Tuesday, July 6, 2010

New Daily Schedule - Megaesophagus Diet and Meds


Since I changed his meds from Metachlopromide to Bethanechol and have been a bit more relaxed on the Sucralfate, I figured I would update his Daily Routine on this post.

Basically, I try and give him the Sucralfate when he is having his regurgitation episodes as opposed to once or twice a day, EVERY DAY.

However, the past few days have been rough for him, he's regurgitated at least once or twice a day, so he's back on the Sucralfate as of now. It's been a pretty substantial amount and my carpet isn't looking too pretty right now. But he didn't RG last night or this morning, so we may be in the clear, although he did somehow grab a fly out of mid-air and ate it yesterday afternoon. He'll eat ANYTHING, which is frustrating, but we do what we can to stop it. Lots of hands in his mouth puling out random stuff.

Here is his current diet and medication/feeding schedule:

AS NEEDED IF HE IS REGURGITATING: Gets a half tab of Sucralfate diluted in 6cc of water (ONLY WATER – NO HONEY) – shake vigorously and give him small bursts so he swallows slowly
• NEEDS it 2 hours after eating or 1 hour before anything else to ensure it coats the esophagus – only needs held up for 30 sec to 1 minute after

MEAL PREPARATION: Blended to Milkshake Consistency
• ½ Cup of Dried Eukanuba Kibble Soaked in ½ cup of HOT water and 1 TBSP of Salmon Fish Oil (Soak it in HOT WATER and the Olive Oil right after he gets his medicine and sometimes you need to add more water – HOT WATER so it softens food)
• ½ Cup of Eukanuba Canned Food – Chicken and Gravy Puppy Food
• 1 TBSP of Oatmeal and 1 TBSP of Eukanuba Puppy Weaning Formula
• ½ - 1 cup of additional water

MORNING MEDICINE (BETHANECHOL – 5mg): Get’s ½ a tablet of Bethanechol – He needs to be in his Bailey Chair for 5 minutes after he gets it – I hide it in a Knox Blox and feed it to him in his chair

MORNING MEAL: Bailey Chair for 30 minutes
• Also give a few Knox Blox for hydration

AFTERNOON MEAL: Bailey Chair for 30 minutes
• Also give a few Knox Blox for hydration

EVENING MEDICINE (BETHANECHOL – 5mg): Get’s ½ a tablet of Bethanechol – He needs to be in his Bailey Chair for 5 minutes after he gets it – I hide it in a Knox Blox and feed it to him in his chair

EVENING MEAL: Bailey Chair for 30 minutes
• 1 tablet of Prilosec with food – I hide it in a Knox Blox like Bethanechol

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