We are making progress with Ethan’s feeding regime!
He still has the NG tube in, but the way we are administering his feeds has changed. Previously, Ethan was fed all of his daily calorie requirements (700ml of liquid formula) overnight at a slow rate via a feed pump. And during the day we did hourly flushes of water by syringe into his NG tube to meet his fluid requirements.
Now, Ethan is having his liquid formula in five bolus feeds given three hourly throughout the day. So he has breakfast, lunch, dinner, a snack and supper. These feeds are 140ml each, with each one given over one hour on the feed pump via his NG tube. We flush water down his NG tube by syringe before and after each feed so we still meet his fluid requirements. And once he has had his supper in bed, we can turn the feed pump off and leave him to sleep peacefully.
While it may not sound like a big deal, this is a huge step forward for Ethan and us. It means his stomach is able to adjust to a more “normal” regime (similar to a formula fed baby) and he is developing a more regular appetite. Slowly, we will be able to offer purée food prior to each feed and as he learns to eat again, we can slowly reduce the liquid feeds. We are also hoping to give the current feeds over half an hour on the feed pump (rather than the current hour).
We are so proud of how Ethan is dealing with the changes…he sits in a little stroller and watches a DVD while the pump is attached and the formula is going in. Very patient of him! He must like having a nice full tummy.