Gluten Free Tube Feedings

[PennyNC]

Hello,

I am new to this list serve. We have a patient that is PKU and may possibly have Celiac. She is to have a biopsy via colonscopy today. She has chronic diarrhea. PMH: Chronic GI problems, Gastroparesis, Seizure disorder, chronic anemia and chronic n/y and hyperkalemia.

Na and K+ as we speak are wnl now.

We have her on an elemental formula right now due to her PKU and n/v and no po.

What formulas are gluten free if we go with tube feeding other than elemental??

Thanks for any input you all may have...

Penny

[ravenwoodglass]

Hello,

I am new to this list serve. We have a patient that is PKU and may possibly have Celiac. She is to have a biopsy via colonscopy today. She has chronic diarrhea. PMH: Chronic GI problems, Gastroparesis, Seizure disorder, chronic anemia and chronic n/y and hyperkalemia.

Na and K+ as we speak are wnl now.

We have her on an elemental formula right now due to her PKU and n/v and no po.

What formulas are gluten free if we go with tube feeding other than elemental??

Thanks for any input you all may have...

Penny

Thank you thank you for having this concern for your patient. The best way to find out what is safe is going to be to go right to the manufacturor of the products you are considering using. There should be phone numbers available on the product or your hospitals pharmacy will have them. Again thank you for your concern, many of us are scared to death of hospitals because they don't understand the need to check everything from barium to food to OTC meds and scripts.

[frenchiemama]

What age is this person?

Nestle's pouch products are all gluten-free, as are all of the can products that we make at our plant. Peptamen Jr. is gluten-free for sure, if this is a child you are talking about. Then there is all of the Nutren, Replete, Nutrihep, Probalance, etc, etc,etc. Nestle's products all have gluten free right on the label.

[TCA]

It sounds like this patient has a LOT of issues. My daughter does too. It took months to find anything she could tolerate besides breastmilk. I went gluten-free and the resulting milk was something she could tolerate. Sometimes kids with celiac have other food issues, so be careful. Megan is now on Neocate 1+. It mixes to 30 kcal/oz, but we do it at 25 for her since she is GJ fed. Just be aware that other formulas may be too much for her to handle. Megan tried Pregestimil, alimentum, neocate, etc. before finding this. She also has trouble with eggs and dairy, so that might be why. Good luck. Feel free to PM me if I can help any. I've been there as a parent and am so glad to see you searching for answers.