Dear Debbie, 
I would be very hesitant to add oil to the feed of a baby with a tendency to aspirate. Pneumonia from aspiration of oil is very nasty. If I recall correctly, mineral oil is no longer recommended for oral use as a laxative for that reason in anyone. 

Does the GI specialist recommend some milder laxative options, such as tiny glycerine suppositories or taking a rectal temperature?

Date:    Mon, 13 Jul 2009 16:48:51 -0700
From:    Debbie Gillespie <[log in to unmask]>
Subject: Simply Thick?

Hello All,



A client of mine has a 4-month-old who was diagnosed with severe aspiration
about six weeks ago.  After the feeding evaluation, the specialist ordered
her to immediately discontinue feeding at the breast and instead had her
pump her milk and feed it to him in the bottle using the gel form of Simply
Thick.  To every four ounces of milk, she adds an ounce of Simply Thick, so
each 4-ounce feeding is really five ounces by volume (but not calories), an=
d
his wonderful weight gain immediately dropped off as soon as she started
feeding him using this method.



He's also having terrible problems passing stools, having to strain and
concentrate to pass the stool, even though he's getting basically 100%
breastmilk=85and the Simply Thick.  The GI specialist is happy to prescribe=
 a
laxative to take on a daily basis, but she isn't comfortable with this
option.



She heard from a local naturopath that adding oil to the feedings can
increase the calorie content of the feed and improve ease of stooling, but
she is naturally quite cautious about following this suggestion; and then
she's not sure what kind of oil, quantity, etc.  The doctors aren't offerin=
g
any other options besides the prescription meds, and she's afraid to inquir=
e
about the oil.  He's going to be fed by bottle for at least another four
weeks, before they're willing to do the test again to determine if he will
be allowed to return to the breast.



Have any of you had any experience with this situation?



Debbie Gillespie, IBCLC, RLC

Registered with the International Board of

Lactation Consultant Examiners

East Valley Lactation Support

(480) 786-0431

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