I finally got him to take just enough breast milk from a bottle that they took the NG tube out of his nose and sent him home. Once home the battle only got worse. Case had to be fed round the clock every 3 hours with pumped, fortified breast milk.
It involved tapping the bottle, chin support, wiggling Case, holding his hands down, etc. We took Case to his pediatrician every week for several months to have weight checks.
I was excited to introduce table foods and hopeful that things would get easier. They didn't. I had to strap him down and force feed him. He spit on me, threw up on on me and cried at me. I cried too.
I couldn't do for my fourth what came naturally with my three children before him . I couldn't make my baby eat and grow. Finally, at 11 months old and less than 10 pounds he was male-nutritious and needed a tube. I felt defeated and hopeful at the same time.
During Case's G-Tube placement they also did a Nissen fundoplication to stop the vomiting but Case started retching (violent dry heaves) all the time that he now overcomes the fundo and eventually throws up anyway. After the tube insertion and 5 days inpatient we went home. I thought the feeding battle was over but it wasn't. The tube was a blessing but Case's body still wasn't digesting and absorbing right.
6 months, four pounds, two ER visits and lots of retching/vomiting later his G-tube was switched to a GJ. He now is fed 22 hours a day into his J and "vented" 24 hours a day out of his G.
His tubes saved his life and although he is a barely 17 pound 25 month old he is alive. He is happy and he is strong. His feeding battle isn't over. I don't know if he will ever fully eat by mouth or if the tube will ever come out but I know that after 14 months of tube feeds, beeping pumps, G-tube yank out, GJ- tube yank outs, trips upon trips to CHP, vomiting, retching, Meds, bags, feeding back packs and more I couldn't be more grateful for his tube and his doctors that have listened to me cry, responded to 11pm texts messages and are dedicated to finding the best way to nourishing our complicated Case.
We may never figure him out compleetly but we will always have his lifeline that hang out of his wee belly.