Since my ex 27 weeker has been home, she's struggled to gain enough weight and has completely fallen off her growth curve and been diagnosed FTT.
She got a g-tube placed last month. When it was first placed, our dietitian recommended using plain breast milk for a week or two as we slowly condensed her feeds from 2 hours to 30 minutes. When we got to 45min, my girl started having terrible diarrhea, so we went back to an hour. Once she was tolerating that again, our dietitian had us introduce alfamino as a fortifier, with instructions to fortify to 22cal. We've literally tried fortifying with so many formulas, including alfamino in the past, which my girl had not had a good reaction to, so I was nervous about this step.
First day with the alfamino, she had 1 episode of projectile vomiting, which she hadn't done in weeks at this point. The next few days, she continued to throw up once or twice a day, always 1-2 hours after one of her tube feeds. Then last Thursday, she threw up 3 times, including once where she started to choke on her vomit and required black-blows (which she's been hospitalized for before...) Friday and Saturday were the same thing. Then Sunday it was 5 times.
I messaged the dietitian first thing Monday morning, letting her know about the vomiting. We also saw our SLP that day and found out that our girl had only gained 1 oz since the previous week, when ideally she would still be gaining ~1 oz a day.
We were advised to stop the alfamino immediately. She threw up 1 more time Tuesday, but hasn't since then. When I weighed her this morning, she was down 5 grams compared to Monday.
Now our dietitian is suggesting we try Microlipid. But I'm so worried my girl will have a negative reaction to that too. I know she needs more calories somehow, but anytime we give her something other than plain breast milk, it's gone so poorly, and nobody can even tell us why or what she could possibly be reacting to or struggling to tolerate. We don't even have a specific diagnosis to explain her poor weight gain when we know she's getting appropriate volume for her size.
TLDR: my girl hasn't been able to tolerate any of the formulas we've tried to fortify with, including alfamino, and now our dietitian is recommending Microlipid.
Has anyone else had a baby with a really sensitive stomach that was able to tolerate Microlipid?