Changes: Depends on how fed via peg. If bolus, try smaller / more frequent or overnight. Can use pro-motility medication (reglan), but can have prohibitive side effects in seniors. Keep her upper body at 30-45 degree angle during and an hour after feeds. If these fail, talk to GI dr about changing peg to pej, which has tube end in small intestine instead of stomach.
Answered 6/10/2014
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