Friday, January 2, 2009

After some kicking, screaming and flailing of the arms the results are in and it seems that our baby girl might just have a tiny tummy. No problems with the esphagous, no problems with the throat, no stomach or intestinal problems, matter of fact Morgan Kate's anatomy looks great. What a huge relief and an answered prayer! Several months ago someone told me that, "All premature babies have something wrong with their stomachs, so you can bet your bottom dollar that something will be wrong with hers." Well, I am happy to say that that person was wrong!

We arrived at the hospital a little before nine this morning. Travis went in to finish registering and left the two of us in the car. Once he returned we waited for "the call". Since Morgan Kate is not supposed to be exposed to others we sat in the truck and had them call us when they were ready. Right at 9:30 we got the call.

We began by explaining the things that had been occurring at home and then the upper GI began. We thought she would have to drink barium, but they actually have a clear liquid that infants can drink instead of the barium. Thank goodness! They attempted giving her a bottle and didn't have much luck. They asked us to try and give her the bottle, but unfortunately we didn't have much luck either. Not sure if it was the nasty stuff she was asked to drink or the fact that they had her lying flat on her back. Now who drinks anything while laying flat on their back? Come on. We don't feed her that way and she's not used to it. After several attempts with the bottle we had to put the OG tube in. Of course since she had taken "some" of the bottle she threw it all up. We then secured the tube and they finished injecting the liquid into her stomach. They then took x-rays every 15 minutes to see how the liquid was processed and how it traveled through her body.

Around 11:15ish the radiologist came out and spoke with us. There were no signs of reflux - today. She said that it is quite possible that she has reflux, but that at this particular feed it didn't occur. She said that everything else looked great - everything was where it was supposed to be and there were no obstructions. She said that everything was moving quite quickly and she would probably have a messy diaper any minute. And boy did she!

There were only two things that they noticed:
1. When they tried giving her the bottle she would not take it. She would not suck or swallow. Of course they have never seen her take a bottle before, so they seemed to think that we need to see a speech therapist and get some work done (stimulation around the mouth, work with the nipple, etc.). Often times premature babies develop an oral aversion because of being on the vent or being OG fed for so long. Morgan Kate was never on the vent, but has been OG fed since birth. The tube has been put in, taken out, taped down, tape removed and so she possibly associates things around her mouth with pain. It can sometimes take preemies years to outgrow this. They can work with a speech therapist (because this oral aversion can later cause speech and language delays) and we should also try different things ourselves. We should touch her face gently, kiss her face gently, use the pacifier, have her suck on the bottle nipple with no bottle attached and so forth. All things to promote positive things happening around her mouth. I don't think this is the complete cause of the her feeding problems, but I do think it has something to do with it.

2. The other thing they noticed was that they only gave her 30ccs or so of the liquid and it completely filled her stomach. So, they seem to think that maybe we are feeding her too much or too often. Therefore, the squirms, cries, arching of the back and so forth are because she is trying to tell us she's not hungry.

Today we have been working on touching her cheeks very gently, rubbing around her mouth, having her suck a nipple, having her suck our finger and our pediatrician also reduced her feeds from 66ccs to 58ccs. At 12 this afternoon she took a bottle beautifully, at 4 she would only take about 40ccs and she threw about 15 or so of it up, at 8 she took a good bottle and just now she finished another one. However, as I type this she is screaming and Travis is doing everything he can to console her.

She is continuing to fight her feeds and it is definitely a struggle. At times it really gets the best of me. I just want feeding time to be calm and soothing and a bonding time for us. It ends up being such a battle and just an overall awful time. We just want to find out what works for her so that things can get better.

We are thrilled and so very thankful that nothing is wrong "mechanically". How awesome is that? Thank you for all your prayers!

8 comments:

The Leviners said...

I'm so glad that the results were great today!!
Love and Prayers,
The Leviners

Justin and Jessica Jones said...

Yahoo...I'm so glad that everything they checked seems to be working okay. I remember when you told me a long time back about someone mentioning the stomach problems to you. Morgan Kate is all about defying the odds. I know that all her feeding issues will work out soon for you. I will say an extra prayer for this tonight. You guys are doing an amazing job with her. I am in awe at the patience and care you are able to muster everyday no matter how tired you both are. It is truly evident that you are relying on God for strength and patience during the frustrating times. You have come SO far, and I am so proud of you all.
Love you...miss you,
Jessica

Deni said...

Thats so great to hear heather. Can you keep Parker in your prayers, he's been having some weird breathing issues...thankfully no fever or signs of RSV...but it's still scary and we have to call the Dr. in the morning. Woohoo! So yah, pray for our little man!

Terry Sowell said...

Hey, praise God for a good report. My coworker who commented on your wall a while back asked if you were using a speech therapist. She had the baby with problems, and they used the speech therapist. I think that is a wonderful idea. I know that means another trip out for you, but I think it is worth it. I hope that things will begin to settle down for you soon. You will get those bonding moments. You do not realize it, but already have. When Morgan Kate has been in pain, you and Trav have been there with her every step of the way. She knows you have not left her. I have been reading a book for parents called Fuel. It talks about how important it is for parents to maintain their relationship with Christ and how that will ignite the relationship our children have with Him. As difficult as your time is right now. Try to find a few minutes for Him each day. And remember to take things one day at a time. He will provide all you need. Love and blessings! Aunt Terry

Monica said...

Ha, so Morgan Kate may not have her Mom's appetite. Just kidding--you know I say that with all love. ( I'm giggling as I type.) I am so thankful that the results were good. I think all of what you said does make some sense. As a parent, we always look for some answers to our questions. Good for y'all for being willing to try something else to make it all better for Morgan Kate and ultimately it would be nice for you as well. We are always thinking of you. Miss you lots, Have a happy day!

Anonymous said...

Hi Heather. So good to hear the great results. Please email me if you have any speech questions. I know you have a great team that you're working with, but if you have any questions about a referral, BabyNet, or anything, let me know! Those were good recommendations. I have heard that sucking on the bottle nipple with no bottle attached for practice can cause babies to swallow too much air and lead to a tummy ache. ??? Another good way to practice nutritive sucking is to have her suck your pinky and squirt in a little formula/milk from a syringe (a little bit at a time). That way she'll start to associate the sucking with the "reward" of the food. Like I said, I know you have a wonderful team, but if there is anything I can do to help, please let me know!

Anonymous said...

It is so great that nothing is wrong with her anatomy. Praise God. He is Awesome. If the radiologist has suggested a speech therapist ask your pediatrician next time you see her/him to order a consult with one through your home health agency. If the agency does not have a speech therapist on staff they can contract out with an individual speech therapist.You and Travis are fabulous parents. I know you are handling the difficult times well. You, Travis and Morgan Kate have bonded so well during this time and I know it is not an easy task for you guys but you and Travis are doing a great job. Morgan Kate is a very special little baby girl and her parents are very special also. We love you Travis and Morgan Kate. I am Praying for you and Travis to have the strength to continue to console Morgan Kate when her little tummy hurts as I know you will. I pray that God will touch you Travis and Morgan Kate supernaturally. Be encouraged. Until we see you again.......
Love,
Aunt Jan and MaMa

Anonymous said...

What great news!!! I just walked in the door and got straight on the computer to get the past couple of days update. I hope ya'll had a Happy New Years and so glad it started with the best news about her tummy,etc. Have you had any more "fashion shows" with all her new clothes?? Thinking about you and Trav, keep up the fabulous work and give Morgan Kate a hug and kiss from me. Love you, Kelly