New to Feeding Tubes: What’s Next?

If you’re new to tube feeding, information overload can be exhausting. Give yourself grace as you learn about your new feeding journey. We’ve created an informational guide to help you explore tube feeding device options, learn how to clean your devices, and learn about feeding methods and instructions. Please remember, the information below is meant as a guide and you should always consult your healthcare professional.

Introduction to feeding tubes.

Just like there are many different types of formulas, there are many different types of feeding tubes. You may start with one type of tube, then change to another tube later on, depending on you or your child’s unique needs. For information on your specific tube, a manual from the tube manufacturer may be available from your healthcare team, home care company, or online.

Different kinds of tubes.

Tubes can be placed through the nose for short-term use (usually up to 2-3 months), or through a hole called a stoma that’s created in the abdominal wall for longer use. Formula, water, and medications delivered into the tube end up in the part of the gastrointestinal (GI) tract where the tip of the tube ends. The tip of the tube can end in either the stomach or the small intestine. Here’s a breakdown:

Stomach: Nasogastric (NG) tube or gastronomy (G) tube.

Small intestine: Nasojejunal (NJ) tube or Jejunostomy (J) tube.

Stomach and small intestine: Gastrojejunostomy (GJ) tube. These tubes are a little different because they have an exit in the stomach and in the small intestine. This makes it possible to feed formula into the small intestine and drain or vent stomach contents if the stomach is not working well.

Getting ready to feed: flushing the tube with water.

Flushing the tube with water helps keep the tube clean and helps keeps you hydrated. It helps prevent a clogged feeding tube, which could stop you from being able to use the tube. It’s best to flush the tube before and after you put anything in it, including medicine and formula.

Feeding methods and instructions.

There are many options to choose from when it comes to how to get the nutrients you need. The feeding method you use, whether orally, through a tube, through a syringe, or a combination of a few, is determined by you and your healthcare team, and it may depend on your specific needs.

We want you to feel empowered to discuss choosing a different feeding method with your healthcare team at any time.

Here are three feeding tips to keep in mind as you get started:

Cleanliness is key! Always wash your hands with soap and water before and after handling your feeding tube or supplies.

Give it a shake! If your formula container has a twist-off cap, remove the cap to break the seal, replace the cap, and shake vigorously.

Warm it up. Delivering cold formula via the feeding tube may cause stomach upset. Bring refrigerated formula to room temperature by placing it on a countertop for 30 minutes. (However, avoid heating the formula in any way!)

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