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Gastrostomy/ tube feeding support group...

999 replies

Isitme1 · 03/06/2012 12:01

Hi.
I was looking for a support group for tube fed babies/ children but couldn't find anything.
Come and share you experiences and tell us how you are coping and how you felt when you first started with tube feeds.
I will introduce myself:
I have 1 ds- 21 months old.
Poor eater due to severe reflux and severe food aversion.
At his worst he was fed Baby food via syringe into his mouth like meds. He would take 60 mls a day in high calorie milk and a sip of water or juice in the day with no food in between.
He would scream at the sight of his high chair.

Fast forward a few months and he has a peg feeding tube. Hes on neocate advance ( suspected milk allergy) but have kept him on normal food to encourage oral intake. He still has very little by mouth but thankfully he's getting all his nutrients.
The gp put me down as a neurotic mother.
Ds is being seen by top gastric paediatrician.
He's having gut motility checked as his food is still
In his tummy 10-12 hours later and comes our undigested.

Hes had meningitis and septecmia at a young age too.

Come and introduce yourself!
X

OP posts:
Isitme1 · 19/07/2012 20:00

The fact that she's getting a lot of chest infections is making me think she aspirated.
She's had pnemonia too which is another indicator.
Do mention it to paed at next appointment.
We are here for you x

OP posts:
2old2beamum · 19/07/2012 21:06

to all new posters I totally agree with all old posters, a gastrostomy is a a life saver. I wonder where my 2 DC's would be without them DS would have died of starvation and DD would have probably inhaled. Sorry to sound so brutal.
Welcome to this thread they are all potty except me of course Grin
Isitme what a load of gobbledygook I wrote last night laptop playing up.
Take care you little tinkers off to bed no midnight drugs yay
love to allxx

Isitme1 · 19/07/2012 23:04

Same situation as2old
No gtube would mean no dc for us.

2 old how are you enjoying the break? peace and quiet!

Did I mention that my baby called me mama Grin
Managed to record it too lol

Caf is done.
Can you get 2 year funding when dla high rate is in place?

Can you imagine 10extra hours of sleep!!!! Shock
I wouldn't sleep though I would try and cook different varieties of food for him to try.

Hope everyone is good
X
Sleep well everyone x

OP posts:
Isitme1 · 20/07/2012 09:15

Quick question.
Aibu to ask gp to prescribe ds something to help him
Sleep?? He refluxes at night. Wakes up in the middle of the night for no reason and is awake at 6/7 am. He doesn't sleep during day.
Bloody hell I'm knackered!!!
I need to get some food shopping done but can not bring myself to get up!!!
Ds is on pump and I'm on sofa!
X

OP posts:
starfishmummy · 20/07/2012 09:39

It is hard to get going some days isn't it! (I was like that yesterday, heck, all week!!)

My ds is older (14 today!!) and he knows that when he is on his tube he has to sit still (watches TV/plays on his ds etc) and I sit down too!!

Evasmum12 · 20/07/2012 09:58

I can understand where your coming from, and by winter if she deteriorates as fast as she did last year then she will be having one. I just want them to investigate WHY she needs one first.

I think she has something wrong with her stomach, when she was born her stomach was full of dark green bile and froth, they suspected NEC but it was unusual because she hadn't had a milk feed, it usually happens after the first feed.

She has never ever asked for food, in over 2 years, she has never told me she's hungry, she asks for drinks instead. I think she associates hunger with drinking, not eating. When I feed her It's as if she genuinely can't understand why I am asking her to do it. She likes tasting food, but I don't think she has the instinct to eat and fill up on food.

Sorry to ramble but its hard to explain, just a gut feeling I've had for a long time that eventually a Dr will put all the pieces together and if they do the gastrostomy now I don't think they will ever look into it.

*isit Grin on your lo saying mama! X

Evasmum12 · 20/07/2012 10:26

Did you all find the gastro feeding easier than NG feeding? Personally for us NG feeding was a nightmare, constant vomiting, tube came out daily and then the 6 hour wait for nurses to arrive, we were basically house bound with it.4 hour long bolus feeds with an energetic 2 year old that can't sit still, few occasions where she threw herself off my knee, and ripped the tube out..
Really don't think either of us could cope with that long term!!

Isitme1 · 20/07/2012 13:12

happy birthday to not so mini starfish!!

Evasmum if you can afford private dr mike Thomson is brilliant
He can do you a report then you can give that to gp then ask to be refered to him up at Sheffield children's hosp where he works with nhs.
I think for the first appointment it's £250 I think.
Google him.
Google was a big help with getting ds diagnosed as gp was crap.
I found dr t on google too lol.
I agree with you. Your dd has associated hunger with drinking.

We didn't have ng we went straight for gastrostomy. I put ds in high chair.
Offer food then I will start pump after he has had some food (if he decides to eat) and he can't get out or hurt himself.
I bought the high chair from Argos it was a basic one £25.

Hope that helps
X

OP posts:
Isitme1 · 21/07/2012 20:24

Heellloooooo
Hope everyone is good
X

OP posts:
gallivantsaregood · 23/07/2012 10:48

Hi Everyone, Sorry not really been around lately.

Isitme: Yay!!!! Thanks for you :) Well done DS

Evasmum : Hi and welcome. My DS is 7.5 and has been tube fed since birth. He had an NG tube for 5 years ( only pulled it out x2 !!) but repassing the tubes was awful for him. We ended up having to sedate him every time he needed a tube change! He got his peg when he was 5 yrs old and it is amazing. Had a PEG for about 6 months then changed to a button. Before we started givign him real food down his tube ( known as Blended Diet) he was fed for most of his life, 20 hours per day continuously!!

The thing is with a PEG/Button, this doesn't mean givign up on your child being an oral eater. What it does is take the pressure off at mealtimes. She can have what she wants or not and you know that if necessary you can 'top her up' with extra calories at night or at other times in ther day. You can then get SALT and OT involved in proactively fiding out exactly what her aversion is and trying to help her to overcome it.

As for WHY she feels the way she does, you may have to accept that you may never know. What is important for your daughter is that she has the help and support to achieve her potential and that her road to doing that is filled with love and laughter. The tube will help with this by removing a fair bit of stress from you all.

My son didn't understand hunger at all for a long long time and there have been times when he's been ill in hospital and not been fed for 2 weeks and he wouldn't even think to ask for anything or say he's hungry. He is now starting to recognise it as a sore tummy.....so when he says his tummy is sore I ask where an dis it a real sore tummy or an empty tummy and he is getting good at telling the difference.

The scary thing about a PEG (IMO) is that it feels so permanent. However did you know that if you take the PEG/Button out that within an hour the hole will close and in a few days will be healed right over?? So if she really doesn't need it in the future it can easily be removed and all she will have is a tiny round scar.

Personally I think all children should be born with a button......when they are ill and don't feel like drinking you can give them little bits continuously using a pump, if the don't want to take their medicine, it doesn't matter it can go down the tube....... they really are lifesavers. Yes in the very beginning it's new and different and often a little bit uncomfortable. But once it's settled in a PEG/Button is amazing. Without tubes my DS wouldln't be alive and would not be able to survive still.

Sorry this is a bit of an epic - can you tell I talk alot????

Anyway welcome and hopefully you will enjoy being a part of this very friendly, informative group :)

Evasmum12 · 23/07/2012 13:19

Hey everyone, hope you are all ok.

isit going private isn't an option at the minute, but I have written the name of the Dr down anyway, thankyou. I am waiting to see a gastro specialist at MCH so hopefully we will get an app soon!
And when Dd is in her high chair I can't hold the syringe high enough for gravity feeds :(

Hi gallivants wow 20 hours a day?! I can't even imagine..
Can you tell me a bit more about the night feeding? Do you have to physically give the feed yourself and supervise it? Does DC have to be awake/sat up?
I'm worried because I work evenings (till 1am) and all weekend that I will have to lay a lot of responsibility on whoever is looking after her (atm only dd dad and my mum babysit).

In other news DD came off her 8 week course of antibiotics on Wednesday and already has a chest infection, so she's back on a different full strength antibiotic :( plus she's hd D and V for the last 8 days...

Isitme1 · 23/07/2012 18:04

Evasmum he does do nhs too. But sometimes gps are reluctant to refer. Ask your gp to refer lo to dr thomson gastronologist at sheffield children's hospital.
Google the hosp and find him. I got ds an appointment within 2 days.
If you ring through to the receptionist and tell them you want an urgent appointment and gp has done referal then could be same situation for you too
X
2 old hope your ok
Galli hope your good too. How's ds?
Ds is saying mmm nice for food lol and nice if he likes something. He is nodding too :)

X

OP posts:
Isitme1 · 23/07/2012 18:08

I briefly read the posts.
Hmm Manchester children's hospital??
Waiting list is atrocious!!!
Dont wait just get to gp and ask for gastric referal to Sheffield children's hosp. If they ask why say because dr t is best gastric in Europe.
We got refered in January and still no letter. In the mean time Sheffield has done ph probe, 2 endoscopes, peg and salt too.

X
Will re read later
X

OP posts:
Sneezecakesmama · 23/07/2012 19:00

I agree with everyone that Eva'smums DD (probably called Eva!) should be investigated for swallowing issues . It's not good enough to just opt for a peg without exploring the reasons it may be needed.

2old2beamum · 23/07/2012 19:49

Eva'smum DD4 couldn't swallow properly as she had a massive cleft palate (part of her syndrome) although repaired, food still leaks down her nose and she is now frightened of food as she found it so horrible so we thought a peg would be safer and life is so much better for her

DS5 struggled to eat and refluxed was NG fed for a while and we decided to go for peg guess what when they went to put it in they found a minute stomach and were unable to do a fundoplication but put a jej tube instead he is fed for 24/hrs a day but he so much better it is just fab
Well all you scallywags hope you are all well and enjoying the sun. Went to DD1 for W/E as LO's in respite, went on their boat scrambling over locks like a 60+ year old-oh I am Shock
Isitme if you ever find Knockout Drops that work please let me know.

submarine · 23/07/2012 20:49

Hello everyone, hope everyone is well.

My almost 4 year old had a gastrostomy due to eosinophilic disease 2 months ago and ( Im dreading saying this) I feel it was a mistake. She wont let us near her to do feeds 9 takes 3 of us to pin her down ) cleaning and turning it, is a joke. Even lifting her or toching her clothes is an issue.

I think its psychological, Its a nightmare.

she had a ng before this and although passing them was awful she didnt once complain it hurt or was an issue for her. Obviously an ng has other issues, with kids seeing it etc, so the gastrostomy seemed such a good idea, and I know it is much easier but???

Im at the end of my tether.

gallivantsaregood · 23/07/2012 21:21

Evasmum: We use a feeding pump at night. When he was fed 20hr per day we used a pump the entire time.We put it in a trolley backpack and he trailed it around with him once he could walk. He couldn't manage any kind of bolus (Portion) at all.

Sub: Poor you and poor DD. It could well be painful? Is it red at all, does she had overgranulation( overgrowth of skin) where the tube enters her tum? It is also possible that she is allergic to the tube and it is causing irritation. If even accidentally touching her clothes is causing her great distress I'd be inclined to think it hurts. SOmetimes too, if it is slightly too loose, some leakage from her tummy may occur and burn the site and surrounding area and that too is painful. There may be some psychological aspect to it, but does sound like genuine discomfort from what you say. What are the professionals saying?

Does she have anything orally at all? If so could you give her ibuprofen/paracetamol a good hour before you have to mess with her tube and see if it makes a difference. ( if not then paracetamol suppositories are available but not very pleasant).1st of all, after the hour is up and pain killers are working, try and accidentally and discreetly brush her clothes with your hand where her tube is, and see her reaction?

ALternatively, does she have sensory issues? Maybe the sensation of it and being strange is too much for her? My DS screamed for 6.5 years every time he had his hair cut because he said it hurt his hair! He wasn't making it up, he genuinely felt it!!......

Just throwing some ideas out there and please feel free to ignore them.

Other than that all I can advise is to be very non-confrontational and as stress free yourself when dealing with her tube. That will be extremely difficult if it takes 3 of you to pin her down. You will approach her tense, expecting her to freak out and she will feel that.

How about getting a tube for a teddy or dolly and let her practice and then maybe get her to connect her own extension sets over time?? Would she manage that?

Somethng else my son does is he develops patterns of behaviour. He wears splints and has to be regularly cast for new ones. Now he is familiar with the procedure, admits freely that it does not hurt, likes the orthotist, but he screams the place down hysterically EVERY SINGLE time. I think that in his head somewhere he believes that this needs to be his response to this procedure. There is no calming, preparing, settling him until it is over. He absolutely cannot help himself.( He has not been assessed but most likely on Autistic spectrum somewhere, high functioning), so could it be somethng similar. I.e. she responded like this initially because it did hurt and not it is embedded in the back of her mind that when someone comes near her tube that is howe she needs to respond?

Hope some of that at least is helpful. xxx

2old2beamum · 23/07/2012 21:47

submarine I am afraid I have no advice to give you as my DC's have learning disabilities and just accepted the status quo.I am sure many people here could help you.
Just because your DD needs a tube doed not make you a failure it is what she needs
Take care

BeeMom · 24/07/2012 16:10

I thought I might join this discussion as well, even though our situation is a little unique.

Ds is a former tube feeder - first NG, then PEG and button. He had them pulled about the same time as he started school and is now a hale and hearty 14 year old who weighs over 11 st. and is 5'8".

Dd will rely on a tube of some sort for the rest of her life. She started with an NG, then had a PEG placed. Due to her underlying condition, this began a cascade of problems, and 10 days later they changed her PEG to a transgastric j-tube (passed through her stomach entirely and fed her intestine). That was when she started 24 hr/day feedings as well. More trouble, and a second PEG was added so that her stomach could be drained while her intestine was fed...

This was a stop-gap measure, and by the time she was 3 1/2 years old she weighed less than 20 lb. despite 24 hour feeds. A surgery was done to insert a second button directly into her intestine to bypass the stomach entirely. Another failure, and in May of 2009, dd came home on TPN - IV feedings that go directly into her bloodstream via a central IV catheter.

Since then, it has been a long road of ups and downs, but as of today, she infuses her TPN 12 hours overnight and is allowed to eat for stimulation throughout the day... She is doing remarkably well, all things considered, and we have managed to integrate her needs into our daily routine pretty well.

We've been through a lot - if I can share my experience and help anyone else, I'll do what I can...

2old2beamum · 24/07/2012 18:44

BeeMom Reading your post brought tears to my eyes. My beautiful boy mirror images your DD, NG, PEG, then a PEJ straight into lower jej,. Like your DD all failed and he landed up having a total gastrectomy then TPN for 5 years when one line infection too many he sadly died just after his 13th birthday. He was a joy to have around despite his numerous disabilities. He would think it highly amusing to squeeze his lines deliberately and set the alarm off so poor old mum had to get up and reset the pumps.I couldn't tell him off as it made me laugh. Thankyou for the memories.Smile
Isitme forgot to say brilliant news that your little love said mama hope more words come soon

Isitme1 · 24/07/2012 20:12

welcome to the group beemom
I do look forward to your input as it l

OP posts:
Isitme1 · 24/07/2012 20:21

stupid fat thumbs
Like I was saying
I do look forward to your input as it looks like you've had a hell of a ride trying to get your lo's where they are today.

Sub gallis advice is really worth looking into.
Also if it is 'hurting' and If I remember right it's fairly new gastrostomy? If yes its worth mentioning to gastric team as your lo may need a surgical review to make sure it's actually in the right place?

Other than that galli has said everything I would of and I hope you find something that helps soon.

2 old here Brew
Have lo's come back? I hope you got a few lie-ins!

Ds says nice if he likes something :)
He gave my mum a kiss today and he said nice
It's soo cute! It's a new experience as I actually get to hear his voice rather than babbles! It's like a proper child's voice all cute and innocent!
Hope everyone Is good!
Got myself a new toy Grin iPad2 :)
Very happy ATM
It will keep me occupied at hosp appointments and admissions!
X

OP posts:
Isitme1 · 24/07/2012 20:23

Still didn't finish what I was saying to beemom.
Here we go again
I look forward to the advice you have to share with us all that you've gained with experience Thanks
I will shut up now and go
X

OP posts:
gallivantsaregood · 24/07/2012 20:29

Welcome and Wow! What a lot you and your kiddies have endured. PLeased that the TPN is working out for your daughter. I can imagine how hard it must be. DS has had a couple of periods of TPN over the years and had a portacath but luckily always managed to get back to gastric feeding. xx

2old : Thanks have these and a hug. xx

Isitme: So glad you have some sunshine in your life just now. You deserve it. Hope you're recording DS's beautiful voice occasionally so you can look ( well listen) back and hear how well he progresses :) xx

2old2beamum · 24/07/2012 20:47

Thanks you lovely scallywags what would I do without you (pulls self together)
Yes I did get a few lie ins the lo's came back yesterday. Is it only day 2 of school holidays!
Sleep well Hmm xxx