Doctor insights on:
Feeding Tube Insertion
Several kinds: Temporary tube through nose is just lubricated and eased in from a nostril down into stomach or first part of intestine. Most common longer-term solution is peg or pej tube placed endoscopically under sedation, similar to egd scope for ulcers, etc. Sometimes a permanent tube has to be placed with open surgery under general anesthesia, typically if complex abdominal or intestinal problems. ...Read more
Monthly: Monthly or as often as needed.Get a more detailed answer ›
Depends.: Feeding tubes are either placed in a percutaneous fashion or an open fashion, depending on multiple factors with the patient. The percutaneous entry route is done without surgery, the open route is a surgical procedure. Either way, most tubes can usually be removed by a hard pull on the tube. It comes out of the skin incision and the tract usually closes up on it's own. ...Read more
Tape or a dressing: It is best to use tape or a dressing to guide the tube away from the nose and out of the way of the hands. Tucking the tube into the child's clothes may prevent it from being snagged when you are moving the baby. Be sure to learn how to replace the NG tube or consult your doctor if you need help putting it back into place. ...Read more
Can be life saving: Usually a feeding tube is placed directly into the stomach for long-term use. This is usually done for people who cannot swallow by mouth for a variety of reasons. With this technique, a person could definitely speak with one in place. ...Read more
Dietician: You may need to alter the food or feeding used, alter the amount or frequency of the feeding, & may need to add more water. Each person is different & some do not tolerate the milk based formulas. Need to contact your doctor, nurse or dietician for instructions as what to is best to try or change for your specific condition or needs. ...Read more
The basic answer is if you can get optimal nutrition through the tube.
I advise against most enteric formulas as they usually contain GMO-derived corn and soy and dairy from cows given hormones and antibiotics.
I advise Liquid Hope, an organic feeding tube formula with vegetables etc. You can also add superfood powders like ORAC Energy Greens and fresh pureed soups. You are still what you eat! ...Read more
Eternal: Or enteral?Get a more detailed answer ›
Hi, I wanted to know if there are any other options besides a feeding tube to give sustenance to someone who can't swallow at the moment?
I've been hospitalized a week with pancreatitis. How long can I go npo before a feeding tube is needed? They keep attempting food and I keep puking
Abt 2 weeks w/o nutr: Depending on how healthy u were b4 d onset of pancreatitis (& how much u were eating), u r approaching d point where TPN (total parenteral nutrition, or feeding thru an IV) is attempted. If u r vomiting all foodstuff, u may need a gastric (stomach) tube but not 4 feeding (that will cause u to vomit as well). The gastric tube shd b used to drain the stomach (keep empty) & rest the pancreas. TTYD. GL ...Read more
Parkinson's: In general, parkinson's-afflicted people tend to deteriorate over time. This mainly is a neurological disease, and dementia, as well as deterioration of motor function can become compromised. That being said, I treat a lot of patients with Parkinson's disease, and most of them do not need, or have needed feeding tubes. ...Read more
No: A dietician can help here.Get a more detailed answer ›
Easier feedings: The primary advantage of a feeding tube, whether nasal (NG) or surgical, is easier feeding. Tubes may also be used to deliver medicines or to check for gastric residuals. Tubes need upkeep and may become blocked or dislodged, so it is important to have a plan for routine and emergency care. All tubes carry the risk of infection: aspiration pnemonia for NG tubes, skin infections for surgical tube. ...Read more
Feeding tube: Essentially, anytime someone is unable to take in adequate calories and nutrients for a prolonged period of time and we are somehow able to get access to the digestive tract, such as with a nasogastric tube or a gastrostomy tube. Hope that helps. ...Read more
Not really: Hello, it would not be advisable as even when they are needed, feeding tubes should only be used when better options do not exist. You would open yourself up to the discomfort and risks associated with a foreign body without any need to do so. Definitely not advisable. More important is why you think you would benefit from one as your concerns may be adressed by a better method. ...Read more
Depends on the pt: Pros: the patient can utilize their gi tract for food/liquids which is always best. Cons: risk of procedure, risk of aspiration. At the end of life, risks often outweigh the benefits. For a young patient undergoing ENT surgery, the risk is minimal compared to the benefit. ...Read more
Multiple.: The most common problem is leakage from around the tube. When the tube has been in for a long time or if it gets manipulated too much, gastric contents can leak around the tube onto the skin. This is the most common problem I see. Other potential problems include infection of the skin at the exit site and complete dislodgement or accidental removing of the tube. Sometimes an obstruction can occur. ...Read more
Weight: If you are maintaining your weight you are probably O.K. ...Read more
Need info..: Is it an NG, OG or gastric feeding tube? Depending on what type, there are different techniques for taping in place to prevent accidental dislodgement. Can ask nurse to show you or re-submit question with type and I'll see if I can talk you through it. ...Read more
Aging: There is very little here to explain the context of your question. It is possible to put a feeding tube in an elderly patient, but the bigger question is why would you? ...Read more
Often, yes.: An adult of sound mind with informed consent can indeed ask that his feeding tube be removed. But understand the consequences first. Dr. Tholen. ...Read more
Not sure...: If you mean a feeding tube that goes in your nose, most people have complaints of pain and discomfort with the tube. You can develop sinusitis with it in long term as well. If you mean a feeding tube going into the stomach, there are no major long term problems. Most patients tolerated it well with little pain or discomfort after healing from placement. ...Read more
Temporary: Use of an esophagostomy feeding tube is at times indicated in the case of facial and neck and upper airway surgery on a temporary basis. Usually for long term feeding other access points are better tolerated. Tube feeding can provide valuable nutrition and medication route as well as maintaining gut function and flora that may be essential to immune health. Dietician should be involved. ...Read more
When people can't swallow enough food safely, the feeding tube are there to help make sure they get enough nutrition. They have models that can be hidden easily if the issue is privacy/embarassment. Check with a GI doctor or general surgeon to see about the options.
More importantly, figure out why the swallowing is so bad by going to an ENT doctor. Some causes are treatable. ...Read more
Why?: Don't see any need to do this. As long as the tube is clean it is good. If you are using dye for your tf could consider using a green or blue as this color is not as easily confused with blood. ...Read more
Skin looks normal: The skin around the g tube is soft not red or inflamed or dry and scaly. There is no discharge present and no pain or bleeding. ...Read more