Doctor insights on:
Feeding Tube Vs Stomach Plug
My husband is currently eating through a feeding tube (peg) inserted in stomach, I need professional advice on how it should be handled?
PEG tube handling: Everyone's different, based on reasons the peg tube was placed, duration of anticipated use, calorie requirements of the patient, patency of stomach outlet & the rate of GI functioning/motility, patient's tolerance to commercial feedings; feeding schedule (continuous versus bolus feeds), device used (button, traditional, etc.); &? Oral supplements permitted. Best to speak with your husband's doc. ...Read more
Safer than starving: Within reason, people with COPD who weigh more live longer. No procedure or treatment is completely risk free but in many cases the risk of the procedure is less than the risk of not having the procedure. This should be discussed with the doctor recommending and/or performing the procedure. ...Read more
No: Swallowing difficulties need to be formally evaluated. A feeding tube is the last resort when the swallowing function is so bad that there is risk of food or liquid going into the lungs. ...Read more
When eating or drinking foods it is going into my lungs instead of my stomach. I have a feeding tube, and just had a test. What doctor should I see.
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
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 ›
Can I crush Levaquin 500 mg and mix it with water and pour it through my peg feeding tube since I have impaired swallowing?
This would probably work fine. However, I STRONGLY caution against using Levaquin (or other fluoroquinolines) unless there are absolutely no other alternative antibiotics as they have an unacceptably high risk of serious irreversible side effects and Drs. Prescribe them far too casually,
See http://www. Survivingcipro. Com
and https://fqresearch. Org for more info.
Please ask your Dr. For alternative. ...Read more
I'm getting a button gj tube for my first surgical feeding tube any idea why I don't need a long tube first for the stoma to form?
Your choice: Many young patients, and those who are body-conscious, choose the less obvious button g-tube than traditional (long tube) peg's. Both are endoscopically placed, ; both essentially work equally well. You have only to express a preference to your performing physician. ...Read more
I am experiencing a very bad burning sensation around J Feeding Tube site? I have tried lidocaine viscous and a barrier cream, but no relief.
Hey so I had a Mickey feeding tube when I was 6 and its been 4 years since I had it surgically sewed up l. Can I get a tattoo over the scar?
Tattoo: Do you have any leakage from the site? If so you should avoid getting a tattoo. Otherwise I think it will be ok ...Read more
My new doctor will soon put me on a feeding tube due to constant dysphagia which is an injury from the botox. How will this nutrition help me?
PEG: A feeding tube is placed percutanously. Called a PEG tube (Percutanous Endoscopic Gastrostomy). If he feels this is necessary, which is a pretty big thing by the way, then the Botox has at least temporarily interfered with your ability to swallow solid and liquid foods without taking them into your lungs. People can die from aspiration...the nutrition is to save your life. ...Read more
Is it possible that I might eventually need a feeding tube because it's been 5 months after I had botox in my neck and still unable to swallow?
I'm going to have a peg feeding tube because I have impaired swallowing after having botox in my neck 9 months ago. Is this a permanent injury?
QuoteFromProductLit: "Serious adverse events...have been reported in patients who had received BOTOX injected directly into the...oro-lingual-pharyngeal region...Safety and effectiveness have not been established for indications pertaining to these injection sites... adverse reactions occur within the first week following injection of BOTOX and while generally transient, may have a duration of several months or longer" ...Read more
I got my feeding tube out after 4 months of only source of nutrition now l only eat 1000 cal a day I'm afraid I'm gana lose wait how can I up intake?
Reconsult UR MD!: I do not know what is your baseline problem and what is your weight. One thing is sure with only 1000 cal a day you can not gain wait and sure you will lose weight. If normal food intake is not possible, either reposition the feeding tube or go an intravenous hyperalimentation. Only your physician can advise you properly! ...Read more
My son was born with DORV an omphaloce he had a tracheotomy&fiscula repair he currently has a feeding tube &hes vomiting & im not getting any answers?
A good medical home: I feel your frustration. Answers are complicated, requiring lots of different doctors/specialists to communicate well with each other&with you. Get a good medical home for him, a pediatrician comfortable with complex kids. Ask his specialists who they think is good. Doctors with combined training in internal medicine & pediatrics (med/peds) are often more comfortable w/ very complex patients. ...Read more
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
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
MR enteroclysis: A nasojejunal tube is used for a special MRI procedure called enteroclysis. Putting the tube directly into the small bowel allows the radiologist to fill the intestine with contrast fluid very quickly and get a very good look at the intestine to see if there are polyps, masses, strictures or inflammatory wall thickening. Just drinking the fluid would never fill the intestine completely. ...Read more
Pros and cons:
Pros feeding through the digestive system this way it will not become atrophic from lack of use closest to natural feeding
pros could be inserted directly to stomach bypassing the upper part by a scope no surgery or general anesthesia
third could be removed any time if it is no longer needed it
cons if the patient does need feeding or depend on what you are comparing it to like other feeding opti ...Read more