don't have to

get up in the middle of the night to shut off his pump, or worry

about him getting tangled up in his tubing at night, or disconnect

it and lie in a big puddle of pediasure all night.

DO NOT try this with tte without checking first with your

GI doctor, and if you do, I suggest slowly increasing the rate

over a period of weeks, to see what she can tolerate.

- Joe, father to , age 5, 24 lbs, 36 in, Gtube, periactin

> Im just curious - any one who has a child with G-tube that eats during

> the

> day and just has feeds at night. How much are the kids getting and at

> what

> rate? tte was getting 24 oz of pedisure at 125. I cut her down to

> 16 oz

> at 125 rate. She seems to eat better during the day at this rate. Also

> we

> feed her at least 5x a week and give her a few nights off depending

> whats

> going on in our busssssy life. I know when we met Dr H in Chicago she

> thought tte should be getting at least 1000 cal per night (now she

> is

> getting about 400-500.) Her endro feels that what ever works for us is

> ok.

> Just wondering.

> Thanks

>

>

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