Feeding Clinic
Charlene had feeding clinic today. She weighs 13.6kg and is 90cm tall. Her weight is in the 50 percentile and her height is only in 10 percentile. The dietician has increased her feeds slightly to ensure she gets sufficient nutrients.
The speech therapist said that her oral hygiene is good (to my relief). Thank God for the disposable oral swabs and for the Health Promotion Board toothbrush which Auntie Joanna bought for Charlene. The SLT didn't have any sour stuff with her and my dear girl refused to cooperate and didn't swallow the cold water in her mouth.
I also discussed with the gastro doctor and the speech therapist about Charlene's rather frequent choking of saliva incidents when she is shifted from a lying to a sitting position. I asked if it could be due to reflux. The doctor said that there is a possibility that Charlene is having reflux but an upright position should help reduce the reflux and hence choking. Both of them thinks that it might just be saliva pooling in her mouth and hence causing her to choke. Charlene was smiling cheekily as the doctor said that and that amused the doctor. She said "Look at that girl. She is saying they finally got it huh. Well done."
Meanwhile, Charlene's anti-reflux medicine dosage is being increased to better manage her condition. Maximising the dosage of the medications is the first thing to do. If her condition worsens, she might need to go for a test to determine the severity of the reflux and the next course of action. The worse scenario is to do the fundoplication again (surgery). We pray that Charlene will learn to control her sphinter muscles and that God will heal her of her reflux.
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