Feeding Tube
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Feeding Tube
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Tube feeding is needed when a person can't eat through their mouth, for whatever reason. Nutrition is delivered using a flexible tube inserted through the nose, or directly into the stomach or small intestine.
American Society for Gastrointestinal Endoscopy. Understanding Percutaneous Endoscopic Gastrostomy (PEG). (https://www.asge.org/home/for-patients/patient-information/understanding-peg) Accessed 11/18/2021.
The British Association for Parenteral and Enteral Nutrition. Home Enteral Nutrition. (https://www.bapen.org.uk/nutrition-support/enteral-nutrition/home-enteral-nutrition) Accessed 11/18/2021.
Gramlich (https://www.ncbi.nlm.nih.gov/pubmed/?term=Gramlich%20L%5BAuthor%5D&cauthor=true&cauthor_uid=30081546) L, Hurt (https://www.ncbi.nlm.nih.gov/pubmed/?term=Hurt%20RT%5BAuthor%5D&cauthor=true&cauthor_uid=30081546) RT, Jin (https://www.ncbi.nlm.nih.gov/pubmed/?term=Jin%20J%5BAuthor%5D&cauthor=true&cauthor_uid=30081546) J, Mundi (https://www.ncbi.nlm.nih.gov/pubmed/?term=Mundi%20MS%5BAuthor%5D&cauthor=true&cauthor_uid=30081546) MS. Home Enteral Nutrition: Towards a Standard of Care. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116140) Nutrients . 2018 Aug; 10(8): 1020. Accessed 11/18/2021.
The Oley Foundation. Home Enteral Nutrition. (https://oley.org/page/HEN_IretonJones/Newsletters-Home-Enteral-Nutrition.htm) Accessed 11/18/2021.
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Tube feeding is a therapy where a feeding tube supplies nutrients to people who cannot get enough nutrition through eating. A flexible tube is inserted through the nose or belly area to provide nutrients by delivering liquid nutrition directly into the stomach or small intestine.
Doctors usually insert the tube while you are in the hospital, but you may continue to use it outside the hospital, at home, or in a nursing facility.
Tube feeding is also known as enteral nutrition and if provided at home, is termed home enteral nutrition (HEN).
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Tube feeding can help people who have trouble eating get the nutrition they need. Doctors often use it at the end of life to help people stay more comfortable, though some patients choose to opt out of tube feeding.
It is not recommended for patients with severe dementia and in some cases where aggressive medical treatments are not called for.
Your doctor may recommend enteral nutrition if your gastrointestinal tract (digestive system) works, but you cannot eat due to another disorder that affects your appetite or ability to chew or swallow.
Conditions that may lead your doctor to recommend a feeding tube include:
Doctors use different types of feeding tubes for HEN. The type of tube depends on the feeding route (stomach or small intestine) solution and how long you will receive this type of nutrition. Tubes can be:
After your doctor inserts the tube, you will receive instructions on how to care for it. Your doctor will also tell you what kind of tube feeding formula to use to receive proper nutrition.
The risks of home tube feeding are small, but complications can occur. These complications may include:
The length of time enteral nutrition lasts varies by the person. Depending on the reason for the tube, people may use a feeding tube for a few weeks, several months, or years.
In some cases, people use a feeding tube for the rest of their lives after surgery or an injury impairs their ability to receive enough nutrition through eating.
It’s important to take care of your feeding tube the way your doctor instructs you and to keep your insertion site clean. If you have pain, redness, swelling, excessive itching or leaking, call your doctor.
Last reviewed by a Cleveland Clinic medical professional on 08/16/2019.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.
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What Is a Feeding Tube and How Does It Work
What Is a Feeding Tube, and How Does It Work?
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If you, or someone you love, requires a feeding tube, it's normal to have questions. We've got answers.
When you're recovering from surgery, bouncing back from injury or living with a chronic illness, a healthy diet can provide the nutrition you need to heal. But sometimes, certain medical conditions can make it challenging to eat. If you're having trouble getting all the nutrition you need from eating regular foods, your doctor may suggest a liquid tube-feeding formula delivered to the gastrointestinal tract via a feeding tube, also referred to as enteral nutrition.
If you're unfamiliar with this solution, you likely have questions. Here's what you should know about feeding tubes, how they function and the various factors you should consider.
What Is Enteral Nutrition, Exactly?
Enteral nutrition is liquid nutrition that is delivered directly into the stomach or small intestine via a feeding tube. Enteral nutrition is recommended when a person cannot take in enough nutrition by mouth or if there is a medical problem involving the upper gastrointestinal tract. Even though you might not hear about it very often, enteral nutrition supports the needs of roughly 250,000 infants, children and adults seeking medical attention at a hospital, according to the American Society for Parenteral and Enteral Nutrition .
Enteral nutrition is used when a person:
But enteral nutrition isn’t just for individuals who are hospitalized. More than 400,000 people living at home get their nutrition from a feeding tube. While some individuals may only require a feeding tube for a few weeks, others may need it for life.
When a person is unable to eat food by mouth, a tube-feeding formula can provide all the vitamins, minerals, protein, carbohydrates, fat and electrolytes the body needs, just like food. However, rather than entering the body through the mouth, this liquid nutrition is delivered directly to the digestive system through a feeding tube.
A doctor can place a feeding tube as an inpatient or outpatient procedure.
How Do I Choose an Enteral Nutrition Formula?
There are many different tube-feeding formulas to support all kinds of nutrition needs and health conditions. To help find the best formula for your unique requirements, your healthcare team will consider multiple factors, such as your:
What Types of Enteral Nutrition Formulas Are Available?
Most formulas are conveniently pre-packaged in ready-to-use cans or containers. But some are available in powder form to mix with water. Depending on your needs, your doctor will most likely recommend one of these three basic types of formulas:
Can I Make My Own Tube-Feeding Formula?
Recently, the use of homemade tube-feeding formulas made with blenderized whole foods has become popular. Such formulas can provide some phytonutrients not found in standard commercial tube-feeding formulas. However, they may not be nutritionally complete if poorly designed, according to an article in Today’s Dietitian . Other potential problems include microbial contamination from inadequate food handling practices and increased viscosity, which can lead to clogging of feeding tubes.
Commercial formulas that incorporate real food ingredients, like PediaSure® Harvest™ , provide complete nutrition and are a convenient alternative. Made with organic fruits and vegetables, PediaSure® Harvest™ combine the whole food goodness of a blenderized formula with the complete nutrition of a standard formula.
Living with a feeding tube is a big change, so allow time to adjust both physically and emotionally. Mealtimes, travel, socializing and even sleeping may all require different approaches.
It can be helpful to know that strategies and resources are available to help you cope, such as those provided by the Oley Foundation . The first key resource is your healthcare team. They can connect you with additional professionals, like registered dietitians and psychologists, who specialize in the challenges you may be facing.
But most importantly, don't be afraid to discuss what you're experiencing with your family and close friends, so that they can give you the support and encouragement you need.
Being diagnosed with a food allergy can be scary. It's something you have to be mindful of on a daily basis. Luckily, living a happy and healthy life with a food allergy is absolutely doable with some planning and education.
The first step is understanding the symptoms and triggers of food allergies, as well as how to properly manage an allergic reaction. Here's everything you need to know about living with food allergies.
Drink eight glasses of water a day! We have all heard that advice time and time again. Hydration is part of what helps your body function properly.
But if you don’t drink enough, you can become dehydrated. Dehydration can cause many issues, including headaches, dizziness, fatigue, fainting, rapid heartbeat, and other symptoms.
So how do you know if you become dehydrated? It’s all in the color. Review this infographic for helpful color cues so you can avoid becoming dehydrated.
For kids ages 1-13, complete nutrition in a real-food formula
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