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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

4 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!

  3. Sherry
    Posted February 4, 2018 at 11:32 am PST

    Have a 31 year old daughter with cerebral palsy. She gets congested and mucus this time of the year (winter). She doesn’t feel well but no fever, vomiting but not too much ( mostly a lot of mucus). Giving her Pedialyte through her feeding tube and just her required seizure medication. No formula right now since she will probably vomit that up. Each time I give her the Pedialyte and her meds through the feeding tube she gets fussy and starts to moan. She is non-verbal so she is unable to tell me exactly what is going on. I plan to get her a chest x-ray to make sure there is nothing going on with her lungs. She had lab work done about 1-2 weeks ago and the Doctor did not inform me of any issues with her lab. She seems to have difficulty breathing towards the evening but not severe. I give her breathing treatments. Could she have a stomach ache, virus or UTI?

  4. Posted February 6, 2018 at 8:46 am PST

    Hi Sherry, I’m sorry your daughter is not feeling well. It sounds like she needs to be seen and evaluated by her doctor in order to answer your question. I hope she feels better!

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