I have questions about G-Tube cleaning, leaking, kinks

Posted by omaest @omaest, Jun 16 9:00am

I have five questions about G-tube - see pictures below for reference. 1. Photo#1 is of a 2x2 drain sponge after removing - it is stiff from a watery leakage and then the tanish discharge - is this normal?
2. Photo #2 is a 2x2 drain sponge placed between the skin and the collar. Is this the correct/best placement? One of my Surgeons did it this way and the other placed it on top.
3. Photo #3 is of the area around the G-tube. It has been this red for at least three months after and issue with the balloon bursting and the G-tube being very loose. The only time it feels sore now is when the moisture barriers aren't covering it properly. Will it ever go away? I have used Calmoseptine, Coloplast Moisture Barrier, neoporin, and a skin Dr. prescribed hydrocortisone 2.5 which cleared it for awhile but then didn't work at all. Any other suggestions?
4. Also, in Photo #3 there is a kink in the tube because I bend it to lay it comfortably to the side while not in use. Will this do damage?
5. Again in Photo #3, the black thing is a very small hair clip that I have placed around the tube (largest size - 24 rt) because using the moisture barriers allowed the collar to slide up on the tube and then the tube would start to wobble a lot. This keeps the collar from rising - Is this okay?

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My memory of the G-tube is rather vague. I don't recall there being a collar around it, nor rash or much leakage. However, my granddaughter had a permanent tube installed and has experienced that rash. I'm sorry I don't know what the treatment for it is. It may be that because hers is permanent that they have placed an external receptacle instead of a tube coming from her belly. The G-tube extension is removable but otherwise exits at a right angle when in place, avoiding the kinking. Good luck to you.

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@omaest
Your pics are concerning. Can you visit your GP in risk of infection?

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Profile picture for zenren14 @zenren14

@omaest
Your pics are concerning. Can you visit your GP in risk of infection?

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@zenren14 I've seen my GP and also a dermatologist. Neither were alarmed.

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@omaest There is a lot of inflammation there. I am not sure a dermatologist treats G tubes frequently but perhaps the surgeon who placed it or one of the nurses in that group would have the best suggestions for maintenance. One thing I have used for poorly responsive skin irritations is Medical Grade Manuka Honey. It is a sterile preparation with all the healing and antibacterial properties of the honey. You can see a choice of products on Amazon. It makes a sticky area but you are already covering it. I have seen it heal wounds in a very short time.

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The dermatologist actually admitted he doesn't see G tubes often and both surgeons told me to use moisture barriers, coloplast clear, calmoseptine, neosporin, etc. Yesterday on a FB site: "Adults With Feeding Tubes" I saw someone had used a statin powder. My GP had given me a prescription for Nystatin powder for another problem, so I used this on just a little place - it seemed to help, so today I've covered the area with a thin coating of Nystatin. Fingers crossed I think it's working. I purchased and used Manuka Honey but with same results as the calmoseptine, etc. The most effective salve was the Hydrocortisone 2.5 - but only for awhile. Thanks for your comment and advice. Take care.

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Hello, in responds to your questions. #1 Is normal you will have some discharge, no worries
#2 2x2 sponge I use them in the benning got a little rash, not like yours, 🙁 I change to a 4x4 sponge a lot better offer more protection. After cleaning the area I let it air out for about 5 or so minutes. I do put a little tape where the slice is in the pad, to hold in place, that's my preference just make sure you leave some open area so the pad can get air. Also remember the collar rubs against the shin I believe that where the rash comes in
#3 I wouldn't put anything on the rash this is my opinion. When I had the little rash my doctor and nurses told me to clean it everyday with warm water or you can use antiseptic skin cleanser, but just warm water is fine, it's up to me. At first I was using the ASC, now I just use warm water. (I clean my every other day now) Do what makes you comfortably. Also remember some ingredients in the ointments could cause more irritation. (again this is my opinion and what worked for me)
#4 In the beginning I us a small potato chip bag to clamp the tube. I would try this instead of bending the tube, then after a while when you feel more comfortably, you might not needed to do it anymore.
#5 Now for this last question, It's hard to answer each doctor has their own procedure. I just had my feeding tube replace, (have to do this every 3 months) the nurse show me and hubby how to tighten the tube so it won't be lose. You place your fingers over the collar hold it in-place and slowly pull the line/tube up until it's snug. Please do not do this until you contact your nurse or doctor they might have a different way of doing this procedure. Have you thought you might have allergies to the feeling tube? Have you been tested for a yeast infection? I hope this helps and ease your mind a little bit. Best
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Allergies to feeding tubes are rare but possible. While the feeding tube itself is typically made from biocompatible materials, some individuals may experience allergic reactions to the materials used in the tube or to the substances administered through it, such as medications or nutritional formulas.
Potential Reactions
Material Sensitivity: Some patients may react to latex or silicone, which are common materials in feeding tubes.
Allergic Reactions to Contents: Allergies to specific ingredients in the enteral nutrition formula can also occur, leading to symptoms like gastrointestinal distress or skin reactions.
Symptoms to Watch For
Skin rashes or hives
Gastrointestinal symptoms (nausea, vomiting)
Respiratory issues (if the allergy is severe)
Management: Consult a healthcare provider for evaluation and potential allergy testing.
Alternative feeding tubes or formulas may be recommended based on the individual's allergies

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I am still working part time at a physical job that requires lifting for 8 hours a day. My peg area leaks clear, yellowish, and occasionally dark brown with spots of red (blood) on days I work. to prevent the redness, I use a 2 x2 sponge under the tube as well as a 4x4 sponge on top of that but under the tube as well. I mostly wipe the area then with a moist pad, occasionally with Calmoseptin. I use a right angle tube which lies next to my abdomen. I change the sponges when needed at work. Hope this helps.

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Profile picture for cskippy @cskippy

Hello, in responds to your questions. #1 Is normal you will have some discharge, no worries
#2 2x2 sponge I use them in the benning got a little rash, not like yours, 🙁 I change to a 4x4 sponge a lot better offer more protection. After cleaning the area I let it air out for about 5 or so minutes. I do put a little tape where the slice is in the pad, to hold in place, that's my preference just make sure you leave some open area so the pad can get air. Also remember the collar rubs against the shin I believe that where the rash comes in
#3 I wouldn't put anything on the rash this is my opinion. When I had the little rash my doctor and nurses told me to clean it everyday with warm water or you can use antiseptic skin cleanser, but just warm water is fine, it's up to me. At first I was using the ASC, now I just use warm water. (I clean my every other day now) Do what makes you comfortably. Also remember some ingredients in the ointments could cause more irritation. (again this is my opinion and what worked for me)
#4 In the beginning I us a small potato chip bag to clamp the tube. I would try this instead of bending the tube, then after a while when you feel more comfortably, you might not needed to do it anymore.
#5 Now for this last question, It's hard to answer each doctor has their own procedure. I just had my feeding tube replace, (have to do this every 3 months) the nurse show me and hubby how to tighten the tube so it won't be lose. You place your fingers over the collar hold it in-place and slowly pull the line/tube up until it's snug. Please do not do this until you contact your nurse or doctor they might have a different way of doing this procedure. Have you thought you might have allergies to the feeling tube? Have you been tested for a yeast infection? I hope this helps and ease your mind a little bit. Best
-----------
Allergies to feeding tubes are rare but possible. While the feeding tube itself is typically made from biocompatible materials, some individuals may experience allergic reactions to the materials used in the tube or to the substances administered through it, such as medications or nutritional formulas.
Potential Reactions
Material Sensitivity: Some patients may react to latex or silicone, which are common materials in feeding tubes.
Allergic Reactions to Contents: Allergies to specific ingredients in the enteral nutrition formula can also occur, leading to symptoms like gastrointestinal distress or skin reactions.
Symptoms to Watch For
Skin rashes or hives
Gastrointestinal symptoms (nausea, vomiting)
Respiratory issues (if the allergy is severe)
Management: Consult a healthcare provider for evaluation and potential allergy testing.
Alternative feeding tubes or formulas may be recommended based on the individual's allergies

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@cskippy Thank you so much for answering my questions with your experiences. How long have you had the tube? I also appreciate the pictures they confirm that I'm on the right track. Take care and thanks again!

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Profile picture for m0h1pp @m0h1pp

I am still working part time at a physical job that requires lifting for 8 hours a day. My peg area leaks clear, yellowish, and occasionally dark brown with spots of red (blood) on days I work. to prevent the redness, I use a 2 x2 sponge under the tube as well as a 4x4 sponge on top of that but under the tube as well. I mostly wipe the area then with a moist pad, occasionally with Calmoseptin. I use a right angle tube which lies next to my abdomen. I change the sponges when needed at work. Hope this helps.

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@m0h1pp Thank you for your reply. It helps to know your experience at work because it confirms my suspicion that a lot of my concerns were/are related to physical arm movements. My first tubes were smaller in diameter and didn't move about as much as the larger one. It catches more on my clothing. Thanks again and take care.

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Profile picture for omaest @omaest

@cskippy Thank you so much for answering my questions with your experiences. How long have you had the tube? I also appreciate the pictures they confirm that I'm on the right track. Take care and thanks again!

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@omaest Hello, been on since November 24, 2025 right before Thanksgiving. I know what a bummer couldn't have any of the goodies, Lol I try 😉 You know I was so "Thankful" to see my family enjoy themself that day 🙂 A peace came over me all will be fine. So now I take one day at a time enjoying the little & big things, good and bad days. Take care and remember you're not alone. "We're on different journey, but at the sametime we're on the same journey" ❤️

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