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If the movement of acid and food backs into the esophagus from the stomach into the stomach, it is known as gastroesophageal reflux or feeding backing up. The reflux often causes epigastric burning, pain, vomiting and ganging.

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Q: Why is feeding backing up in gastrostomy tube?
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Alternate NamesFeeding - gastrostomy tube - pump; G-tube - pump; Gastrostomy button - pump; Bard Button - pump; MIC-KEY - pumpWhat to Expect at HomeYour child's gastrostomy tube or "G-tube" is a special tube in your child's stomach that will help deliver food and medicines until your child can chew and swallow. Sometimes, it is replaced by a button, called a Bard Button or MIC-KEY, 3 - 8 weeks after surgery.These feedings will help your child grow strong and healthy. Many parents have done this with good results.You will quickly get used to feeding your child through the tube, or button. It will take about the same time as a regular feeding, around 20 - 30 minutes.There are two ways to feed through the system: the syringe method and the gravity method. Each method is described below. Make sure you follow all of the nurse's instructions as well.Your doctor will tell you the right mix of formula or blended feedings to use, and how often to feed your child. 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If your child has a button, connect the extension set to the end of the feeding set.Hang the feeding bag high on a hook and squeeze the drip chamber below the bag to fill it at least half way with food.Open the roller clamp so that the food fills the long tube, leaving no air in the tube.Close the roller clamp.Thread the long tube through the feeding pump. Follow the directions on the pump.Insert the tip of the long tube into the G-tube and open the clamp. If your child has a button, open the flap and insert the tip of the extension set into the button.Open the roller clamp and turn the feeding pump on. Make sure the pump is set to the rate ordered by your provider.When the feeding is done, your nurse may recommend that you add water to the bag and let the water flow through the feeding set to rinse it out.If your child has a G-tube, clamp the G-tube and close the roller clamp before disconnecting the feeding set from the G-tube. If your child has a button, close the clamp on the feeding set, disconnect the extension set from the button, and closet the flap on the button.The feeding bag should be changed every 24 hours. Food (formula) should not be left in the bag for more than 4 hours. So, only put 4 hours (or less) worth of food in the feeding bag at a time.All of the equipment can be cleaned with hot, soapy water and hung to dry.Bloating after FeedingIf your child's belly becomes hard or swollen after a feeding, try venting or "burping" the tube or button:Attach an empty syringe to the G-tube and unclamp it to allow air to flow out.Attach the extension set to the MIC-KEY button and open the tube to the air to release.Ask your doctor for a special decompression tube for "burping" the Bard Button.Giving Medicines to Your ChildSometimes you may need to give medicines to your child through the tube. Follow these guidelines:Try to give your child medicine before a feeding so that they work better. You may also be asked to give your child medicines on an empty stomach outside of mealtime.The medicine should be liquid, or finely crushed and dissolved in water, so that the tube does not get blocked. Check with your doctor or pharmacist on how to do this.Always flush the tube with a little water between medicines. This will make sure that all the medicine goes in the stomach and are not left in the feeding tube.When to Call the DoctorCall your child's nurse or doctor if your child:Seems hungry after the feedingHas diarrhea after feedingsHas a hard and swollen belly 1 hour after feedingsSeems to be in painHas changes in their conditionIs on new medicationIs constipated and passing hard, dry stoolsAlso call the doctor if:The feeding tube has come out and you do not know how to replace it.There is leakage around the tube or system.There is redness or irritation on the skin area around the tube.ReferencesAltman GB, ed. Feeding and medicating via a gastrostomy tube. Delmar's Fundamental and Advanced Nursing Skills. 2nd Ed. Albany, NY: Delmar Thomson Learning; 2003: 742-749.Reviewed ByReview Date: 11/11/2010Jennifer K. Mannheim, ARNP, Medical Staff, Department of Psychiatry and Behavioral Health, Seattle Children's Hospital; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


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Do you have to use your hazard lights when backing up a 100 ft on the road during a driving test?

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What are the feeding organs of butterfly?

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