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Digestive enzymes??

post #1 of 8
Thread Starter 
Does anyone have any experience with these? A bit of history. . . DS is 4.5 years with a complicated medical history (seizures, dev delay, g-j tube). His main dx is mitochondrial disease. He is currently on the ketogenic diet. He is a happy boy when we are resting his gut with pedialyte, but when we reintroduce his formula (which he has tolerated well before about a month ago) he gets gaggy and lots of air drains from his g-tube. He is fed exclusively through his j-tube because using his g-tube creates all sorts of discomfort.

Someone that I know, with a child with mito, said that they used digestive enzymes. I know that there is more elemental formula that we can use, but that means that we would need to discontinue the keto diet, I think. I think this is just the nature of the beast in regard to mitochondrial disease. We've seen a slow decline in his GI system over the last two years especially.

Has anyone used these? Any opinions? Thanks a bunch in advance!
post #2 of 8
We use digestive enzymes here. I take them. My mom takes them. My DD who is on the spectrm takes them. Our SN issues are different from yours so I'm not familiar how digestive enzymes would work with more complicated medical history, but our family has really benefitted from the use of plant based digestive enzymes. DD had issues with constipation and undigested food in her stools. Digestive enzymes taken with meals have been amazing for her. My mom and I were both having issues with food. We couldn't tolerate certain foods. We felt bloated and heavy after meals. We both started taking digestive enzymes with meals. They work well for us too. My mom who couldn't eat spicy food is now able to.
We use Enzymedica enzymes. Sometimes we use Houston Enzymes which I order online. Enzymedica is available at Whole Foods stores and other health/natural food stores.
post #3 of 8


L's gut is toast right now too. I'm desperate to try anything that'll help. If you try this, will you please tell me how it works for you guys? L's on elemental formula and we're still having issues with pain, gagging, barf, and formula backing up into his stomach. If a pill could make it better, I'd try it in a heartbeat. We're seeing dr K's GI in Houston in less than a month and I'll ask him about it then.
post #4 of 8
Andrew is on digestive enzymes (presumed mito-no muscle bx. but skin ruled out other metabolic disorders to explain his abnormal mito blood and urine labs and the skin bx. itself showed issues but he is not formally dx'd as he has had declines w/all previous anesthesia and we just couldn't do it again).

He did really well when we first started them and for almost three years. This includes GI stuff and growth/weight gain/absorption issues. However, we were also starting mitochondrial treatment and diet changes in that same time period so I can't attribute it directly to enzymes with certainty and I think for him it was all of it.

I'm seeing major decline right now though with gagging/belching/vomiting/reflux/slow down of his system. We're still not where we were pre-dx. but we're close I think and he is again failure to thrive. I feel the breaking down has to help but they can't compensate for major decline, you know? His geneticist (mito specialist/mito clinic in Indianapolis) told me that he's seen a number of kids with mito whose digestive system struggles like those kids with CF and they do better on pancreatic enzymes. That is our likely next step here if we continue failure to thrive.

I will also say that Andrew has almost no metabolic ability to metabolize fat (per skin bx.). Some mito kids do well on high fat especially w/MCT yet for him even 20% which is where we are now is a major problem digestively it seems. So he may be a different type of category.

We use Houston Enzymes right now. I'm thinking of adding in Lypo by Enzymedica to try to further help w/fat if I can figure out how financially. Pancreatin is something others use supplement wise. The "big guns" would be pancreatic digestive enzymes as used in CF. If your child has signs of malabsorption I'd fight for that I think...
post #5 of 8
Thread Starter 
Thanks for the excellent responses. No one on our team has ever tried these, so it's a bit of a battle to convince them it's something to try.

MW, I will be curious to see what Dr. K's GI thinks of them.

I am hoping to chat with a local naturopath about these more. I will let you know what I find out and if we try them or not.

Thanks again!
post #6 of 8
I don't know anything about mitochondrial disease but my son has cystic fibrosis so his pancreas does not work and he can not digest fat or protein. So he takes RX digestive enzymes. Maybe a GI doctor who is familiar with cystic fibrosis (many CFers have g-tubes) could give you more info? good luck!
post #7 of 8
Mine is on it. She has mito too, and gj-tube, only fed through the j-tube as well, and drains from the g-tube. And, is on the ketogenic diet.
She does have a central line that we've had to use for feeds some periods because her gut shuts down, but then we have to stop the keto diet and that is just horrible re. to her seizures.
She has a tentative dx of CF as well, so hence the enzymes. But she has been on them for years, and I can't be sure if it helps her gut or not. But generally it works fine when we only feed in the j-tube and drain from the g-tube. Maybe it would've been a lot worse if she wasn't on them, who knows.
When she gets real sick however, sometimes we have to use the central line, but it's only been a few times when it's been that bad. And at times when several organs have started to fail, so she's been very critical.
But it's probably because of the CF dx that she gets them, it's not the mito, so we've never had problems with the docs not wanting to try them.
post #8 of 8
We use digestive enzymes and it helped with their gut. www.enzymestuff.com was a good resource for us. The site talks about the relationship to the health issues that commonly occur in kids with autism, especially the gastro issues. The site still has some great info on enzymes and what they do.
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