Feeding tube patients: What's your experience?

Posted by jwkelly72 @jwkelly72, Jul 23, 2023

I have a G tube in my stomach and am curious about what you tube feed, problems incurred, everything that has worked.. My tube is a permanent part of me and been keeping me alive since mid October last year. It is no different to me than my mouth, throat, esophagus except it doesn't get cancer. It is a Godsend.

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@jensaks

Are you saying the balloon on your g-tube broke? If so, and if you don't want to go through our doctor, etc. (sounds like that is so) you can order them online. Amazon has them. Just be sure you order the same size you currently have.

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I saw somewhere that you mentioned a new g-tube would be $400. I was looking online because I was curious about mine...Posting links is not allowed, but if you look up Gastrostomy Feeding Tubes with Enfit Connector, and put in the size you have. For me, it's 18Fr and I see $49.80 for one identical to mine. Or, if yours isn't Enfit look for what you do use...it needs to work with whatever syringes you use. Prices seem to vary between upper $40s to $60 or so.
Putting in a fresh, clean undamaged tube every 3 months just makes sense to me.

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At age 78, I've been on a J-tube for 15 hrs/day for 4 months now because my stage 3 tumor in the lower esophagus was completely blocking oral nutrition and my surgeon wanted to avoid any stomach involvement before ultimate surgery. While I have been fortunate enough to presently be completely clear of cancer after a 6-week regimen of chemo and radiation, the tumor must still be excised in order to return to oral nutrition and to ultimately have the tube removed. The tube is a major nuisance and but for the tireless efforts of my retired RN wife I don't know how I would have managed the daily regimen for so long. I know the surgery, minimally invasive and now scheduled in 2 weeks at a local comprehensive cancer treatment and research hospital, will have a pretty dramatic effect on my daily dietary regimen, but I am determined to ultimately resume my former active lifestyle for my remaining years.

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I had similar nausea concurrent with feeding. In my case my retention disc had loosened and allowed the baloon/tube tip to descend out of position in my stomach. Sliding the retention disc back into proper position solved my problem.

I also have a velcro belt I found on Amazon that helps hold the tube in place.

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@aheid

Speaking of j-tubes, I’m looking for some advice or suggestions. My husband is 8-½ months post esophagectomy surgery and he still has daily bouts of nausea and/or vomiting (at this point, the “vomiting” is mostly refluxed bile). Constant nausea prevents him from eating an adequate amount of “real” food and so he is still on j-tube enteral feeding.

The worst aspect of this, is that the formula itself seems to cause nausea, particularly if he has more than one container in a row. We currently use KateFarms (we started off with Osmolite after surgery but switched brands in case the Osmolite was causing the nausea, which is obviously not the case as we have the same scenario with KateFarms). I give him one container in the morning, one in the afternoon and one in the evening in an effort to stretch it out. In addition, in order to give him enough calories, we try to get either two glasses of Boost, or something to eat. If he is on the formula overnight, it is worse; he will wake six to eight times overnight to vomit. This is no way to live.

He takes Ondansetron and Prochlorperazine to combat the nausea—they don’t do the trick. He has had several visits with an acupuncturist to combat the nausea—but he still gets nauseous. I’ve also gotten him acupressure bracelets and purchased peppermint oil spray to soak in a cotton ball—none of these things work. We also have an appointment for a hypnotherapist. I’ve tried slightly reducing the milliliters per hour feed rate of the formula—but that doesn’t seem to have made any difference. Perhaps it should be reduced further.

Vomiting or nausea frequently stops him from completing a container of formula or finishing food after one or two bites and the resulting lack of calories has created a nutritional anemic condition…with his red blood cell and hemoglobin counts now being below normal—as a result, he has shortness of breath, is weak, cold, tired and fatigued all the time. In all, he’s lost between 65 and 70-lbs., since the surgery.

Surely my husband is not the only person who’s been up against these problems after an esophagectomy surgery. I’m looking for advice or suggestions, hopefully from someone who’s successfully dealt with it and I will be eternally grateful for whatever information you are willing to share.

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I have a gastrostomy tube...I'm being treated for squamous cell cancer of the tongue. I had lost 100 lbs. by the time I started treatment...have stabilized to where I seem to gain and lose the same pound or two now! I started on Jevity, and they added protein packets, but I felt sick all the time. I think it was the protein packets, because I did better when I took those away. I didn't use a feeding pump once I got home from the hospital...I used gravity, but VERY slowly. I typically would feed 1 carton over about a 45-minute period. I'm not getting nearly enough protein, so I'm now trying out Ensure Plus, which has 30 grams of protein per carton. Now I'm eating mostly by mouth (very limited choices and amounts, and eating is laborious and not that fun), but I use the tube for medications and extra fluids primarily.

Our middle son was born with a rare genetic disease (Menkes Disease), and we fed him via feeding pump/gastrostomy. He could tolerate SO little volume and speed. We fed him continuously (with little breaks here and there). We diluted his formula (Osmolite) and fed him at 35cc's per hour maximum. If we sped that up, he would vomit. You might just think of tinkering with the speed of feedings. Obviously, being a full-grown adult, your husband probably can tolerate a lot more than 35cc's per hour, but try adjusting downward by 5cc's at a time and see if you hit on a speed that he tolerates but will still give him enough nutrition. Osmolite has the advantage, by the way, of being a low osmolar weight formula. That means it is closer to the body's fluid weight. The 1 cal. Osmolite has low osmolality. Osmolite 1.5 is high. So you might try him back on Osmolite at a slow pump speed and see if it helps.
I hope this helps some...nausea and vomiting are awful, and I'm so sorry.

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@jwkelly72

Thank you for your response. I used ISO source (rehab), Vital (hospital)and now Jevity 1.5 at home. My tube is permanent since surgery isn't possible (too stressful on my good side). Won't do radiation, won't do higher levels of chemo because of possible serious common side effects. My feeding tube first popped out mid January after 3 months, I reinserted it myself (caught it before the hole closed and healed. The bladder eventually disintergrated and now duct tape keeps it tight, but I take it out or it still comes out frequently. I'm holding off on surgery replacement due to 3 previous issues from doctors , nurses, surgeons. Will do that when there is no other choice.

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Are you saying the balloon on your g-tube broke? If so, and if you don't want to go through our doctor, etc. (sounds like that is so) you can order them online. Amazon has them. Just be sure you order the same size you currently have.

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I too am a 6+ yr survivor of ESCC. I've had a G tube due to massive, totally occlusive esophageal strictures. It's been a critical part of my prolonged survival although there have been a few bumps in the road along the way.
I've made a few posts about my experiences and advice re appropriate care and maintenence tips for feeding tubes last year. You should be able to find it if you look at my profile and posts. If not feel free to sende a reply via this forum and I'll be happy to share my experiences.

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@jlbrown7

03/09/2025

Hello, my brother was diagnosed recently wur Esophageal Cancer ( Squamous cell). My brother is 79 y/o, life time tobacco user and presented with difficulty swallowing solids and lately limited liquids.
He was provided with a feeding tube.
Any advice or recommendations would be appreciated.
Thanks for taking time to read my letter and I'm glad to have access to this message board.

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Welcome, @jlbrown7. I moved your question about the the feeding tube to this related discussion:
- Feeding tube patients: What's your experience? https://connect.mayoclinic.org/discussion/feeding-tube-patients/

How is your brother doing? What treatments is he having?

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03/09/2025

Hello, my brother was diagnosed recently wur Esophageal Cancer ( Squamous cell). My brother is 79 y/o, life time tobacco user and presented with difficulty swallowing solids and lately limited liquids.
He was provided with a feeding tube.
Any advice or recommendations would be appreciated.
Thanks for taking time to read my letter and I'm glad to have access to this message board.

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@anonymous379414

My husband started on Jevity 1.5 but now he’s on Boost High Calorie which runs about530 calories and 22 grams of protein.

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Welcome, @mmiles04. How is your husband doing? Is his feeding tube permanent? How are YOU doing?

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My husband started on Jevity 1.5 but now he’s on Boost High Calorie which runs about530 calories and 22 grams of protein.

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