Re: Twana- G-tube feedings and burp tube ?'s

May 6, 2004

That is an interesting question. She does have more trouble

when lying on her back or tummy with gagging and reflux. But one

thing that worries me is that when I give her a 100 ml. (a little

over 3 oz.) bolus, she becomes very unhappy and starts her tummy

learching/dry heaves. Even before the tube was placed she was

getting a full tummy just after 2-3 oz. and began the vomiting

episodes. Shouldn't she be able to hold more than that at her age?

When I used the burp tube a little bit ago following the 3 oz.

feeding, all I got was a tube full of formula and no burps. Not sure

if boluses are a good thing for her yet and I hate to see her so

sad. Thanks for the help. Might be something to your info.

Darla

> Billy did not have the tube as an infant but was having troubles

> switching from drip to bolus. They did a study to see how his

> stomach was working. If he lays on his right side he has no reflux

> and empties his stomach, if he lays on his left side he has no

reflux

> and does not empty his stomach, if he lays on his back or his front

> or sits up or tilts back he has reflux. Since you have the nissan

> you don't have the throw up but could the position changes cause

> pressure which gags her? Or maybe slows the stomach from emptying?

> We stopped working on switching him over to bolus as it was too

hard

> on him.

> Twana

May 6, 2004

This happened all the time with Adeline as a baby, we had to roll her from

side to side for the bubbles to escape through the tube. She is till very

sensitive and gags (dry heaves) if she gets to much to fast. Adeline never

handled the pump very well, because she needed to be vented more often, like

every hour. Getting up every hour to vent her was crazy, I went to just

bolus feeding her. She is very sensitive to volume, and had to be increased

5 cc a week to get her where she needed to be. She is still taking the same

amount 220 cc 6 times a day, I can not get her over that amount or she will

gag. She is also on Reglan and Zanac which seems to help as well.

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