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States » EastPosted at: Jul 10 2019 6:49PM


Mic-key button- Long term assisted feeding in children

Kolkata, Jul 10 (UNI) “Occasionally, we come across babies who need assistance in feeding. Either their swallowing mechanism is challenged, and often the food particles, as well as the saliva, enter the windpipe resulting in repeated episodes of pneumonia needing countless hospitalization and morbidity,” according to Dr Subhasish Saha, consultant, department of paediatrics, CMRI, C K Birla Hospitals Kolkata
There are babies who have spastic paraparesis due to lack of oxygen supply to the brain early on. They need placement of a feeding tube in the food pipe. At times, babies have severe degrees of cleft palate with failure to gain weight. Good palatal repair needs optimum body weight. Aspiration pneumonia episodes can also be precipitated by a disease called gastroesophageal reflux wherein the stomach contents can be pushed back to the food pipe due to the weakness of the muscle guarding the gastric inlet, Dr Saha said.
In all the above-described situations, the baby is left with a PVC tube dangling from one of the nostrils. The caregiver must be cautious so that it is not pulled out inadvertently, or unintentionally by the child himself. Prolong tube placement can cause erosions in the food pipe as it is, after all, a foreign body that is lodged within. Outdoor games are restricted. The child must lead a sedentary existence. The presence of the feeding tube loosens the junction of the stomach and the food pipe promoting reflux and further complicating the scenario, he said.
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