Doctor insights on:
Peg Feeding Tube Food
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
Hungry end-stage melanoma pt, age 76, now aspirates all food; family won't allow feeding tube. 1. How to nourish and 2. Is food 'feeding' the cancer?
Hospice: It sounds like this person would benefit from a hospice consult. It seems that some decisions regarding her future have already been made.. ...Read more
My 87 year old mom has dementia. They want to put feeding tube in because she is inspirating food. Lives in nursing home, doesn't talk. Should we?
Agree w/ Dr. Chastine: This is a very difficult decision and made more difficult by misinformation (feeding tubes prevent aspiration) and pressure family may feel from doctors and nurses. Often people who mean well, will try and pursuade you based on their biases and values. Decreased food intake is part of the progression of dementia. The best question is what would your mom have wanted if she knew this would happen? ...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.
Eternal: Or enteral?Get a more detailed answer ›
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
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
If I eat 100 to 250 calories a day the rest of my nutrition coming from a jejunul feeding tube will my gastric motility deteriorate?
Can't answer here: Clearly, issues are too complex to answer here, if severe enough for you to be on jejunal tube feeding. Need to discuss with your doc, at length. ...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
My mums peg feeding tube is completely blocked cannot push or pull anything through it not sure where its blocked what should I do?
Needs evaluation: Needs to have a tube contrast x-ray study asap. ...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
Help with feeding: A feeding tube is used to help patient's with food intake. The tube will either be put down the throat, or there are more options for long-term care (e.g., a tube surgically placed in the abdomen, to directly access the stomach). Many situations call for feeding tubes; comatose patients, patients with esophageal or swallowing problems, etc. ...Read more
Different Reasons: There are several different reasons. All of which have in common an inability of a person to take in proper amounts of nutrition. These can include being comatose or unable to otherwise feed oneself, as well as esophageal or swallowing problems. In addition, some people with severe dementia eventually have need of a feeding tube. ...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
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
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
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
Tube comes out.: The most urgent issue that can occur with a feeding tube is if it comes out of the skin altogether. You should go into the nearest medical care facility right away if that happens. Another urgent issue would be if the patient starts to have severe abdominal pain after feeding or if the tube becomes blocked. ...Read more
Feeding tube: You should see the surgeon who operated on you. ...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
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
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