Childhood Diseases

Posted by: Peta | 2011-10-31


3yr old tube fed boy complaining of pain

Hi Dr
Us again –  3 year old tube feed little boy… .

It has been 4 months since the reinsertion of the mickey and things have gone quite well, considering… .

My problem is this though –  after no symptoms, not eating or drinking anything unusual, not diarrhea or constipation, Tayden has started complaining that the peg site is sore. Out of the blue last night be burst into tears and said it was sore. I ask him and he specifically points to the site. It isn’ t unusually red, swollen, he has no temp but is in tears every so often that it is sore. He went to bed crying it was sore and woke up this AM telling me it was sore, after a very restless night.

I have given him 10ml calpol and put some bactroban on it but I seriously don’ t see anything weird and he has not been aware of it for a while now so it is not as if he is playing for attention. He baths in Dettol every 2-3 days, he gets bactroban on if l am not 100% happy and the site is looking good –  yet he insists that it is sore enough to cry over?

He is still eating well and his drinking is normal for him, about 250-400ml a day which I then top up at night to 900-1200ml through the night.

Is there anything else I should give him or administer on the peg?

Also, he is now 90cm and weighing in at 13kg - how is he doing on his growth chart? Is he okay?

Expert's Reply



It is difficult to know what is causing your son so much discomfort. It does not appear to be an infection judging from your description. Is there a stomatherapy nurse near to where you are? She would be best placed to recommend what needs to be done.You seem to be treating your son's peg correctly, but we need an expert's opinion now.His weight is now almost on the 25th percentile line, so he is doing really well. He remains small for his age but he is growing at a better rate than before.

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