At one month old, Karah
was diagnosed with acid reflux. This was well before we knew about
SMA.
Like many SMA children who suffer from severe AR, we are
continuously revising Karah's diet seeking what works best for her
at that time. Karah is very volume sensitive and also has slow
motility, something common for many SMA children. Our pursuit to
study SMA diets has become a priority and I love when families
publish their child's diet so we can compare and also forward
information onto our Nutritionist.
Diet Information
In late Nov. 08 Karah switched to a GJ tube due to her uncontrolable
vomit/reflux episodes. Her nissen was determined thru an EGD this
past Oct 08, not to be in tact. So in order to ensure Karah's lungs
stay healthy due to any GI related lung pneumonia's, we opted to do
a GJ placement until further consideration of surgery happens and
when it is a safer time to consider surgery! Here are her changes
diet wise.
Currently Karah is being based on 120ml per kilo. Her current weight
is 8.6kg for a total of 1032 ml per day.
Current Diet
is as follows: Mixed as a full 24hrs
Additional water
flushes are given thru the day: approx 60-80ml over 15hrs
Day Rate is currently at 51ml per hr
Night Rate is 47ml per hr
Medication Information
List of Karah's Medications:
Zantac15mg/ml (75mg/5ml) 2ml TID,
Given @ 9am, 5pm, and 12:30am thru the J
LevoCarnitine 10% oral solution 2ml TID, Given @
9am, 5pm, and 12:30am thru the J
Miralax 7.5grams (approx 1tsp) QDay, given at 10am mixed w/ 3oz of
her food thru the J dispensed over the set rate by pump over approx
2hrs
Mylicon/Simethicone: we eat, sleep and breath mylicon and are considering taking
stock in the company!
We have also tried Prevacid Compounded and Solu-Tabs: Neither worked
for Karah and actually increased her reflux within days. We are
currently in the process of seeing GI for a follow up for further
studies and potential options. |