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Re: ng tube placment?

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In a message dated 7/21/99, 1:28:07 PM, eosinophilic gastroenteritis (AT) onelist (DOT) com writes:

<

>

had his tube put in on his second birthday. We went to the hospital

and the nurses walked us through it. We were shown how to measure and mark

the proper length. You then put it up the nose and with the proper angle it

will go down into the stomach. If the angle is wrong you will know

immediately because it wil head for the lung and cause coughing. It is very

simple to pull out and start over if this happens. Easy for me to say, I

doubt would have agreed. We were then shown how to extract stomach

content through the tube to check the PH for proper placement and how to

flush the tube. The nurses did not do any of this but gave us great support

in showing us how to do it ourselves. The tube was then secured to his face

and behind the ear with tape. A nurse came to our house the next day and set

up the pump and taught us how to use it.

Putting the tube in was very uncomfortable for but I don't believe he

was in any pain. Once the tube was in he hardly even noticed it. I was

lucky that at his age he never attempted to pull it out. His first tube was

actually in for about 5 weeks straight before we put a new tube in.

Please note that older kids can help get the tube to go down easier by

drinking something while the tube is going in, this helps them to basically

swallow the tube causing less discomfort and gagging (or so the nurses say).

Regarding school. I am not sure of your situation but went back to

daycare two days after the tube was put in. We went about our lives

normally. The tube did not affect his ability to do anything. You may be

able to work something so he can attend school. I was anmazed how well the

other kids accepted it. In general I found kids curoius but considerate

about the tube. It was the adults (strangers and one friend (former)) who

were rude about it.

Our insurance did cover this 100%.

Finally, the worst part of all this for was having his tape changed.

At first I did it daily but then as I learned better ways to secure the tube

and found better tapes I was able to go days with the same tape.

Jen

( 11/7/95, EE, food allergies, asthma)

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Hi ,

I placed the Ng tube in Spencer for about 6 months. He was 4 months to 10

months during this time. It is absolutely horrible to have to place one in.

I had to do it by myself because he would pull his out about 3 times a

day.....sleeping or just annoyed with it.

Being that your son is quite a bit older than Spencer (2 1/2 now) I am sure

once it is in he will not pull it out. But it feels like you have something

stuck in your throat and you gag easily. Probably better than him drinking

the elemental formula, they are discusting to taste. What elemental

formula? I would suggest Neocate 1+ or Pediatric Vivonex.....those are both

hypo-allergenic and easy to digest and for up to ages 10 years old. Any

other questions just ask away.

Love,

[eosinophilic gastroenteritis] ng tube placment?

From: garyarm@...

Hi, My son may be trying the elemental diet

to either rule in/out food allergies. He has

EE, and has failed to respond to traditional anti-reflux

meds, and has had 2 normal ph probes. He does not

have any food allergy symptoms, and has tested negative

on two sets of skin tests, as well as rast testing.

We also tried taking him off all dairy products and

anything that contains elements of dairy protein and

then re-scoped/biopsied. He still had a severe esophagus.

We are not sure what to do next and may are considering

the elemental diet. is 7 years old. He would

be on the diet for 6 weeks. I imagine this will be

very difficult for him to see the rest of the family

eating.

How is the tube placed? Is it painful?

Does most insurance cover the elemental diet?

This would mean would miss the first few weeks

of school (2nd grade). This situation is no good, but

at least we could finally rule in/out food allergies.

Thanks,

---------------------------

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Your son sysmptoms sound very much like my son's. What foods did you rast

test him for? My son is allergic to peanut protein. Sferrazza

garyarm@... wrote:

> From: garyarm@...

>

> Hi, My son may be trying the elemental diet

> to either rule in/out food allergies. He has

> EE, and has failed to respond to traditional anti-reflux

> meds, and has had 2 normal ph probes. He does not

> have any food allergy symptoms, and has tested negative

> on two sets of skin tests, as well as rast testing.

> We also tried taking him off all dairy products and

> anything that contains elements of dairy protein and

> then re-scoped/biopsied. He still had a severe esophagus.

>

> We are not sure what to do next and may are considering

> the elemental diet. is 7 years old. He would

> be on the diet for 6 weeks. I imagine this will be

> very difficult for him to see the rest of the family

> eating.

>

> How is the tube placed? Is it painful?

> Does most insurance cover the elemental diet?

>

> This would mean would miss the first few weeks

> of school (2nd grade). This situation is no good, but

> at least we could finally rule in/out food allergies.

>

> Thanks,

>

>

> ---------------------------

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,

My third son is 7 and we had to put him through the elemental diet via NG

tube the beginning of this year.

BEFORE we put him through that (to say it was hell would be an

UNDERSTATEMENT), we tried steroids AND Flonase. Both failed, but they have

worked for many, many other kids. You should try both FIRST before you

torture him with an elemental diet. Flonase has no bad side effects and is

an easy, easy thing to try. Systemic steroids do have some side effects,

but some kids can be managed with a course of high - dose prednisone, then

tapered down to minimal amounts or just given intermittently to control

symptoms. Both treatments are easier than a strict elemental diet. The

ONLY way we can manage it, is because essentially the entire family doesnt

eat. It has been tough and it has been psychologically very difficult. I

woulD INSIST on treating him FIRST as above and LAST with the elemental

diet.

(eos esophagitis/GT, former TPNr)

(Mom to 5 with EE/GTs; , , Korey, Kody (TPN), Killian

[eosinophilic gastroenteritis] ng tube placment?

From: garyarm@...

Hi, My son may be trying the elemental diet

to either rule in/out food allergies. He has

EE, and has failed to respond to traditional anti-reflux

meds, and has had 2 normal ph probes. He does not

have any food allergy symptoms, and has tested negative

on two sets of skin tests, as well as rast testing.

We also tried taking him off all dairy products and

anything that contains elements of dairy protein and

then re-scoped/biopsied. He still had a severe esophagus.

We are not sure what to do next and may are considering

the elemental diet. is 7 years old. He would

be on the diet for 6 weeks. I imagine this will be

very difficult for him to see the rest of the family

eating.

How is the tube placed? Is it painful?

Does most insurance cover the elemental diet?

This would mean would miss the first few weeks

of school (2nd grade). This situation is no good, but

at least we could finally rule in/out food allergies.

Thanks,

---------------------------

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Also, on the tube issue, Korey was in 1st grade with his NG tube in. It was

really difficult on him but his class was very understanding. He was very

embarassed by the whole thing and cringes when he looks back and see the

pictures. He played soccer with it in too. He had a very sharp angle inside

his nose and placing the tube for him was extremely difficult. Four of us

had NGs at the same time, so we were constantly putting them back in. I

found it EXTREMELY uncomfortable, never really did get used to it, but it

was a necessary evil.

Once we were assured that nothing else would work, that we had tried

everything and this was IT for us ( and that the elemental diet strictly was

working), we quickly scheduled gastrostomy tubes and got rid of the NGs.

Now breakfast is served with just : " add water and shake " . We have a very

interesting pantry.

Attached is a pic we took when the kids were going through the trial. I was

taking the picture, or you would see my tube in too. Glad this is over now.

I hope you don't have to get to this --

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Sorry this is late - BUT not all kids need tubes for an elemental diet as

some kids will drink the formulas. Clayton for one does drink it he formula

BUT he does have a g-tube because he does not take in enough calories (only

drinking 4-8 ounces a day). He has been on Neocate and Vivonex pediatric

(this he would not drink) and is currently on Elecare by Ross.

Also just because your child has an ng tube does not mean he needs to miss

school.

Love,

Sharon

mommy to Jake (6)(ADHD and too smart for his own good) and fraternal twins

(3/30/97) - Cole -(nda and cute as a button) and Clayton (mitochondrial

disorder (presumed to be complex I), eosinophilic gastroenteritis, food

allergies (milk, soy, eggs, wheat), g-tube, Nissen, latex allergy, DD,

sensory integration disorder, tremors, etc........., and the world's best

smile - AND WHO IS NOW STARTING TO LOOK CHUBBY!!!!!!!!!!!!!!)

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