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who was tube fed by ng tube for 4 months could not tolerate bolus

feeds at all. His rate varied from good to bad day from 30-60 cc a hour.

Dawn, mommy to Dakota, 6(going on 20) and , 2-1/2 (eosinophilic

gastroenteritis, fundo 10/96)

----------

> From: SJHarlow@...

> To: eosinophilic gastroenteritis (AT) onelist (DOT) com

> Subject: [eosinophilic gastroenteritis] Bolus feeding

> Date: Monday, August 24, 1998 2:04 PM

>

> From: SJHarlow@...

>

>

> Just curious on this list.. who tube feeds their kids and how much are

> you able to feed, rates, etc? Is anyone actually able to bolus feed

> their EG/EE kid?

>

> SJHarlow@...

> http://www.c4isr.com/harlow

>

>

> ------------------------------------------------------------------------

>

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is tube fed and cannot tolerate bolus feeds. He can now tolerate

250cc an hour, but he is almost 9 years old.

He also has pulled his button out, but I always have a spare at home. My

doctors encouraged me to have an extra and they also gave me the confidence

to change it myself. The worst part is pulling out the old button. Last

time it was very difficult and in the end wound up bleeding. Fortunately,

he is very brave.

I also wanted to say that for us, it took many years of Neocate exclusively

for to stay well, but in the end, he is now tolerating more and more

foods. We didn't think it would ever be possible for him to eat.

Recently the discussion included speech problems, which recieved many

years of therapy for. Another problem we have run into now that he is

almost in third grade, is memory problems. We were told by our school

psychologist that people that have full systemic problems also have

problems with memory. We will be working on this when school starts again.

Has anyone else heard anything like this?

Suzanne Wool

----------

> From: SJHarlow@...

> To: eosinophilic gastroenteritis (AT) onelist (DOT) com

> Subject: [eosinophilic gastroenteritis] Bolus feeding

> Date: Monday, August 24, 1998 7:04 PM

>

> From: SJHarlow@...

>

>

> Just curious on this list.. who tube feeds their kids and how much are

> you able to feed, rates, etc? Is anyone actually able to bolus feed

> their EG/EE kid?

>

> SJHarlow@...

> http://www.c4isr.com/harlow

>

>

> ------------------------------------------------------------------------

>

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Hi Suzanne and thanks for your input.

I am getting a lis of all this suff together. We seem to have a

prevalence of many things heretofore not acknowledged in the literature.

As the write up on our kids has not been published yet, this stuff

should be included and I am forwarding the info I get here to our peds

GI. Anyone who does NOT want info forwarded on, please tell me.

As far as memory problems, my DD/speech delayed EE kid is only 3 and I

cant tell yet if he has memory problems. I do have two lesser-involved

EE kids withOUT speech or dev delays

SJHarlow@...

http://www.c4isr.com/harlow

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In a message dated 98-08-24 16:13:53 EDT, you write:

<< Just curious on this list.. who tube feeds their kids and how much are

you able to feed, rates, etc? Is anyone actually able to bolus feed

their EG/EE kid? >>

Clayton just started tube feeds as you are well aware. They want him up to

90ccs an hour but this seems like wishful thinking. He was having a hard time

handling 60cc. We went back down to 40ccs and are gradually working back up to

60. We have not done any bolus feeds but anytime I put the medicine in the

tube he screams.

love,

sharon

mommy to Jake (5) and fraternal twins (34.5 weeks) (3/30/97) - Cole -(nda)

and Clayton (eosinophil gastroenteritis, food allergies, g-tube, Nissen and

possible latex allergy, some dd and undiagnosed neuro issues)

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In a message dated 98-08-24 17:43:11 EDT, you write:

<< His rate varied from good to bad day from 30-60 cc a hour.

>>

THis seems to be what is happening to Clatyon - one day he retched all night a

60 and the next he was fine but clearly does better at a slower rate. However,

if we feed him at a slower rate how do we get the calories in him?

love,

sharon

mommy to Jake (5) and fraternal twins (34.5 weeks) (3/30/97) - Cole -(nda)

and Clayton (eosinophil gastroenteritis, food allergies, g-tube, Nissen and

possible latex allergy, some dd and undiagnosed neuro issues)

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Sharon, if you feed him at a slower rate, you just HAVEto keep the pump

on 24 hours a day. For a few weeks (before te prednisone) we could not

get Kody above 30-35cc/hr and he would eventually get a little

dedhydrated. At (then) 28 lbs, he needed a minimum of 45cc/hr over 24

hours to maintain hydration.

Now (on prednisone) he can tolerate 60cc/hr and we keep him on at least

22 hrs/day. He is gaining weight on this!

SJHarlow@...

http://www.c4isr.com/harlow

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In a message dated 98-08-25 23:46:23 EDT, you write:

<< At (then) 28 lbs, he needed a minimum of 45cc/hr over 24

hours to maintain hydration. >>

Clayton is around 20 pounds or so so he only needs around 24 ounces to keep

him hydrated and at last 32 ounces to gain weight. I really do not want to

keep him on the pump all day. We go to the surgeon tomorrow for our post op

visit and will see Dr. next Wednesday (he is on vacation right now) and

will discuss his feedings. THey do not want to feed him all day as they do

really want to try to encourage him to eat by mouth. We will see. He has

basically been on a sole Neocate diet since he was 6 months old except for

certain food which we clearly know do not cause problems.

love,

sharon

mommy to Jake (5) and fraternal twins (34.5 weeks) (3/30/97) - Cole -(nda)

and Clayton (eosinophil gastroenteritis, food allergies, g-tube, Nissen and

possible latex allergy, some dd and undiagnosed neuro issues)

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In a message dated 8/24/98 3:13:46 PM Central Daylight Time,

SJHarlow@... writes:

<< Is anyone actually able to bolus feed

their EG/EE kid?

>>

Ben is on 3 bolus feeds a day of 180cc. I run it on the pump at 270 cc/hr.

Then at night he is on a drip at 60cc/hr for 6.5 hours. It has taken us a

year to work to this point. When he gets sick it all goes out the window.

Jane

5-24-97 EG/MSPI- GERD- physical and motor lags.

11-2-95

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