09/28/2025
Svea had a very busy week and there is a lot to update on! The week kicked off with an ENT appointment on Monday. I had called the pediatrician to see if they could send a local referral rather than waiting until November to drive to Brighton. They were able to scope her only to find her adenoids were “unremarkable.” Although she hated every minute of the test, i was grateful we were able to save ourselves a trip downstate. Since her adenoids are normal, we will still have to meet with sleep medicine in January. I have to be honest, I felt both relieved and disappointed at the same time. I was hoping for answers to explain her relatively poor sleeping habits or possibly a physical factor that could help explain her refusal to swallow most textured food. At the same time, I’m happy everything is normal and that she will not need surgery to get them removed.
Tuesday we had a virtual visit with Svea’s feeding psychologist and dietitian. For the past couple of weeks, we had been mostly tube feeding her due to her being sick. Feeding was becoming more normal again in the days leading up to the appointment. To my surprise, they wanted us to pull the tube. I was a bit shocked and completely didn’t see that coming. So Tuesday afternoon the tube came out and has been out since.
Feeding is still a struggle. Svea now relies on us to spoon feed her all her nutrition. She didn’t tolerate the larger volumes on Thursday and Friday and vomited both days. We try to encourage her to spoon feed herself but she will only lick the very tip of the spoon rather than open her mouth and put it in.
To get enough calories we have to spoon feed the formula used to tube feed her. She will still only eat purees for nutrition. Regular baby foods only have 50-100 calories on average. She is so picky that it has to be store bought baby food. Thankfully she will take the formula by mouth as it has a higher caloric content. We add in baby food for snacks or something extra so that she can have more variety. Anything else she happens to swallow is a bonus.
Svea was consistently getting at least one tube feed a day to ensure enough calories. It also helped with emotional regulation in the evening on nights she just didn’t want to eat. Rather than fight with her and make her eat, I started tube feeding. It made a huge difference in her attitude. Now we are back to relying on whole milk again especially on those days she won’t eat enough.
Svea is loving having the tube out and for her sake I hope it can stay out. If she can maintain her weight, we will be able to keep it out. My only fear is that she starts having more negative experiences with food again. Please pray for her continued willingness to want to eat by mouth. So far she has been doing a great job even with the times she’s vomited.
Svea started in-person feeding therapy again. I need help advancing her swallowing skills. She had her first working session on Thusday. She has a new therapist while hers is on maternity leave. The new therapist was surprised at how skilled Svea is at spitting food out. On the bright side, I know she is making progress. A year ago Svea was learning how to chew food. Now she can chew just fine. It’s getting her to swallow chewed food that’s the challenging part.
On Friday we took Svea to her very first movie - Gabby’s Dollhouse! Svea is a HUGE Gabby fan so it was the perfect film to capture her attention. She loved the whole experience from chewing and spitting my popcorn to singing and dancing along.
This weekend we have been relaxing and having family time after a busy week. She is still loving her Saturday morning dance class and enjoyed some time at the beach yesterday evening.
That’s about it for now. Have a great week everyone.