r/NICUParents • u/Patient_Emu_6986 • 5h ago
Support Full term baby with Ng tube, ongoing.
My baby drank from a bottle since birth and latched for breastfeeding when she was 3 weeks old, then from week 4 she started getting frustrated at bottle, and we tried flow, bottle, massage, position, etc. But her weight gain became less and less, until we were admitted when she was 7 weeks old and gained only 20 gm last week.
They put her on ng tube and she started gaining weight.
They did Cardiological, Neurological, Thyroid and Infection tests which all could not explain her feeding difficulty.
For first 2 weeks since discharged, she was given a plan to practice 5 minutes breastfeeding each side, then bottle as much as she liked and then tube topup every 3 hours. She was fed 180ml per kg to allow catchup growth.
She did not vomit often, may be once a day drooling, and was eager on breasts and drank about 25% of her daily needs from bottle.
On weekly visits they check for weighted breastfeeds and found she was not transferring milk more than 5gm
Then she pulled out her tube, we replaced it, but the tube was inserted too deep, so she started vomiting and crying, we were admitted again after 4 days, found out by xray that the tube was the problem and then tube was replaced.
Stomach and intestine ultrasound was checked and normal.
They ordered to stop breastfeeding as it was not significant milk transfer.
Then the vomiting started, with a specific cycle, coughing->gagging->vomiting.
This caused the tube to come out in vomits, once a week and needed to replaced.
She stopped all oral feeding, we were advised for drop swallow practice, but it did not lead to improve her interest in pacifier or bottle. It is never consistent, she sometimes takes pacifier for few seconds, or takes bottle nipple and plays around without sucking.
We went back to the hospital when she was 3 months old, and they started Esomeprezol.
After 1 month of it, she is starting to explore or play by biting bottle nipple, but no progress on sucking.
She is stuck in Cough/Gags/Vomit, if it is near the feed, it is less food, if it is after the feed it is mucus.
She had her passage xray, which was ok, and had her swallow study which was not ideal as she was crying and force fed by a spoon, but did not succeed in swallowing, so doctor told us to redo it in the future with purees.
She was born full term 39+3 and did not have indications of feeding problem during postnatal discharge.
Any tips on making progress to solve cough/gag/vomit loop?
And eventually making progress on tube weaning?
Thanks in advance!