Home Care Instructions After Placement of a Percutaneous Endoscopic Gastrostomy (PEG) or G-Tube Skin Care Clean the skin around the G-tube two times a day for the first two weeks following these steps: Gather the following equipment: two to three clean cotton swabs (Q-tips) or gauze pads and normal saline or sterile water. Wash your hands with soap and water. Explain the procedure to your child. Wash the skin around the tube with cotton swabs or clean gauze pads. Dip the cotton swab or gauze pad in the saline or sterile water. Dry the area around the tube with a clean gauze pad or towel. Do not apply a bandage to the site. Turn the external bolster on the G-tube at least a ¼ turn daily. The tube should turn freely. Check to make sure that the external bolster is not tight. There should be no pressure marks on the skin. Call your child’s doctor or nurse if you need help loosening the external bolster. Check your child’s G-tube site once a day. It is normal for the area around the site to be slightly pink with some crusty discharge. During a follow-up visit, the doctor or nurse will check the G-tube site to see if it is well healed. Then you can wash the site daily with mild soap and water. Giving Feedings and Medications We will design a feeding plan specifically for your child. You will find there are many ways to feed your child with a G-tube. We will teach you the best method for your child. Use liquid medications whenever possible. If you must give pills, crush them between two spoons and mix them in a teaspoon of warm water. Do not crush coated or time-released pills. Do not mix medications together. Do not mix medications in formula unless instructed to do so by your health care provider. Always flush the G-tube with water before and after each feeding and medication. We will tell you the proper amount of water to use. Always clamp the G-tube between feedings to prevent the stomach contents from leaking. Activity Your child may take a bath or shower and swim in a chlorinated swimming pool. Your child may go back to his or her regular activities. If you child plays sports, protect the G-tube from being pulled out. Ask your nurse or doctor for ideas on how to protect the G-tube during play. Young children are very curious about their G-tube and may pull on it. Dress your child in snug clothing or one-piece underwear to prevent pulling. Follow-up Bring your child for a follow up visit in Pediatric GI two weeks after discharge. Call the Pediatric GI office at (585) 275-2647 to make an appointment. When to Call the Pediatric GI Service Call your child’s doctor or nurse at (585) 275-2647 if your child has any of the following: Fever Fluid leaking, tissue build-up, or continuous bleeding around the tube Irritability or trouble sleeping Redness, rash, or swelling around the G-tube site Unusual smell or pus around the tube Vomiting, diarrhea, or stomach cramps If the G-Tube falls out, call immediately. The information provided is general information only and not to be used as medical advice. Please consult with your child's doctor for specific instructions regarding your child's illness.