An update on Will's eating is overdue. Here's the current situation:
*4 daytime feeds that are pumped in over 30 minutes. The volume changes frequently but today it is 130 mls (that's about 4 oz) per meal. I know that is a tiny amount but that is what his little tummy can hold.
*a continuous night feed that runs over 5 hours at 34 mls per hour. That is changing also because we are transitioning to no feed at night. This is probably the most exciting thing I have heard in a very long time! The night feed is not only inconvenient but also not the safest thing in the world. It can come unhooked and pump liquid into the bed with him, the tube can wrap around him, the pump can malfunction...it is just a worrisome event that will be such a relief to not have to do any more!!
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| Will getting his night feed back in the NG tube days. |
*we offer him baby food, finger foods, and/or food from our plates at every meal. Sometimes he likes it but sometimes he doesn't.
*his best oral feeding week was a few months ago. I had stopped offering him anything for several days because it was frustrating me to see him to push that little spoon away EVERY SINGLE TIME. When I offered again (on a Sunday) he ate 7 bites! I stopped then because I didn't want to push my luck and needed to end on a high note. For the rest of that week he ate an average of 7oz of baby food a day! We had to run to the store to stock up! The next week he didn't eat nearly as much and we're still working towards those large amounts again.
*his phases tend to follow an unofficial weekly pattern. Some weeks he will eat bite after bite. Some weeks he will not let us get a spoon near him. It is really nice when he gets happy and kicks his legs with excitement when he sees me get his food. He doesn't eat much of it but all that matters right now is that he likes it.
*he sometimes will drink water from a sippy cup. We aren't going to try to teach him to drink from a bottle at this age. He has had a few sips of milk, Pediasure, and juice but he really only likes water. The cups we use don't have valves (either a Nuby with slits that open with pressure or a Take and Toss with holes) so the liquid can fall into his mouth easily. This makes me glad that we still haven't found an area rug for our living room...Will likes to use sippy cups like drum mallets and after banging them on a coffee table several times liquid is everywhere.
*this kind of eating means a lot of things get thrown away. Luckily (if its not baby food) we sometimes finish it for him. That can be a problem because if its really good we will eat it all. I'm not buying any more Pirate's Booty or Chester's Puffcorn for this reason. But it was SO GOOD while we had it around.
*his very favorite thing right now is Ritz crackers. He also likes pretzels, Cheese Nips, chocolate graham crackers, Slim Jims, and some other things, but he can't get enough Ritz crackers. Bananas are his go-to baby food.
His feeding therapist says he is doing fantastic because he is progressing in the types of foods he wants. She reminds me over and over that our current goal is for eating to remain pleasurable. We are succeeding if that is the goal. By the time he is ready to be a total mouth eater (a phrase I just made up) he will be comfortable with all types of foods - hard things, things that melt in his mouth, things with little pieces that are more difficult to control in his mouth, etc. When his weight gets to a good place we'll be able to adjust the tube feedings to give him a chance to get hungry.
Tooth update: His first one on top is coming through this week!
If we ever get a picture of the teeth I will be sure to put them here!