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Warning-sign checks

Feeding tube insertion - gastrostomy: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for difficulty breathing, collapse, heavy bleeding, or severe and worsening abdominal pain, especially with a hard or swollen abdomen.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact your healthcare team urgently if:

    • The tube comes out, moves noticeably, or cannot be used
    • Feed or stomach fluid leaks heavily around it
    • You develop fever with increasing redness, swelling, warmth, or pus
    • Pain worsens instead of improving
    • You repeatedly vomit or cannot tolerate feeds
    • The tube remains blocked after approved flushing steps
  3. 3

    Does any of this apply?

    Book an appointment

    Mild soreness, small amounts of early drainage, or supply questions can usually wait for routine follow-up unless they worsen.

The article also says

Do not push a dislodged tube back in unless specifically trained.

The opening can close quickly, and early replacement through a new tract can injure the abdomen.

Every sign above is quoted from the sofidex article on Feeding tube insertion - gastrostomy. If you are not sure, err upward — it is always reasonable to be checked.