Re: Hypoglycemia and J tube feedings.....question

[Guest guest]

Jodi,

If is tolerating the j tube feeds, he should be okay. Even if

he is spitting up a lot and gagging, his blood sugar should stabilize

and he should not spill ketones. You are not putting that Miralax

down the j tube are you? That is only supposed to go in the g tube.

Only formula goes in the j tube.

If starts spitting up so much that he is spilling ketones, that

is another story. Then you have to take him in. But tolerating the j

tube feeds should be sufficient.

Jodi Z

[Guest guest]

Jodi - I'm not an expert yes (I'm getting there <grin> - but, I will

say - I would check his blood sugars though and his ketones. Only

because I'm thinking that if he isn't getting the nutrients he

normally does - his body will obviously do things " differently " .

Call me if you need to chat.

- H

>

> Hey all you experts out there. Jodi Z. this may be for you. I

think

> this may be a really dumb question, but is terribly sick

right

> now. Mind you, it hasn't gotten to the point where I can't feed

him

> (he is J tube fed), but I still worry about his blood sugar.

> has been gagging and spitting up so much the last few days, and he

> has so much gas. Obviously, if he was simply on a G tube, he

> wouldn't be tolerating his feeds right now. But, even still, I

worry

> about his blood sugar since he is sick. Should I be worried? I

> mean, he is still getting the same he always gets,but he does get

> breaks during the day. I also wonder if I should cut back on the

> length of those breaks. Is it true that when they are sick their

> blood sugar tends to drop quicker? For some reason I am thinking

I

> have heard this. I have taken him to his Pediatrician's office

today

> and even called his Pulmonary doctor. They have given me things

to

> help him manage the coughing and respiratory issues, but I worry

> about his blood sugar and dehydration. Will he dehydrate quicker,

> too, even though he is getting what he normally gets? Also, he

seems

> to be having constipation issues. Whenever I give him Miralax, it

> makes him have little tiny poops constantly. And this continues

and

> gets so bad where his bottom gets really red and cracks which is

> painful to him. Pat, didn't you have a suggestion on how to give

the

> Miralax?

>

> Anyway, I feel like I should know all this by now, but I think I

just

> over-think things and get so worried when he is sick. I just

> wondered if I should be doing something for his sugar.

>

> Thanks all, for your help,

> Jodi R.

> , one sick little guy. (

>

[Guest guest]

Thanks, Jodi. I knew you would know. I figured he was okay, but I

wanted to be sure. I don't want to put him in any harm at all.

And no, I don't put any meds at all in 's j tube. I use the G

port for all meds. But, thanks for checking. That could have been

ugly. I learned that long ago! But, it is great to reiterate it

here, as someone may not be aware of that.

Thanks for the reassurance,

Jodi R.

>

> Jodi,

>

> If is tolerating the j tube feeds, he should be okay. Even

if

> he is spitting up a lot and gagging, his blood sugar should

stabilize

> and he should not spill ketones. You are not putting that Miralax

> down the j tube are you? That is only supposed to go in the g

tube.

> Only formula goes in the j tube.

>

> If starts spitting up so much that he is spilling ketones,

that

> is another story. Then you have to take him in. But tolerating

the j

> tube feeds should be sufficient.

>

> Jodi Z

>

[Guest guest]

Jodi,

I understand your concern and your fears. Even with Max at 17 I still

get scared and make him check his ketones when he is not eating. I

just hope that the nasty stomach bug that is running in my school does

not find its way to his school. My school is 16 miles away, but

stomach viruses travel at a great speed. We have enough to deal with

with these ongoing hiccups. Funny how they go away on Fridays.... I

think school phobia has set in. Now how do we fight that one? I'm

stumped.

Jodi Z