800.765.8775

Ask the RD: What Causes G-Tube Pain?

Amy Long Carrera, MS, RD, CNSC, CWCMS
Registered Dietitian Nutritionist | Shield HealthCare
04/11/14  8:10 PM PST
Ask the Dietitian

Question: My tube-fed patient complains of internal pain where his G-tube is located. What could be causing this?

Answer: If you’ve already ruled out abdominal bloating or constipation, pain may indicate the presence of infection or pressure necrosis on the inside of the body. Buried bumper syndrome occurs when the internal bumper becomes lodged into the gastric or abdominal wall, usually because of excessive tension between the internal and external bolsters. This phenomenon can happen when a patient gains weight, increasing his abdominal girth, and should be ruled out or confirmed by a gastroenterologist.

This article is designed for educational use only and does not replace the advice of a medical professional. For more information, please contact your primary care physician.

Comments

2 Comments

  1. Joy gadian
    Posted September 7, 2017 at 2:18 am PST

    Patient complaint of pain at peg site..no fever..but can’t defecate w/out dulcolax..that is y we give dulcolax every other day..she complaint pain once a wek..the stoma is clean & dry..that is y i want to know what are the other reason y a patient w/ peg tube complaining of pain..thanks..

  2. Posted September 8, 2017 at 11:56 am PST

    Thank you for your question. Would consider, is patient stooling regularly and are the stools soft or hard? Is the patient getting enough water? Fiber in the formula? Adequate water and fiber could help with bowel movements. If you can’t see any skin issues, PEG fits properly (about the width of a dime between external bolster and skin), no leakage, abdomen is not distended, no nausea/vomiting/constipation is noted, stools are soft and regular and pt is meeting fluid and fiber needs, may need abdominal xray to determine other causes, such as tube dislodgement or GI issues. If you would like to email em directly to discuss patient’s fluid and fiber needs, please do so at rd@shieldhealthcare.com. Thank you!

Post Comment