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Nasogastric Enteral Feeding

The better alternative to PH imho, is naso gastric feeding. In this a naso numbing agent is placed into the nose and, while one swallows, a (Dobbhoff) small bore naso gastric tube of 6-8 french is inserted into the nose and down into the stomach where a full strength iso-osmolor intact protein enteral tube feeding product is administered. When the patient has not been nauseous for 24 hours, the tube is clamped yet left in place for another 24 hours in order to make sure that particular cycle has stopped and to also make sure the patient is able to eat >50% of nutrient dense meals for more than 2 days. If these things are the case, the tube is removed. Patients can even learn the technique of inserting the tube and managing their feeding and administer to themselves in their own homes. Naso gastric tube feeding has its draw backs of course.




First of all, the tube is uncomfortable and can be counterproductive to the feeling of nausea, as the tube runs down the throat creating a gag reflex in some patients. Many times the tube is itself vomited up and has to be reintroduced. My friend said the naso gastric experience was "hell" and preferred PH. But, naso gastric feeding keeps the patient hydrated, gives her nutrition, and does not carry such serious risks as the needle and catheter method (PH). It also uses the digestive system in a natural way which is conducive to normal functioning.


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