What are the lifestyle changes with permanent G-Tube?

Posted by lummy @lummy, Mar 13 4:25pm

Due to the beginnings of possible silent aspiration events and possible aspiration events during eating, what are lifestyle changes like if I were to need a permanent G-Tube. What are the pluses and minuses? What is life like with a G-Tube?
I have not had aspiration pneumonia at this point and am eating regular meals. I eat things that are easy to eat. Also, what are your suggestions for preventing the need to go the G-Tube route? What has worked and what hasn’t worked to prevent going down this route?
I appreciate learning from your experiences.
Thank You,
Phil

Interested in more discussions like this? Go to the Head & Neck Cancer Support Group.

Profile picture for taylorma @taylorma

I have a question for everybody. I have a Mic-key G-Tube. I had to go to ER 2 months ago when my tube came out. Who do you all use to change your G-Tube out? It is expensive to go to ER and my gastroenterologist only does them in the hospital so they want to schedule for a whole procedure. Any advice?

Jump to this post

I also had to go to the ER for one exchange because the balloon broke and the tube was too small. There is an office of General Surgeons nearby connected to my health care (Unity Point). I go to either the surgeon who inserted my first tube or the one who saw me at ER. Now, after reading what Gary wrote - I am going to see if I can make an official appointment in 6 months rather than wait for something to happen. The digestive care unit has been less than helpful and has only seen me twice in two years once was after I had developed an infection (surgical stuff left in during the insertion started to fester) and the other time just a check up.

REPLY
Profile picture for hillx001 @hillx001

@omaest
I do not take any solid food by mouth at all. I do take a few sips of carbonated water with some flavoring added each day to freshen my mouth and it helps to remove the phlegm. It usually causes a lot of coughing, so I limit my intake to a few small sips. My tube changes are set up to be at 6 month intervals automatically.
All good wishes,
Gary

Jump to this post

@hillx001
Thanks again, Gary.
I learned something new about aspiration prevention: Swallow-Cough-Swallow
Take a sip, then cough, then take another sip, and repeat.
It is more powerful than just clearing after a bite. Worth a try.
I have also learned of a mouthwash to cleans the oral cavity to clear bacteria in the event of aspiration: 2 cups of warm water, l tsp baking soda, 1/2 tsp salt. Mix and use a small amount to swish then spit out. I’m using it before and after my meals and before bed. I keep it in a canning jar on the counter. I don’t mind the taste. It feels refreshing.
Stay well…
Phil

REPLY
Profile picture for omaest @omaest

I also had to go to the ER for one exchange because the balloon broke and the tube was too small. There is an office of General Surgeons nearby connected to my health care (Unity Point). I go to either the surgeon who inserted my first tube or the one who saw me at ER. Now, after reading what Gary wrote - I am going to see if I can make an official appointment in 6 months rather than wait for something to happen. The digestive care unit has been less than helpful and has only seen me twice in two years once was after I had developed an infection (surgical stuff left in during the insertion started to fester) and the other time just a check up.

Jump to this post

@omaest
That sounds like a good idea. I only recently learned about Mayo Connect. It allows for great experiential information from people like us.
I enjoy the connections.

REPLY
Profile picture for omaest @omaest

@hillx001 Your experience is very similar to mine. Thanks for sharing. Do you take anything by mouth? I still sip a little ice cream laced coffee in the morning and a swallow of 7-up or some other carbonated beverage at other times in the day. Mainly, to clear phlegm. Take care. PS: Are your tube changes regularly scheduled or do wait until the balloon deflates or other problems?

Jump to this post

@omaest
I have not crossed the feeding tube threshold at this point, so I’m still eating solid food. But, I may be experiencing some early problems that may include silent aspirations or aspirations when I eat. Because I cough. I’m setting up an appointment with the Mayer clinic to have another swallow study and related test. Hang in there.

REPLY
Profile picture for taylorma @taylorma

I have a question for everybody. I have a Mic-key G-Tube. I had to go to ER 2 months ago when my tube came out. Who do you all use to change your G-Tube out? It is expensive to go to ER and my gastroenterologist only does them in the hospital so they want to schedule for a whole procedure. Any advice?

Jump to this post

@taylorma
I have heard that there are situations where you may be able to change your tube yourself. I have a special-needs grandson, whose mother does those changes for him. So that may be an option.

REPLY
Profile picture for praying4miracle @praying4miracle

Hi Phil,
Sorry to hear about your pending decision and swallowing challenges. I have been on a g-tube since my botched operation over a year ago.
I have silent aspiration when i eat and cannot drink any thing now after radiation without coughing. I hate to say permanent as I am hopeful. I still eat some to keep the muscles at their best. And am very careful about a clean mouth before eating so if I aspirate it does not turn into pneumonia. Get a tongue scrapper to make sure.
Life with a peg removes the stress around trying to get enough calories in and reduces risk of pneumonia since you are eating. It is tough to watch others eat and not participate. .. times like Thanksgiving and Christmas can be depressing. Maybe some type of combination would work for you.
Peg tube cleanliness is important as they tend to leak a little. This isn't too bad but should be watched to avoid infection. My first one had the tube extender attached and got pulled on clothing when I jogged and after a restless night in bed. There will also probably be extra tissues that grows around the peg as your body tries to heal the incision around the peg which can bleed. I exchanged my original one for a miki (spelling). These need to be changed out periodically...no big deal. 2 minutes process. I have heard that tubes may cause damage to the stomach lining but low risk and I had no choice. Be sure to ask you doctor. Major downside...no submerging in water...no baths or swimming due to risk of infection. Showering is ok.
Hope this helps,
Donna

Jump to this post

@praying4miracle
Most "Tubies" take baths, swim in pools or the ocean with no trouble...but public hot tubs or public pools are generally avoided. There are a number of Facebook Groups for us folks who are tied to a tube. Indeed I have learned more in those Groups than anywhere else...and I have educated many doctors as I've shared things I've learned. I've had my G-tube three years and now have the low profile MiniOne.

REPLY

Hi Phil, I am 28 years out from tonsil cancer with lymph nodes involved. I had radical neck dissection, tonsillectomy and 37 radiation blasts back in the day (1998) before chemo became a standard with reduced radiation. I did not have a tube during treatments and lost 50 lbs. After radiation I slowly regained my taste and ability to eat. For the next 20 years I was able to eat with little problems. After that I began to have some issues swallowing, had swallow tests and adjusted my foods to include lots of sauces coupled with lots of sweet tea or ginger ale which helped with the swallowing.
About five years ago I progressed to no food and total dependence on Ensure orally. Three years ago I finally had an aspiration event with pneumonia. At that point the feeding tube became a necessity as my swallowing became so limited I had trouble even swallowing Ensure. Tube life is another story.... like others I don't do social gatherings as they're largely focused around food...so my life has changed greatly with much isolation.
I'll be 80 in a few months so I'm ok with the outcome. I had many very good years.
Best wishes...

REPLY
Profile picture for oldjarhead @oldjarhead

@praying4miracle
Most "Tubies" take baths, swim in pools or the ocean with no trouble...but public hot tubs or public pools are generally avoided. There are a number of Facebook Groups for us folks who are tied to a tube. Indeed I have learned more in those Groups than anywhere else...and I have educated many doctors as I've shared things I've learned. I've had my G-tube three years and now have the low profile MiniOne.

Jump to this post

@oldjarhead ,
I get it about hot tubs and pools. I used to have a hottie and it took a lot of trial and error to balance things out.
Yes we should never stop learning. Sometimes we get so wrapped up with the outside would we forget about ourselves.
Keep learning and teaching. Best regards… ✅👍

REPLY
Profile picture for lummy @lummy

@taylorma
I have heard that there are situations where you may be able to change your tube yourself. I have a special-needs grandson, whose mother does those changes for him. So that may be an option.

Jump to this post

@lummy

I change my own tubes now, after going to the VA and having an LPN do the change which I did for maybe three changes. I also buy my MiniOne buttons direct from AMT because the VA will only furnish the Avanos Mickey and it is a bit larger than the AMT MiniOne. I keep a couple of spares on hand should the balloon burst.

REPLY
Profile picture for taylorma @taylorma

I have a question for everybody. I have a Mic-key G-Tube. I had to go to ER 2 months ago when my tube came out. Who do you all use to change your G-Tube out? It is expensive to go to ER and my gastroenterologist only does them in the hospital so they want to schedule for a whole procedure. Any advice?

Jump to this post

@taylorma
I have MIC-KEY tube also. My ENT does it in office, take 2 minutes max. So it can be scheduled before an emergency occurs. Best luck.
Donna

REPLY
Please sign in or register to post a reply.