Alexander (Alex) was born a
healthy 7lbs. 2 oz. after a healthy, non-complicated
pregnancy. In the hospital, everything seemed fine and we
went home after the typical two day stay. At about one week
old, Alex began vomiting, vomiting, vomiting. At that time,
we were seeing a general family doctor who, just from
symptoms alone, diagnosed “severe reflux” right from the
very beginning. We were very lucky. At two weeks, Alex had
an upper GI and was put on Prevacid. The vomiting, however,
continued. Alex was never interested in eating and when he
did eat a couple of ounces, they would just come right back
out immediately. At seven weeks he was labeled failure to
thrive and an NG tube was placed to supplement his bottle
feedings. He continued to vomit up his NG bolus feeds and
the feedings were switched to continuous. At this point we
pretty much lost all oral feedings. Being a Speech-Language
Pathologist myself, I knew that once the NG tube was put in,
all oral feeding would be lost and I was right. I just
wasn’t ready for how quickly it would happen. Alex chugged
along with his NG tube for three months. He continued to
slowly gain weight but because he still showed no interest
in oral feeding, he had a more permanent G-tube put in.
While the G-tube didn’t help the vomiting, it did make Alex
more comfortable and life a little easier. We were to the
point where Alex was pulling out his NG tube at least once a
day and reinserting it was an absolute nightmare for him and
for us.
Through all of this we continued to search for a reason
or diagnosis for the vomiting. So far we had a diagnosis of
reflux, laryngomalasia, hypotonia and a small VSD in his
heart. Still nothing seemed to describe the severity of the
vomiting.
At 10 months the vomiting became so severe that Alex
became dehydrated. His GI recommended we take him to the
emergency room to have a GJ tube placed. We had that done
and were sent home. A day later Alex starting vomiting blood
and bile and, again, was dehydrated. Back to the hospital we
went. Alex was admitted and one week later a j-tube was
placed. After recovery we went home with a new feeding
method called, by our surgeon, the “feed and drain system”.
We feed him through the j-tube and suction all fluids out of
his stomach with the g-tube. In theory, this would leave him
nothing in his stomach to vomit. It was a good theory but
here we are-- Alex is now 12 months old and he continues to
vomit throughout the day and night. Admittedly, the vomiting
has reduced from about 15-20 times a day to more like 8-10
times a day. Also, he now only vomits stomach acid so he is
gaining a considerable amount of weight with the j-tube.
Still, I find this amount of vomiting unacceptable and I
continue to search for reasons and solutions.
Through it all Alex has always been a beautiful and happy
baby. The vomiting has never really seemed affect his mood.
It doesn’t really make him cry or get upset. He just vomits
and continues on with his day. He’s amazing! The vomiting
has, however, affected his motor development. His reflux is
so severe that sitting for him is still nearly impossible.
Every time I try to sit him up, his stomach churns and he
projectile vomits. It’s as though sitting smashes his
stomach and causes him major upset.
Alex is our first baby and as you can imagine, it has
been quite the bumpy road for all of us. In and out of
hospitals all year long and we are still waiting for some
more conclusive answers and solutions. Alex’s first birthday
party is this Saturday and I can’t help but think about all
we have been through and how different I imagined his first
year would be. We have been blessed with a very supportive
family and an amazing team of doctors. I really feel the
while best treatment route has been taken with Alex, the
best is still not good enough. The vomiting has to stop.
Thank you all for listening. I write Alex’s story so that
when some frantic mother is searching on the internet to
figure out what is wrong with her baby, she will not feel
alone. The severity of reflux can truly be unbelievable. We
just have to remember that we are not alone and that things
will get better—they have to get better. |