What Does it Feel Like to Have a G-tube?
A gastrostomy tube (G-tube) is a medical device that helps deliver food, liquids, and medication directly into your stomach when eating or drinking by mouth isn’t possible or safe. G-tubes can be needed for health issues like:
- Neurological conditions like ALS, cerebral palsy, or stroke
- Head, neck, or esophageal cancer
- Digestive issues like Crohn’s disease or gastroparesis that make swallowing difficult
One common type is the balloon gastrostomy tube (balloon G-tube), which is kept in place by a small, water-filled balloon inside your stomach while a small external bumper keeps it secure on the outside.
Why Do People Need G-tubes?
G-tubes are used when someone can’t swallow food or liquids safely, but in some cases, they can still eat by mouth. A G-tube allows you to get nutrition, hydration, and medication two ways, ensuring you get the support your body needs.
Balloon Gastrostomy Tube vs. PEG Tube
G-tube vs. J-tube
While a G-tube delivers food and medicine directly to the stomach, a J-tube (jejunostomy tube) bypasses the stomach and delivers nutrition directly to the small intestine. J-tubes are often used for patients who cannot tolerate feeding into the stomach due to severe reflux, slow gastric emptying, or stomach surgery. Your healthcare provider will determine which type is most appropriate based on your needs.
G-tube Daily Care and Maintenance
Proper daily maintenance of the G-tube ensures it remains functional and prevents complications. Here’s what daily care involves:
- Cleaning the Tube Site: Gently clean the skin around the tube with mild soap and water, drying the area completely. It's important to check for any signs of redness, swelling, or infection.
- Flushing a G-tube: Even when the G-tube isn’t in use for feeding, it should be flushed daily with at least 30 ml of water to prevent clogs. This simple step is essential for long-term tube function.
Common G-tube Challenges
While many people adjust smoothly, some common G-tube challenges can pop up:
Do G-tubes Need to Be Replaced?
G-tubes, particularly balloon types, may need periodic replacement. While a PEG tube typically requires a healthcare provider to replace it, balloon G-tubes are designed for easier replacement, often at home or in a clinic. Regular checkups and monitoring ensure the G-tube continues to function properly over time.
- Leaking stomach acid: Leakage of stomach acid around the tube site, while common, can irritate the skin. To minimize irritation, keep the area clean and dry, and consider using a barrier cream or gauze pads around the site. If leakage becomes excessive, contact your healthcare provider, as your tube may need an adjustment.
- Granulation tissue: This is red, bumpy tissue that may form around the tube. This is your body’s response to a foreign object and can be easily managed with prescribed topical treatments or minor surgical procedures if necessary.
- G-tube falling out: In some cases, your G-tube may fall out unexpectedly. It’s crucial to seek immediate medical attention to replace the tube, as the stoma (the opening) can close within hours. Having a spare G-tube at home is recommended for quick replacements, especially for those with a balloon G-tube, which can be reinserted more easily.
Living with a G-tube can significantly improve quality of life for people who struggle to get the nutrition and hydration they need due to medical conditions. While it takes some time to adjust, proper care and management allow individuals with G-tubes to lead active, fulfilling lives. If you experience any issues or have concerns, reach out to your healthcare provider for guidance and support.
Gastroenterology at UR Medicine
If you or a loved one is adjusting to life with a G-tube, the gastroenterology experts at UR Medicine are here to offer support and guidance. Whether you're looking for more information on daily care, managing complications, or simply need reassurance, we're ready to help.