Vomiting -- Take 2!

A

aggieswifey04

New member
Hey there!!
I need some help from you CF families that have possibly been thru this.
My daughter was in the hospital for the first 5 months of her life on a respirator and FTT (Failure to thrive) for the first few months. She had an Meconium Ileius and ileostomy repair along with a G-Tube. Ever since then, shes been puking her guts up. They tried different formulas. I ran out of Breastmilk, they put her on a similar formula but she didnt tolerate it. Shes on Neocate now and to me doesnt seem to tolerate it as well. Shes been on Neocate for sometime. However only vomits once in a great while and when she does its almost Go-Go Gaget Vomit! Shes been vomiting since day before yesterday and I started to get worried when she spiked a temp of 101.4 and realized she has been vomiting after each feeding. I called the doc and he said to lower her feeds (feeding pump) to 40ml/hr (overnight) starting with Pedialyte and then switching it to formula and going to 50ml/hr after an hour of no vomiting. Shes done great so far! But I have a feeling once we go back to her DAILY feeds at a rate of 110ml/hr shes going to vomit again!! Shes on Reglan and Prilosec and still is vomiting. What can I do? What should I do? I thought about asking to change her meds to Prevacid (but not sure if her age is recommended yet or if theyve already tried it on her during hospital stay). I also thought about asking to do a Nissan Fundo. But its just another surgery. Ugh. I just find it VERY difficult to see her vomiting EVERYDAY almost. The doc thinks she might have the bug thats going around but that doesnt account for those vomits prior to the 24 hr vomits thats been happening. Ya know?
I hate asking for help from the CF Team as we had a ROUGH time with one specific doc who just so happens to be the HEAD of the CF team. He wouldnt release us from the hospital till we could prove to him that we could take care of Kylie. Even though my husband did a room-in and we had been by her side for the whole hospital stay (other than staying at night since we do have a 3 yr old -- we did stay in town at the local Ronald McDonald House). I was highly annoyed. But thats a whole another story for a later date.

My question is: what should I do? Has this happened to you?

Bec
 
A

aggieswifey04

New member
Hey there!!
I need some help from you CF families that have possibly been thru this.
My daughter was in the hospital for the first 5 months of her life on a respirator and FTT (Failure to thrive) for the first few months. She had an Meconium Ileius and ileostomy repair along with a G-Tube. Ever since then, shes been puking her guts up. They tried different formulas. I ran out of Breastmilk, they put her on a similar formula but she didnt tolerate it. Shes on Neocate now and to me doesnt seem to tolerate it as well. Shes been on Neocate for sometime. However only vomits once in a great while and when she does its almost Go-Go Gaget Vomit! Shes been vomiting since day before yesterday and I started to get worried when she spiked a temp of 101.4 and realized she has been vomiting after each feeding. I called the doc and he said to lower her feeds (feeding pump) to 40ml/hr (overnight) starting with Pedialyte and then switching it to formula and going to 50ml/hr after an hour of no vomiting. Shes done great so far! But I have a feeling once we go back to her DAILY feeds at a rate of 110ml/hr shes going to vomit again!! Shes on Reglan and Prilosec and still is vomiting. What can I do? What should I do? I thought about asking to change her meds to Prevacid (but not sure if her age is recommended yet or if theyve already tried it on her during hospital stay). I also thought about asking to do a Nissan Fundo. But its just another surgery. Ugh. I just find it VERY difficult to see her vomiting EVERYDAY almost. The doc thinks she might have the bug thats going around but that doesnt account for those vomits prior to the 24 hr vomits thats been happening. Ya know?
I hate asking for help from the CF Team as we had a ROUGH time with one specific doc who just so happens to be the HEAD of the CF team. He wouldnt release us from the hospital till we could prove to him that we could take care of Kylie. Even though my husband did a room-in and we had been by her side for the whole hospital stay (other than staying at night since we do have a 3 yr old -- we did stay in town at the local Ronald McDonald House). I was highly annoyed. But thats a whole another story for a later date.

My question is: what should I do? Has this happened to you?

Bec
 
A

aggieswifey04

New member
Hey there!!
<br />I need some help from you CF families that have possibly been thru this.
<br />My daughter was in the hospital for the first 5 months of her life on a respirator and FTT (Failure to thrive) for the first few months. She had an Meconium Ileius and ileostomy repair along with a G-Tube. Ever since then, shes been puking her guts up. They tried different formulas. I ran out of Breastmilk, they put her on a similar formula but she didnt tolerate it. Shes on Neocate now and to me doesnt seem to tolerate it as well. Shes been on Neocate for sometime. However only vomits once in a great while and when she does its almost Go-Go Gaget Vomit! Shes been vomiting since day before yesterday and I started to get worried when she spiked a temp of 101.4 and realized she has been vomiting after each feeding. I called the doc and he said to lower her feeds (feeding pump) to 40ml/hr (overnight) starting with Pedialyte and then switching it to formula and going to 50ml/hr after an hour of no vomiting. Shes done great so far! But I have a feeling once we go back to her DAILY feeds at a rate of 110ml/hr shes going to vomit again!! Shes on Reglan and Prilosec and still is vomiting. What can I do? What should I do? I thought about asking to change her meds to Prevacid (but not sure if her age is recommended yet or if theyve already tried it on her during hospital stay). I also thought about asking to do a Nissan Fundo. But its just another surgery. Ugh. I just find it VERY difficult to see her vomiting EVERYDAY almost. The doc thinks she might have the bug thats going around but that doesnt account for those vomits prior to the 24 hr vomits thats been happening. Ya know?
<br />I hate asking for help from the CF Team as we had a ROUGH time with one specific doc who just so happens to be the HEAD of the CF team. He wouldnt release us from the hospital till we could prove to him that we could take care of Kylie. Even though my husband did a room-in and we had been by her side for the whole hospital stay (other than staying at night since we do have a 3 yr old -- we did stay in town at the local Ronald McDonald House). I was highly annoyed. But thats a whole another story for a later date.
<br />
<br />My question is: what should I do? Has this happened to you?
<br />
<br />Bec
 
M

Mommafirst

Guest
Oh gosh, Bec, I'm so sorry you have so much going on. I can't believe she isn't already on Prevacid. I agree, all that vomiting is most probably reflux related. Especially with abdominal surgery already, there is a good change she has a slowered motility and that just increases reflux.

Prevacid is far superior to nexium or prilosec, so if she is on one of those or not on a ppi at all, that should definitely be your first move.

A fundoplication might be necessary, though it is major surgery and I'm sure the last thing you want to do. HOwever, since she already has a feeding tube, at least you won't be dealing with THAT part of the decision.

As for her feeds, if you slow down the rate, can you get in enough through the course of the day? My daughter only gets fed through the night with the tube, but if we go faster than 60 ml/hr she gets sick.

Finally, it sucks that the CF docs are not on your side, but you need to deal with them and quick. If she is refluxing and vomiting, she could easily aspirate and get an aspiration pneumonia which would not be good. Have you dealt with the CF GI? Or a seperate GI? Maybe that would be the way to get a doctor who is on your side.

Soooo hoping you can get this all figured out and your sweetie is eating and gaining better asap.
 
M

Mommafirst

Guest
Oh gosh, Bec, I'm so sorry you have so much going on. I can't believe she isn't already on Prevacid. I agree, all that vomiting is most probably reflux related. Especially with abdominal surgery already, there is a good change she has a slowered motility and that just increases reflux.

Prevacid is far superior to nexium or prilosec, so if she is on one of those or not on a ppi at all, that should definitely be your first move.

A fundoplication might be necessary, though it is major surgery and I'm sure the last thing you want to do. HOwever, since she already has a feeding tube, at least you won't be dealing with THAT part of the decision.

As for her feeds, if you slow down the rate, can you get in enough through the course of the day? My daughter only gets fed through the night with the tube, but if we go faster than 60 ml/hr she gets sick.

Finally, it sucks that the CF docs are not on your side, but you need to deal with them and quick. If she is refluxing and vomiting, she could easily aspirate and get an aspiration pneumonia which would not be good. Have you dealt with the CF GI? Or a seperate GI? Maybe that would be the way to get a doctor who is on your side.

Soooo hoping you can get this all figured out and your sweetie is eating and gaining better asap.
 
M

Mommafirst

Guest
Oh gosh, Bec, I'm so sorry you have so much going on. I can't believe she isn't already on Prevacid. I agree, all that vomiting is most probably reflux related. Especially with abdominal surgery already, there is a good change she has a slowered motility and that just increases reflux.
<br />
<br />Prevacid is far superior to nexium or prilosec, so if she is on one of those or not on a ppi at all, that should definitely be your first move.
<br />
<br />A fundoplication might be necessary, though it is major surgery and I'm sure the last thing you want to do. HOwever, since she already has a feeding tube, at least you won't be dealing with THAT part of the decision.
<br />
<br />As for her feeds, if you slow down the rate, can you get in enough through the course of the day? My daughter only gets fed through the night with the tube, but if we go faster than 60 ml/hr she gets sick.
<br />
<br />Finally, it sucks that the CF docs are not on your side, but you need to deal with them and quick. If she is refluxing and vomiting, she could easily aspirate and get an aspiration pneumonia which would not be good. Have you dealt with the CF GI? Or a seperate GI? Maybe that would be the way to get a doctor who is on your side.
<br />
<br />Soooo hoping you can get this all figured out and your sweetie is eating and gaining better asap.
<br />
 
M

MaeFlower

New member
Bec,
I am so sorry you are having to go through this. I know it is unsettling and scary. My daughter is 6 months and she has had the Nissen and has a G-tube. At 2months she was diagnosed as FTT as well. I breastfed and my daughter up until her hospital stay at 2months. However, she constantly vomited, before the Nissen. So I know a lot of what you are going through.

I agree with Heather that she should be on Prevacid. Our daughter takes 15mg a day and we split it in half 7.5 in the morning & 7.5 in the evening. Once a day just wasn't enough for her. She is also on Neocate.

It seems as if 110ml/hr is A LOT for her tiny stomach. At 6 months Vivien gets *give or take a few ml*, 750ml total a day. However, this is her regimen: 6pm-6am 45ml/hr 9am,12pm,3pm-75ml/hr.

The Nissen has helped our daughter, she does not burp. However, if your daughter is gaining weight at a healthy rate and is not loosing, I would hold off on the Nissen. Here's why. Since Vivien cannot burp, she had/has a TERRIBLE time passing gas. She has had to learn how to pass through the other end. We were not able to Bolus her feeds, b/c she was so gassy, it would take an hour just to bolus, so her Surgeon recommended the pump, to help cut time for us. She is also hooked up to what is called a Farrell Valve Gastric Relief Bag. This bag is attached to the feeding bag and allows the gas to escape as she eats, because she was miserable with all of that air trapped in her tummy.

In regards to the fever, that may be coming from aspiration pneumonia (something we are all too familiar with, with our daughter). If she is continuously vomiting, she is probably swallowing some of that into her airway, which is settling in her lungs and causing her fever to spike a little b/c of the bacteria. Keep an eye out for the fever.

I pray you can find a doctor that is very attentive to all of the things that your precious daughter needs. I have learned, be forceful and stand your ground. You know her better than anyone else.

God Bless and keep us posted about her progress.
 
M

MaeFlower

New member
Bec,
I am so sorry you are having to go through this. I know it is unsettling and scary. My daughter is 6 months and she has had the Nissen and has a G-tube. At 2months she was diagnosed as FTT as well. I breastfed and my daughter up until her hospital stay at 2months. However, she constantly vomited, before the Nissen. So I know a lot of what you are going through.

I agree with Heather that she should be on Prevacid. Our daughter takes 15mg a day and we split it in half 7.5 in the morning & 7.5 in the evening. Once a day just wasn't enough for her. She is also on Neocate.

It seems as if 110ml/hr is A LOT for her tiny stomach. At 6 months Vivien gets *give or take a few ml*, 750ml total a day. However, this is her regimen: 6pm-6am 45ml/hr 9am,12pm,3pm-75ml/hr.

The Nissen has helped our daughter, she does not burp. However, if your daughter is gaining weight at a healthy rate and is not loosing, I would hold off on the Nissen. Here's why. Since Vivien cannot burp, she had/has a TERRIBLE time passing gas. She has had to learn how to pass through the other end. We were not able to Bolus her feeds, b/c she was so gassy, it would take an hour just to bolus, so her Surgeon recommended the pump, to help cut time for us. She is also hooked up to what is called a Farrell Valve Gastric Relief Bag. This bag is attached to the feeding bag and allows the gas to escape as she eats, because she was miserable with all of that air trapped in her tummy.

In regards to the fever, that may be coming from aspiration pneumonia (something we are all too familiar with, with our daughter). If she is continuously vomiting, she is probably swallowing some of that into her airway, which is settling in her lungs and causing her fever to spike a little b/c of the bacteria. Keep an eye out for the fever.

I pray you can find a doctor that is very attentive to all of the things that your precious daughter needs. I have learned, be forceful and stand your ground. You know her better than anyone else.

God Bless and keep us posted about her progress.
 
M

MaeFlower

New member
Bec,
<br />I am so sorry you are having to go through this. I know it is unsettling and scary. My daughter is 6 months and she has had the Nissen and has a G-tube. At 2months she was diagnosed as FTT as well. I breastfed and my daughter up until her hospital stay at 2months. However, she constantly vomited, before the Nissen. So I know a lot of what you are going through.
<br />
<br />I agree with Heather that she should be on Prevacid. Our daughter takes 15mg a day and we split it in half 7.5 in the morning & 7.5 in the evening. Once a day just wasn't enough for her. She is also on Neocate.
<br />
<br />It seems as if 110ml/hr is A LOT for her tiny stomach. At 6 months Vivien gets *give or take a few ml*, 750ml total a day. However, this is her regimen: 6pm-6am 45ml/hr 9am,12pm,3pm-75ml/hr.
<br />
<br />The Nissen has helped our daughter, she does not burp. However, if your daughter is gaining weight at a healthy rate and is not loosing, I would hold off on the Nissen. Here's why. Since Vivien cannot burp, she had/has a TERRIBLE time passing gas. She has had to learn how to pass through the other end. We were not able to Bolus her feeds, b/c she was so gassy, it would take an hour just to bolus, so her Surgeon recommended the pump, to help cut time for us. She is also hooked up to what is called a Farrell Valve Gastric Relief Bag. This bag is attached to the feeding bag and allows the gas to escape as she eats, because she was miserable with all of that air trapped in her tummy.
<br />
<br />In regards to the fever, that may be coming from aspiration pneumonia (something we are all too familiar with, with our daughter). If she is continuously vomiting, she is probably swallowing some of that into her airway, which is settling in her lungs and causing her fever to spike a little b/c of the bacteria. Keep an eye out for the fever.
<br />
<br />I pray you can find a doctor that is very attentive to all of the things that your precious daughter needs. I have learned, be forceful and stand your ground. You know her better than anyone else.
<br />
<br />God Bless and keep us posted about her progress.
 
A

aggieswifey04

New member
Wow! You guys are so awesome!! Im didnt think Id get a response none the less this fast! So Im greatful for that!

Mommafirst - Not sure if I posted what two meds she is on for reflux -- Shes on Relgan and omeprazole. And youre right, I definitely do not want to see her go through another big surgery. But if it comes to it and thats the only thing to help her, Im all for it. Just like the last surgery. Im not sure about her feeds. Like I mentioned (I belive) shes on 110ml/hr every 4 hours. At 10pm her overnight feeds start at 50ml/hr for 10 hrs. Then thats usually when her daily feeds start (4 hrs after -- 11ish/3pm/7pm) I do spread these out so the last one isnt so close to the overnight feeds.
Maeflower--Im definitely thinking of talking to the CF Team regarding Prevacid. I think 110ml/hr is alot too. Im gonna try lower it to like 90ml/hr for now and see how she does. Or maybe start at 100ml/hr and see how she does and if she doesnt do well then keep lowering it. Cause I dont I think its just too fast. We do burp her through the g-tube by letting a open syringe on top of her gtube attachment and let her burp that way and let it gradually go back into the tummy (the stomach contents). But she doesnt burp THAT much/often. They had told me they did her feeding volume by her weight? Idk how they came up with it. Shes almost 17lbs but shy of it. And I know shes been slowly gaining weight. She was 15 or 16lbs (low 16lbs) and now shes 16.14 and just last week she was up to 17lbs but that seemed to have been water weight. I wish there was a table formula as to how much to give these kiddos thru the pump.
I definitely am keeping an eye on the fever. It comes and goes. Shes only had 2 temps in the last 24 hrs and broke immediately upon giving her tylenol. But we've been watching her. She seems fine otherwise. Just vomiting up her feeds and diarrhea. I hate not knowing what I am doing or how to fix things.

Bec
 
A

aggieswifey04

New member
Wow! You guys are so awesome!! Im didnt think Id get a response none the less this fast! So Im greatful for that!

Mommafirst - Not sure if I posted what two meds she is on for reflux -- Shes on Relgan and omeprazole. And youre right, I definitely do not want to see her go through another big surgery. But if it comes to it and thats the only thing to help her, Im all for it. Just like the last surgery. Im not sure about her feeds. Like I mentioned (I belive) shes on 110ml/hr every 4 hours. At 10pm her overnight feeds start at 50ml/hr for 10 hrs. Then thats usually when her daily feeds start (4 hrs after -- 11ish/3pm/7pm) I do spread these out so the last one isnt so close to the overnight feeds.
Maeflower--Im definitely thinking of talking to the CF Team regarding Prevacid. I think 110ml/hr is alot too. Im gonna try lower it to like 90ml/hr for now and see how she does. Or maybe start at 100ml/hr and see how she does and if she doesnt do well then keep lowering it. Cause I dont I think its just too fast. We do burp her through the g-tube by letting a open syringe on top of her gtube attachment and let her burp that way and let it gradually go back into the tummy (the stomach contents). But she doesnt burp THAT much/often. They had told me they did her feeding volume by her weight? Idk how they came up with it. Shes almost 17lbs but shy of it. And I know shes been slowly gaining weight. She was 15 or 16lbs (low 16lbs) and now shes 16.14 and just last week she was up to 17lbs but that seemed to have been water weight. I wish there was a table formula as to how much to give these kiddos thru the pump.
I definitely am keeping an eye on the fever. It comes and goes. Shes only had 2 temps in the last 24 hrs and broke immediately upon giving her tylenol. But we've been watching her. She seems fine otherwise. Just vomiting up her feeds and diarrhea. I hate not knowing what I am doing or how to fix things.

Bec
 
A

aggieswifey04

New member
Wow! You guys are so awesome!! Im didnt think Id get a response none the less this fast! So Im greatful for that!
<br />
<br />Mommafirst - Not sure if I posted what two meds she is on for reflux -- Shes on Relgan and omeprazole. And youre right, I definitely do not want to see her go through another big surgery. But if it comes to it and thats the only thing to help her, Im all for it. Just like the last surgery. Im not sure about her feeds. Like I mentioned (I belive) shes on 110ml/hr every 4 hours. At 10pm her overnight feeds start at 50ml/hr for 10 hrs. Then thats usually when her daily feeds start (4 hrs after -- 11ish/3pm/7pm) I do spread these out so the last one isnt so close to the overnight feeds.
<br />Maeflower--Im definitely thinking of talking to the CF Team regarding Prevacid. I think 110ml/hr is alot too. Im gonna try lower it to like 90ml/hr for now and see how she does. Or maybe start at 100ml/hr and see how she does and if she doesnt do well then keep lowering it. Cause I dont I think its just too fast. We do burp her through the g-tube by letting a open syringe on top of her gtube attachment and let her burp that way and let it gradually go back into the tummy (the stomach contents). But she doesnt burp THAT much/often. They had told me they did her feeding volume by her weight? Idk how they came up with it. Shes almost 17lbs but shy of it. And I know shes been slowly gaining weight. She was 15 or 16lbs (low 16lbs) and now shes 16.14 and just last week she was up to 17lbs but that seemed to have been water weight. I wish there was a table formula as to how much to give these kiddos thru the pump.
<br />I definitely am keeping an eye on the fever. It comes and goes. Shes only had 2 temps in the last 24 hrs and broke immediately upon giving her tylenol. But we've been watching her. She seems fine otherwise. Just vomiting up her feeds and diarrhea. I hate not knowing what I am doing or how to fix things.
<br />
<br />Bec
<br />
 
K

kellyga

New member
This mau seem too simplistic for all she is going through, but sitting up for 30 to 45 minutes after each feeding helped my daughter. She had MI surgery at 5 days old and started prevacid (15mg 2x per day) around 4 months. She would projectile vomit at least twice a day for months. The main thing that we found to help, was having her elevated. We used our boppy breastfeeding pillow and fed her sitting up. Then she didnt move for about 30 min. It is quite a pain because they eat so often at that age, but totally worth it. This really minimized the throwing up.

Also, i remember switching bottles a couple of times. Noticed a huge difference when we switched from nuk to avent. Hope you find some good information. It was always really upsetting to me when she threw up. There is so much pressure to gain weight at that age. Stressed me out. Good luck <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
K

kellyga

New member
This mau seem too simplistic for all she is going through, but sitting up for 30 to 45 minutes after each feeding helped my daughter. She had MI surgery at 5 days old and started prevacid (15mg 2x per day) around 4 months. She would projectile vomit at least twice a day for months. The main thing that we found to help, was having her elevated. We used our boppy breastfeeding pillow and fed her sitting up. Then she didnt move for about 30 min. It is quite a pain because they eat so often at that age, but totally worth it. This really minimized the throwing up.

Also, i remember switching bottles a couple of times. Noticed a huge difference when we switched from nuk to avent. Hope you find some good information. It was always really upsetting to me when she threw up. There is so much pressure to gain weight at that age. Stressed me out. Good luck <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
K

kellyga

New member
This mau seem too simplistic for all she is going through, but sitting up for 30 to 45 minutes after each feeding helped my daughter. She had MI surgery at 5 days old and started prevacid (15mg 2x per day) around 4 months. She would projectile vomit at least twice a day for months. The main thing that we found to help, was having her elevated. We used our boppy breastfeeding pillow and fed her sitting up. Then she didnt move for about 30 min. It is quite a pain because they eat so often at that age, but totally worth it. This really minimized the throwing up.
<br />
<br />Also, i remember switching bottles a couple of times. Noticed a huge difference when we switched from nuk to avent. Hope you find some good information. It was always really upsetting to me when she threw up. There is so much pressure to gain weight at that age. Stressed me out. Good luck <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
A

ashmomo

New member
My daughter is 19 months old (how old is your daughter?). She has had a nissen and g-tube surgery. She is also on Prevacid 15 ml 2 times per day (she is now 19 pounds, so close to yours). What kind of enzymes do you give?

Anyways, my daughter has had alot of puking issues as well. Even after her nissen, she STILL pukes! She couldn't at first, but eventually works it up and can burp now too.

Her feeding pump will cause problems at night if we go over 25 ml per hour! SO 110 is ALOT! I am shocked! And, we let her drink some during the day and bolus the rest about 1/2 hour later. If she has 5+ oz, she may puke. She has done really good for the past 2 weeks and then puked yesterday again. Before the last 2 weeks she would puke on average every other day...even after having the nissen done.

I don't think her tummy can handle near what they want you to put in it. I had to decide what she could tolerate and bring her down to there for her own comfort. The docs finally realized that <img src="i/expressions/face-icon-small-blush.gif" border="0">) The docs are not always right.

PM me if you have any questions of need to chat <img src="i/expressions/face-icon-small-blush.gif" border="0">)
 
A

ashmomo

New member
My daughter is 19 months old (how old is your daughter?). She has had a nissen and g-tube surgery. She is also on Prevacid 15 ml 2 times per day (she is now 19 pounds, so close to yours). What kind of enzymes do you give?

Anyways, my daughter has had alot of puking issues as well. Even after her nissen, she STILL pukes! She couldn't at first, but eventually works it up and can burp now too.

Her feeding pump will cause problems at night if we go over 25 ml per hour! SO 110 is ALOT! I am shocked! And, we let her drink some during the day and bolus the rest about 1/2 hour later. If she has 5+ oz, she may puke. She has done really good for the past 2 weeks and then puked yesterday again. Before the last 2 weeks she would puke on average every other day...even after having the nissen done.

I don't think her tummy can handle near what they want you to put in it. I had to decide what she could tolerate and bring her down to there for her own comfort. The docs finally realized that <img src="i/expressions/face-icon-small-blush.gif" border="0">) The docs are not always right.

PM me if you have any questions of need to chat <img src="i/expressions/face-icon-small-blush.gif" border="0">)
 
A

ashmomo

New member
My daughter is 19 months old (how old is your daughter?). She has had a nissen and g-tube surgery. She is also on Prevacid 15 ml 2 times per day (she is now 19 pounds, so close to yours). What kind of enzymes do you give?
<br />
<br />Anyways, my daughter has had alot of puking issues as well. Even after her nissen, she STILL pukes! She couldn't at first, but eventually works it up and can burp now too.
<br />
<br />Her feeding pump will cause problems at night if we go over 25 ml per hour! SO 110 is ALOT! I am shocked! And, we let her drink some during the day and bolus the rest about 1/2 hour later. If she has 5+ oz, she may puke. She has done really good for the past 2 weeks and then puked yesterday again. Before the last 2 weeks she would puke on average every other day...even after having the nissen done.
<br />
<br />I don't think her tummy can handle near what they want you to put in it. I had to decide what she could tolerate and bring her down to there for her own comfort. The docs finally realized that <img src="i/expressions/face-icon-small-blush.gif" border="0">) The docs are not always right.
<br />
<br />PM me if you have any questions of need to chat <img src="i/expressions/face-icon-small-blush.gif" border="0">)
 
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