Peg Tube Feed

PEG tube feeding is the process of feeding people sufficient nutrients who are not able to swallow due to some medical condition. The word PEG stands for Percutaneous Endoscopic Gastrostomy and involves placing a feeding tube into the stomach through the abdominal wall. This might be a temporary or a permanent method based on the underlying condition.

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Can my 93-year-old weak father with congestive heart failure get a PEG tube?

Query: Hi doctor, My father is a 93-year-old with well-controlled congestive heart failure who has been weakened by two weeks in the hospital to the point where he can not take food in without aspiration risk. We are considering a peg tube. Can doctors deny him this procedure based on age or his conditions...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to I read your query and understand your concerns. My simple answer to your question is no, provided the risks of placing a PEG (percutaneous endoscopic gastrostomy) tube are less than its benefits to a debilitated patient. I also like to inform you that placing a peg tube ...  Read Full »

Kindly predict my father's survival with spontaneous brain stem bleeding.

Query: Hi doctor, My father, who is 61 years old, complained of an episode of vomiting followed by unresponsiveness and decreased movement. As per summary, there is spontaneous brain stem bleeding with obstructive hydrocephalus, that is, post-EVD. I want to know about his survival risk. I am waiting for a...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to Your father has right basal ganglia bleeding with intraventricular extension - EVD (external ventricular drain) in situ. Such patients have very slow recovery (after stabilization), which may take weeks to months. But, the most important thing required is good nursin...  Read Full »

My mother spits back her oral feeds. Please help.

Query: Hi doctor, My mom has had issues with eating. She has a PEG tube, which was placed for this reason. She does not vomit the tube feeding, but she spits back up what she takes orally. Whatever food she takes, it comes back and is full of phlegm. She is an end stage COPD patient and BiPAP dependent. Wh...  Read Full »

Dr. Happykumar Kagathara

Answer: Hello, Welcome to As per your mother's history, there are two different infections. They are Clostridium difficile infection and yeast infection. The site of yeast infection is not mentioned in the question, though esophageal yeast infection is common. C.difficile colitis can never be a...  Read Full »

Would you do a peg tube replacement on an elderly patient with fever and infection?

Query: Hello doctor,Would you do a peg tube replacement on an elderly patient whom has 100-degree temperature and has infection coming from the peg site? If not, what would you do to take care of the infection? And since it is an elderly patient, would you admit the patient to a hospital for the infec...  Read Full »

Dr. Babu Lal Meena

Answer: Hello, Welcome to We prefer not to change the tube until the tube site is Infected. For infection control, we need to give antibiotics. Depending on the severity of infection, we decide about oral or IV antibiotics. Most of the infection can be taken care without problems. Sometimes, s...  Read Full »

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