8 month old signs of Malabsorption

anonymous

New member
We fight so hard to maintain DS's 50th percentile in height and weight 'cuz he's such a finicky eater. We have one doctor who pushes cream, said he'd be thrilled if DS ate at McDonalds most of the time and was thrilled at our last appointment because DS had some meat on his bones. And then we have a skinny, peds doctor who chastises us 'cuz we might be overdoing it -- that DS might get too chunky.

Different opinions. We just do what we feel is best for DS. It's stressful enough dealing with a genetic disease, medications, fear of DS getting sick and then having different medical professionals giving you different opinions on care. Quite frankly, I'd LOVE it if DS was nice and chunky!

Lisa
 

JazzysMom

New member
There is a difference between chunky & obese. Chunky leaves room for weight loss when sick without putting the patient into danger. Of course obesity isnt good either, but chances of a CFer having obesity is unlikely. Even the few that are overweight I am sure are not obese. A little extra cushion is good in my opinion.
 

anonymous

New member
Hi, Well I know alittle how you feel. I have two children with cf and one without. My children were diganosed 2 days apart. My son was 1 and had to have the rsv shots. Once approved we were set up with home healthcare and his nurse which we still see once a month for his port flush is wonderful. Our son was diagnosed on his first birthday. He weighed 14 pounds. I used gerber applesauce and pears.
He was put on formula portegen had to be ordered. It was predigested formula. He was on it til 17 months then put on pediasure. He has had alot of gi and weight problems. He got a g- tube (feeding tube) at 17months and he will be five in Jan. He still needs his g-tube feedings but he is 35lbs now. Not everyone needs a g-tube. My daughter has cf and all she needed was her enzymes and she will be 9 in Feb and is 71lbs. She weighed 32 Lbs at her 5 year old checkup. She has made great progress. My son is now on nutren junior instead of pediasure. He used to have 8-10 stools aday when he was first put on ultrase and now has only 1-2 aday. It took alittle time to figure out what would work for him. And we are still trying new things from time to time. It seems ongoing he is worth all the work.
I feel God does not give us more than we can handle. I also feel that God must think highly of my husband and I to give us two children with cystic fibrosis. It is alot of work and I cry alot sometimes. Since my son and daughter were diganosed with cf in 2001 I had another baby and she is fine. She is not even a carrier. She is small. She will be 2 in Jan and weighs about 20lbs and 4 oz. So 16 lbs at 8 months don't seem to bad. I know our cf Doc what's 50 % but we are yet to make that. We will it is just taking some time. Our son is also so picky he like very little things. Bacon, corn dogs is what he wants right now. Hang in there. I know it confusing.
Email me anytime.
Jeanine
 

Seana30

New member
Grandpa.......welcome to the site!  You and your family are in my thoughts and prayers!Okay.....I have a question and a comment.HD....you said that enzyme dosage is based on weight.  I have NEVER heard of this.  Courtney's enzyme dosage is based on how well she is absorbing the food.  They check her lipase and amlayse on her bloodwork, and check her stool samples to decide if enzymes are working or need to be "upped".  Not once in the past 3 years have they based her dosage on her weight.  Does anyone elses doc base enzyme dosage on weight??Okay...here is my comment.  This is just my 2 cents, so no one get mad at me.  Courtney has MAJOR weight issues.  She is 13 years old, is 5 feet 3 inches tall and only weighs in at 77 pounds.Lisa, you talk about how they say that D.S. should eat at McDonalds everyday.  I AM TOTALLY AGAINST THIS!  I think there are ways of dealing with the weight issues and still making sure our kids eat proper meals.  I believe fruits and veggies are just as important as the high fat, high calorie diet.  You just have to find way to add calories to nutritious foods.  Courtney get all varities of veggies, she just gets them with butter, and cheese sauce.  She gets fruits but she gets to dip them in chocolate or carmel sauces.  I think as parents of CFers it is our job to teach them how to eat proper meals, but add extra calories to them.  If Courtney was to eat junk food all day how would that effect her health??Have any of you seen the documentary "Super Size Me"?  It shows a guy that eats McDonalds for 30 days straight.  I was SO affected by this movie.  By the end of the 30 days the guys health is SO BAD.  The docs tell him that he needed to stop because he was killing himself.  By the end of it his liver was turning to mush!!!  I have not taken my family to McDonalds since then.  I suggest you all watch this movie.  It is amazing and disturbing to watch this guys health deteriorate!Happy New Year to all.  Hope this year brings all good health, and happy memories!<img src="i/expressions/face-icon-small-smile.gif" border="0">Seanamom to     Lauren, 14- no CF     Courtney, 13- with CF     Cameron, 10- no CF
 

JazzysMom

New member
My doctor at one point during severe weight issues told me to eat fast food for breakfast, lunch & dinner. Is it the healthiest way to do it, no.....but sometimes you have to do what works to get to a certain point & then continue on the proper way. I never did eat fast food for breakfast, lunch & dinner. First of all I would have vomited after about the 2nd meal since I think most of it is nasty & dont know how people can eat much of it & socondly it gets pretty damn expensive...........again its not the best way to deal with weight issues, but I know for me if my weight is haywire so is everything else so the longterm benefits of getting that weight whatever way possible outweighs the longterm affects of eating crap for a while!
 

tweeksgrandpa

New member
Well, I have never seen the movie Super size Me. I have heard about it. For now our grandson is too young to eat at "Micky-D,s" But I understand your questions and concerns. To my knowledge the CF clinc has never checked stools. They ask the kids what they look like. The doctors ask so many questions when they take him in, they keep a daily journel. Meds, stools etc. By the way, it occurred to me I have never used our grandsons name when I post a message. I am a little funny about internet sites. But I see this is a good place. His name is Mayson. Anyway, they do alought of blood work etc. at the CF clinic. It is usually a 3-4 hour appointment. Mayson is taking Creon 5, three each with every meal. He started with one, upped to two now three. He seems to be stable for now at three. Since Nov 30th he has gained a little over a pound. He has gained weight every month since he was born. The only one of the CF docs pushing for more weight gain is the gastro doc. The doctors have not mentioned a G-tube, the only thing they have said is they may put him on suppliment for added weight gain. As I said in the first or second posting. We have put him on a product called Reliv. We had a friend selling the product. She had several people with CF (parents of children, adults) call us with their testimonels about the product. We are very sceptical people. Some of these people called from all over the US. I was impressed, at least with the way they were marketing their product. One mother with two children with CF was a nurse. She told us how to mix the Reliv with his formula, Lipil with iron. He seems to like it. I think it smells and tastes bad. The only problem was after he was taking the product, our friend called all the time trying to sign us up to sell it. Before he took it, I researched it quite a bit. My mother works at a health food store and has for 25 years. She had heard of the product and looked at its ingediants and said it was good. We have not really noticed it helping in the weight gain area. As I posted right before Christmas, Mayson had his first ER visit with fever, was diagnosed with pnuemonia. The antibiotics worked and within two days he was feeling better. Maybe the Reliv helped his qwick recovery. It is loaded with vitamins and herbs. We do not sell this product so I am not advertising from a sales point of view. It seems to be very good nutrition. He gets two bottles of that a day. Then solid baby food. I have suggested to the kids to also look into PediaSure in between. We are reluctant to do this since he is not one year old. It would be nice if the kids saw a dietician each time they went to the clinic. They have not seen one in three months. She is never at the clinic. It was the gasto doc that started him on solid baby food. There are as many similarities as there are differences with this disease.
Sorry this was so long. I wish you all well in 2006.
 

anonymous

New member
We were told not to use baby food because it's too low in fat and salt. We were to grind up what we were eating. We still used babyfood mac & cheese, meats and the veggies 'cuz DS loved those, but added a dash of salt to the meat and a little butter to the veggies.

We used regular lipil formula, but bumped up the powder based on a formula provided by the dietician. Our doctor suggested carnation instant breakfast instead of pediasure or scandia shakes -- much cheaper and provides the same nutrition if not better. We do use pediasure or premade carnation instant breakfast, as well as sports shakes when traveling for convenience sake.

And when DS was 1 1/2 years old we started taking him to mcdonalds once a week for a burger and fries. He hates chicken mcnuggets. Usually eats a whole patty, some of the bread, chocolate milk and about half his fries. He loves fruits and veggies and gets those as as snacks and as treats since he's not a big sweets eater.
 

anonymous

New member
Seana, and just how IS Courtney's weight? Sounds like from some of your other postings, she could USE a big mac. Lisa, keep on pushing that high fat, high calorie food! Sounds like you're on the right track by feeding your kid what he'll eat. Janey
 

Allie

New member
Awww, don't be mean. I think a balance is most important. Fast food is fine every so often, but make sure to balance with fruits, veggies, dairy, grains, etc. Everything in moderation. Just go for high fat, which you can do with healthy food too, like dairy and avocado.

Everyone play nice, or I'll smack you with my dreidel of doom <img src="i/expressions/face-icon-small-smile.gif" border="0">

Edited because I can't spell avocado <img src="i/expressions/face-icon-small-tongue.gif" border="0">
 

tweeksgrandpa

New member
Ok, I assume by butter you mean real butter? As far as salt goes we have been adding salt to his formula for 4 months now. Believe it or not the only thing Mayson DOES NOT like is baby food mac & cheese. So, far he eats anything we give him. Except the mac and cheese, haha! He makes a weird face and spits it back at you. It would be ni I thought all babys liked mac & cheese it would be nice if the dietician were available more.
 

CFHockeyMom

New member
I think a balance is important an we make Sean eat his fair share of veggies/fruits. He loves them so it's not really making him eat them. We don't however let him fill up on those low calorie foods. Even with cheese sauce or dips, fruits and veggies aren't great for weight gain. They are high fiber (complex carb) foods that fill you up faster and longer. These types of food should be included in a CF diet but in moderation.

Although McD's may not be your high calorie/fat food of choice, you can make equally high calorie burgers/fries at home. Fact is that maintaining a proper weight is very important for CFers. They need the fat stores for when they get sick.

BTW... The dietician at our CF clinic goes primarily by weight for enzyme dosage and gives us a "maximum". We modify that based on the size of Sean's snacks/meals.
 

anonymous

New member
Yep, real butter, although we have caught him a couple of times helping himself to some soft, low fat margarine that we keep in the fridge for ourselves. Both DH and I work full time, so sometimes it's difficult to get DS's treatment done, mix drugs and prepare meals -- especially during the month we have tobi. Plus DS is such a picky eater that it's hard to find things he'll eat on a regular basis -- he likes the same foods day after day. We found a great slower cooker cookbook, so we can make stuff ahead of time, but getting ds to eat what we're eating is a different issue altogether. I'm not going to get into a power struggle over eating and I'd rather have DS eat a fast food meal every week or so than not eat at all.
 

anonymous

New member
Hello Everyone,

I am glad to hear your little one is doing better. Make sure you ask for the RSV vac AGAIN next year.

My son was born in 8/04. No one told me about the RSV shot. It was something I came across in my own research. When I approached my Pedi he told me he "forgot" about that since Bennett was not a premi. The Pedi told me to check with the CF clinic. They (I have decided) take the middle of the road on anything relating to financial matter since they told me the research doesn't prove the RSV vac is beneficial to CFers. Anyways, I carried on and Bennett was approved for the RSV vac his first year(04). Since he was not two yet this winter I asked our Pedi if he would be getting the RSV again. He told me most likely NO b/c he had not been on O2 for the past six months. Needless to say I was mad. I called my case manager at BC/BS and told her about this. My pedi (at my urging) put the request in to BC/BS and it was approved. They all seemed very surprised.

I think everyone else here is right - if you can prevent (in most cases) a child and family from having to go through the horror of RSV why not? Oh yeah, that is right... it is all about $$$. (sorry about the vent...)

Anyways, best luck and I wish you all well. Paula
 

anonymous

New member
Our local clinic is the same way about money issues -- certain tests, the RSV vaccine, medications they always talk about cost, as if it's coming out of their own pocket. DS kept getting fevers and throwing up shortly after he was released from the hospital -- we wanted a scan to rule out an absess at the suggestion of a relative in the medical field --- and were told it was too spendy, we should just wait it out. Turns out ds didn't have complications from his bowel obstruction surgery, but had picked up a nasty bug that's found in NICU's due to improper hand washing.

It just sets me on edge when the doctor brings up money issues. We're looking at long term effects -- keeping DS healthy until better treatment options or even a cure become available. And what's $3000 a month for a shot versus $40,000+ for a two week hospital stay. liza
 

tweeksgrandpa

New member
The second RSV shot is supposed to be already set up for a Home Health Nurse to come to the house the end of this month. I may have forgot to mention. My son-inlaws employer changed insurance companys effective 01-01-06. It could get rather complicated. It appears no one at the local CF center here is on the list????? Due to the fact it is sponsered by another hospital. It looks like lots of referals and stuff. The CF clinic here is finally starting to become a little more pro-active, I believe do to this insurance change, not really sure. I have not really set down with the kids to look at their new policy with them.
 

anonymous

New member
With our insurance, we have to pay a larger co-pay and have a larger deductible if we go out of our network. When DS was born, they referred us to a children's hospital and everything was covered as if we were in network because there wasn't a surgeon available in town to repair the bowel obstruction and he had to be lifeflighted.

Nowdays, they're not so willing to refer us because they have their own local CF clinic, although it's not accredited. So every few months we go to an accredited facility in the City. Office calls haven't been too bad. Heck, I think it's cheaper to have an office call in the city out of network than spending the morning at our local CF clinic -- three doctors, an rt and a noncovered dietician. Plus all the labs. Each doctor charges $189 for the 5-10 minutes they see ds. Grrr!
 

tweeksgrandpa

New member
I just wanted to say the feedback from this has been great! Mayson is now 9 months old. He is still a little guy (17.2#) But is doing fine. He is wanting to walk. HAHA! full of energy! Our lives changed 9 months ago. I had no idea how much. My heart goes all to all who battle with this disease, parents, grandparents, spouses, loved ones and especially those that actually have CF. Our journey I know is just begining. One of my main objectives was to get my daughter (Maysons mom) involved in this site so she could see she (we) are not alone. The medical and insunrance problems can all be very frustrating at times. I am just an average guy with a limited amount of knowledge and somtimes a "Bull in a china closet" when it comes to our grandson. Most of us want what is best for those we love! Again, thanks for the feedback. Boy, after reading this, this sounds sappy coming from a grandpa, HAHA! Keep the faith! God Bless.
 

JazzysMom

New member
Its ok to be sappy Grandpa! I am so pleased that you are finding helpful information & support here. I hope your daughter continues to come on! Good Luck & smooches to the grandbaby!
 

tweeksgrandpa

New member
Its been good to see so much information here. The posts have been very intresting. One of my main reasons for starting this was to get my daughter involved. I see she now is. Just wanted to say thanks to everyone. Mayson is now a little over 9 months old. He is gaining weight but sometimes it seems slow in coming. We have tried several suggestions found here. Not sure what to do at this point except to persevere. Its been awhile since I have logged on. And at this point I see others with similar questions posted in different ways. He received another RSV shot which we are thankful for.
 

tweeksgrandpa

New member
Its been good to see so much information here. The posts have been very intresting. One of my main reasons for starting this was to get my daughter involved. I see she now is. Just wanted to say thanks to everyone. Mayson is now a little over 9 months old. He is gaining weight but sometimes it seems slow in coming. We have tried several suggestions found here. Not sure what to do at this point except to persevere. Its been awhile since I have logged on. And at this point I see others with similar questions posted in different ways. He received another RSV shot which we are thankful for.
 
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