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 praying4miracle @praying4miracle

@omaest
Thought sent this already. my apologies if it didn't post.

Jump to this post

@praying4miracle Thank you very much!

REPLY
Profile picture for omaest @omaest

@praying4miracle, I am now having problems with my G-tube because of the extender - can you describe what you have?

Jump to this post

@omaest
Thought sent this already. my apologies if it didn't post.

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, I am now having problems with my G-tube because of the extender - can you describe what you have?

REPLY
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!

Jump to this post

@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

REPLY
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!

Jump to this post

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

REPLY

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!

REPLY
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!

Jump to this post

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.

REPLY
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!

Jump to this post

@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.

REPLY
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

Jump to this post

@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.

REPLY
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.

Jump to this post

@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!

REPLY
Please sign in or register to post a reply.