[Dysphagia] Feeding Ideas...post fundoplication dysphagia

[pressmah at sjhmc.org (pressmah@sjhmc.org)]

It sounds like the food needs to be moist and cohesive.  Try adding some
liquid such as milk to the mashed potato,banana etc to make it smoother.
Hilda Pressman

-----Original Message-----
From: Shelley [mailto:ShelleyBautista@hotmail.com]
Sent: Thursday, November 11, 2004 11:05 AM
To: Dysphagia@b9.com
Subject: [Dysphagia] Feeding Ideas...post fundoplication dysphagia


 Hello Everyone,



I am a the mother of a 4 year old little boy. He is 14 days post op from a
Nissen Fundoplication. He is a silent aspirator and is not safe to swallow
anything thinner than very thick puree. It does appear that the fundo has
successfully stopped the aspiration from below. He was released from the
hospital strictly gtube fed and allowed a soft mechanical diet as tolerated.
Anything "soft mechanical" I have tried (mashed potatoes, mashed banana, mac
and cheese, scrambled eggs, bread...all in very very small bits and bites)
doesn't seem to work. It gets stuck at the wrap. 



I can tell he is making progress because he can successfully chew and
swallow a Cheerio or Cheetoh Puff past the wrap. I know, not technically 
soft mechanical", but they do dissolve to almost nothing. In addition to the
Pediasure, he has been having custard style yogurt with small amounts of
cheerios. He has also successfully tolerated homemade thick applesauce.



What are some things I can continue to feed this kiddo? I am out of ideas.
He begs to eat and I certainly don't want to contribute to an aversion. I
have to limit his yogurt intake because he gets a rash. What are some things
that are thick enough, but go down easy without the aid of liquids? He will
swallow hard when prompted, but probably forgets on his own.



We tried scrambled eggs once more this morning and bite #2 didn't go down.



Shelley