This is in regards to a homecare case. I care for a 6 month old with dx of Teralogy of Fallot and was born with an Omphalocele ( this has been repaired). He is trach dependant and currently has an NG Tube. He regurges after every feed. Doctors say he should be able to feed orally, however he is not tolerating the feeds. Mom has tried cereal but he then gags and vomits. His Zantac has been increased and we recently started him on Pravacid via NG to neutralize stomach acids. He sucks on a pacifier but does not like to swallow.
Does anyone have any suggestions as to how we can train (?) him to take his feeds better?
Is there any relation between trachs and swallowing difficulties?
GI specialist stated that he won't ear because he knows that if he does he will reflux which causes pain.
Mom is frustrated and doesn't want him to become dependent on a feeding tube.
