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

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Profile picture for omaest @omaest

I'm writing this early Saturday morning while getting my "breakfast" through my G-Tube. I've had the tube since July of 2024 and without it I'd probably be dead. Mainly because trying to find nutritious foods that I could actually swallow without aspirating was extremely difficult. I was starving myself, becoming more frail and my immune system was extremely compromised. My life has changed because there are very few social activities that are not accompanied without food. Needless to say our restaurant bill is next to nothing. I'm lucky that I do like to cook and bake so I make most of my husband's dinners and he helps me with the tube. I am able to keep up with my hobbies of playing and collecting Mah Jongg sets, knitting, quilting, reading and baking. I've had a few problems with the tube but they were fixed. I am on my third tube, they last anywhere between 6 - 8 months and are easily replaced. Travel is confined but that might be my choice not the choice of others with tubes. More restrictions on my life style are because of my immune system rather than the tube. It took me about a year before I realized I'd be better off with the tube. I wish I had done it before I became so weak. My worry then was the G-tube would shorten my life and make it difficult - the actual opposite has happened, it has added time to my life and for the most part ease. Someone else has added about the necessity of cleanliness with the tube - a must. Also, I have purchase Waterproof PD Dialysis Catheter Wound Cover Shields so I can shower or bathe normally. My surgeon said I could go swimming but I'm not going to chance it. I'll have to get more than one opinion. I hope this helps. Good luck on your journey.

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@omaest You mention your restaurant bill. How do you deal with restaurants assuming like me you are not able to eat anything.

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Profile picture for steve55 @steve55

@omaest You mention your restaurant bill. How do you deal with restaurants assuming like me you are not able to eat anything.

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@steve55, For one we haven't been to a restaurant for quite some time but when we go I order a drink, usually Grey Goose over ice and sip it throughout the meal. The sips are very small and the glass is usually still quite full as the ice melts but it gives me something to do while the others are eating. And I think it makes the others more comfortable for me to have something too. The biggest problem is my inability to join in the conversation as my voice is also being effected. Our socialization is mostly in our home as I still like to cook and plan menus. Our close friends do not mind that I feed myself at the table while they eat. Take care!

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Profile picture for praying4miracle @praying4miracle

@omaest
See below. Hope this works for you.
Since you can remove the tubes after feeding, it really cuts down on the friction issue. You will need to replace them periodically but it takes two minutes - they use the same hole - just remove the old and replace with a new one.
The nurse assistant was done with mine before I even new it.
Good luck
-Donna

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@praying4miracle , thank you - I will discuss this with my surgeon and see if it is possible - the diameter of my G-tube may be too large for the mic-tube. Thanks again and take care.

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Profile picture for omaest @omaest

@steve55, For one we haven't been to a restaurant for quite some time but when we go I order a drink, usually Grey Goose over ice and sip it throughout the meal. The sips are very small and the glass is usually still quite full as the ice melts but it gives me something to do while the others are eating. And I think it makes the others more comfortable for me to have something too. The biggest problem is my inability to join in the conversation as my voice is also being effected. Our socialization is mostly in our home as I still like to cook and plan menus. Our close friends do not mind that I feed myself at the table while they eat. Take care!

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@omaest Thanks, that’s helpful. I’ve had the tube for 4 months now and I’m still trying to figure out the social aspect. I share the voice issues as well and that seems to get in the way of everything.

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Profile picture for omaest @omaest

@steve55, For one we haven't been to a restaurant for quite some time but when we go I order a drink, usually Grey Goose over ice and sip it throughout the meal. The sips are very small and the glass is usually still quite full as the ice melts but it gives me something to do while the others are eating. And I think it makes the others more comfortable for me to have something too. The biggest problem is my inability to join in the conversation as my voice is also being effected. Our socialization is mostly in our home as I still like to cook and plan menus. Our close friends do not mind that I feed myself at the table while they eat. Take care!

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I do exactly the same.I can drink a little and I manage to even eat a little icecream or cheesecak I also bring my syringe in case I can put some soup in my tube.

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I was advised about three years ago to consider switching to a feeding tube. About a year ago, I was hospitalized with aspiration pneumonia, and from that point on, my swallowing gradually worsened. I continued to lose weight with no end in sight.

I’ve now had the feeding tube for almost four months, and I adapted to the schedule and formula fairly quickly. I’m gaining weight and, overall, I feel better. Honestly, I’m rarely hungry and don’t really crave food anymore.

The hardest part for me is the social aspect. Dining out is infrequent, and when I do go, I’m not very happy. It’s difficult sitting there, looking around at others my age (70) enjoying their meals and each other’s company. Because of that, I don’t see much travel in my future.

So, the bottom line: if you can avoid a feeding tube, you’re better off. But if swallowing issues are harming your health, it may be necessary. In the meantime, if you haven’t already, consider swallow exercises and dilation if your doctor recommends them
Good luck!

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Profile picture for steve55 @steve55

I was advised about three years ago to consider switching to a feeding tube. About a year ago, I was hospitalized with aspiration pneumonia, and from that point on, my swallowing gradually worsened. I continued to lose weight with no end in sight.

I’ve now had the feeding tube for almost four months, and I adapted to the schedule and formula fairly quickly. I’m gaining weight and, overall, I feel better. Honestly, I’m rarely hungry and don’t really crave food anymore.

The hardest part for me is the social aspect. Dining out is infrequent, and when I do go, I’m not very happy. It’s difficult sitting there, looking around at others my age (70) enjoying their meals and each other’s company. Because of that, I don’t see much travel in my future.

So, the bottom line: if you can avoid a feeding tube, you’re better off. But if swallowing issues are harming your health, it may be necessary. In the meantime, if you haven’t already, consider swallow exercises and dilation if your doctor recommends them
Good luck!

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@steve55
That last comment was a reply to post by lummy.

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Profile picture for steve55 @steve55

I was advised about three years ago to consider switching to a feeding tube. About a year ago, I was hospitalized with aspiration pneumonia, and from that point on, my swallowing gradually worsened. I continued to lose weight with no end in sight.

I’ve now had the feeding tube for almost four months, and I adapted to the schedule and formula fairly quickly. I’m gaining weight and, overall, I feel better. Honestly, I’m rarely hungry and don’t really crave food anymore.

The hardest part for me is the social aspect. Dining out is infrequent, and when I do go, I’m not very happy. It’s difficult sitting there, looking around at others my age (70) enjoying their meals and each other’s company. Because of that, I don’t see much travel in my future.

So, the bottom line: if you can avoid a feeding tube, you’re better off. But if swallowing issues are harming your health, it may be necessary. In the meantime, if you haven’t already, consider swallow exercises and dilation if your doctor recommends them
Good luck!

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@steve55
Thanks for this good experiential information.
I’m scheduled for a swallow study at the Mayo, Rochester in April. Will see how my swallowing has changed over the past two years.
My resent nighttime coughing has been greatly reduced. I believe the cough was from a previous depression med. I have tapered off and am now on a new drug. The cough is much better.
I know what the feeding tube is like, as I as on tube feed during my cancer treatment recovery for ~6 months. It is a lifestyle change for sure.
Phil

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