The child was placed at bowel rest initially and then re-tried on full strength formula, but she did not tolerate.  She was again placed on bowel rest and her medications, Pepcid and Reglan, were given in an attempt to increase bowel motility.  Feedings were re-attempted with Pedialyte through the J-tube and these did not result in production of any stool and the child then began having vomiting again.  The vomitus was noted to be bilious in nature and with particulate matter present.