Caloric intake via feeding tube

For a child under age 2, there are a lot of considerations taken into account when changing a tube fed formula or increasing a feeding rate.  A registered dietitian or pediatric gastroenterologist would be the best person to actually make the recommendation of a  rate change.  They would take into consideration presence of GERDS (too high a rate can potentially increase reflux), child’s rate of current growth, child’s placement on the growth curve, catch up growth needed, and formula specific information such as is the formula at full strength, is it calorically still appropriate, is it well tolerated at the current rate, would the child be getting adequate water if the rate was increased, etc.  We realize a parent is anxious to continue to see weight gain but for the best result please discuss your concern and ask for a recommendation from one of the health professionals mentioned above.

DP/TK 7-13-10