2 doctors weighed in:

My grandma has severe dementia. She is fed with a peg tube. Recently, she gets gastric refluxes and she regurgitates. Please what can help her?

2 doctors weighed in
Dr. Donald Alves
Emergency Medicine
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Donald Alves
Dr. Donald Alves
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