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gtube am feeding trouble

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hi...my 4 year old daughter has been having difficulty lately with

her first gtube feeding of the day. she receives 4-5 cans of

peptamen jr. each day. most feedings are bolus. and she can

tolerate a full can with an additional 1-2 oz. of water at each

feeding. however, she has lately been vomiting after her first

morning feeding. i have tried giving only a half of the can and

then waiting a while to give her more....but she starts gagging and

will throw up after the smallest amount.

she is on zantac and we have been very careful to make sure she

receives it every 12 hrs. not sure if this has anything to do with

it?

i can't figure out why she tolerates the rest of her feedings and is

now having trouble with her morning?

any help/ideas/advice would be greatly appreciated.

thanks,

bethany

mom to brennan 7, palmer & anna grace (leighs) 4

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