Ask the RD: What Causes G-Tube Pain?

Amy Long Carrera, MS, RD, CNSC, CWCMS
Registered Dietitian Nutritionist
04/11/14  8:10 PM PST
Ask-the-RD-What-Causes-G-Tube-Pain

Question: My tube-fed patient complains of G-tube pain — internal pain where his G-tube is located. What could be causing this?

Answer: If you’ve already ruled out abdominal bloating or constipation, pain may indicate the presence of infection or pressure necrosis on the inside of the body. Buried bumper syndrome occurs when the internal bumper becomes lodged into the gastric or abdominal wall, usually because of excessive tension between the internal and external bolsters. This phenomenon can happen when a patient gains weight, increasing his abdominal girth, and should be ruled out or confirmed by a gastroenterologist.

This article is designed for educational use only and does not replace the advice of a medical professional. For more information, please contact your primary care physician.

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37 comments

  1. Patient complaint of pain at peg site..no fever..but can’t defecate w/out dulcolax..that is y we give dulcolax every other day..she complaint pain once a wek..the stoma is clean & dry..that is y i want to know what are the other reason y a patient w/ peg tube complaining of pain..thanks..

  2. Have a 31 year old daughter with cerebral palsy. She gets congested and mucus this time of the year (winter). She doesn’t feel well but no fever, vomiting but not too much ( mostly a lot of mucus). Giving her Pedialyte through her feeding tube and just her required seizure medication. No formula right now since she will probably vomit that up. Each time I give her the Pedialyte and her meds through the feeding tube she gets fussy and starts to moan. She is non-verbal so she is unable to tell me exactly what is going on. I plan to get her a chest x-ray to make sure there is nothing going on with her lungs. She had lab work done about 1-2 weeks ago and the Doctor did not inform me of any issues with her lab. She seems to have difficulty breathing towards the evening but not severe. I give her breathing treatments. Could she have a stomach ache, virus or UTI?

  3. I have a 13 month old who is on continuous feeds. He has congenital heart disease and other issues. He has chronic constipation. He takes aspirin daily. His gtube has always been sensitive. He gets cellulitis easily. If you pick him up under his arms he screams in pain, if you adjust his gtube button or place the extension he screams, he has even gone into a seizure when his gtube was pulled a little. His doctors just say he is sensitive. His stools are never regular, he either has extremely hard or extremely loose. They refuse to rule out anything on the inside that could be wrong. What do you think is wrong?

  4. It was almost a year the last one old type with a looks like a plunger on it quit working and I felt grate until he ripped it out I screamed cried worst thing ever caused me truma

  5. Hi, my boyfriend is 60 and has ALS, the aggressive kind. He always thought he could beat this desease, and wanted to eat as this was one of his favorite things to do. He was up for a stem cell, but with low lung capacity, he is no longer a candidate. As we noticed he was choking and aspirating, he needed to get a G-tube, and did so. Within two days following, he got worse and wasn’t able to breath because of the heavy secretions. Every five minutes we ( nurse, RT, and I) were suctioning him. I was so exhausted. He developed diahrrea, while having heavy diarrhea and I guess we were putting more focus on his airway. Eventually he told us that ever since he got the G-Tube, the abdominal pains never left, and I wonder, will this part of his symptoms ever get better?

  6. Hello, my patient has been on vacation for 3 weeks and when he returned, his jtube could not be unclogged. I have tried using warm water but no luck. Few days ago he started vomiting and having diarrhea, and stomach pain. Is there anyway to unclog this tubing. Could the stomach pain be related to the clogged tubing? Please advise on steps to take.

  7. Hi my Daughter is 30 years old with cerebral palsy she has been complaining lately about a lot of pain in her PEG area . The area around the site seems to be harder than usual. Unfortunately she cannot tell me what is going on , but is scared every time I go to touch it (ie for cleaning etc) and she is shaking her head when I feed her . Sitting in her wheelchair she seems to be really uncomfortable . She does have trouble doing a bowel movement but this is normal for her and is on medication for it , Was wondering if this is normal or worth insisting GP books up for us to go for an x ray

  8. Hi my grandson has a gtube an today for the first time ever has been saying his tuby hurts an points to it. He has had for about 2 1/2 years an never has he said this before. Any suggestions on what it could be? Thank you

  9. Hey Amy. I am a 59 year old female with Diffuse Systemic Scleroderma. In late August I had fundopplication surgery with a g-tube inserted. The tube subsequently fell out and a new one was put in, as a fresh start, 12 days ago. The pain in the area surrounding the site has been increasingly painful. Should I be seeking medical attention?

  10. Having a problem with my daughter ‘s peg tube. Got the tube almost 2 years ago due to oral cancer. Pain around site, pus and some redness, looks like muscles are pulling around site.tube has been changed 3 times. My daughter has gained about 15 pounds since she received the peg. Giving pain meds and antibiotics. What should I do. Thanks.

  11. In 54, female. had 2 cancers. Lung they took half left lower lube in June. Then base of tongue, I lost all swallow, had ng tube 6 weeks, Aug 18th had j tube put in at base rib cage right in middle of chest. So 5 weeks in having severe pain everytime I move. It actually brings tears. A lil redness but from button rubbing I sit up. No blockage

  12. My daughter-in-law has G and J tubes. She has pain around her J tube which the doctors have said is due to muscle spasms. She has a prescription for Dicetel but it doesn’t seem to do anything. She was also given a prescription for Tylenol 3 which temporarily takes the edge off. What else can she do to minimize this pain? Will this pain eventually go away? Or is this a matter of her having to “suck it up” – which doesn’t really appeal to any of us. Living with constant pain isn’t fun. She had the tubes inserted in May 2019. Thank you.

  13. My 3 year old had a gtube for 18 monthes. She is typically developing with extreme failure to thrive secondary to severe oral aversion starting at 3 months old. After intense feeding therapy, she had her gtube removed 8 months ago, but she has regressed on her feeding despite our best efforts. Is it hard to have another tube placed? Do they put it in the same spot where her scar is?

  14. My husband had a feeding tube put in this past Friday to help him get nutrition during treatment of squamous cell head/neck cancer (HPV+). He was losing too much weight due to swallowing and eating issues from chemo/radiation.

    The surgery seemed to go well, but they pretty much “dumped” him out the door a couple of hours afterwards with absolutely zero explanation as to what to expect. Each day for intermittent periods, the site seems to “pulse” (you can actually see it), and it hurts so much when it’s doing that he can’t sleep – it will wake him up.

    While we’re seeing his oncologist later today, do you have any thoughts as to what might be causing that type of “pulsing” movement and pain at the site? This is the type of tube where you have to hold the tube and syringe up in order to “gravity feed” the nourishment. Then, he has to tape the tube to his skin to keep it from “flopping around”

    Any thoughts would be appreciated. Thanks very much!

  15. Thanks, Sarah. He saw his oncologist today – said it sounded a lot like “gas.” We’ll monitor over the next few days. Thanks again for your response!

  16. I had a peg fitting in lower intestine in 2019 from having it fitted I was in pain and infection. After going home I had problems with leaking and terrible pain. They eventually listened and took it out. No advice given. November 2020 started to leaking again last night I was in terrible pain so took morphine. Started to bleed during the night and has not stopped.

  17. Hello my son what’s recently changed from a 14 francs 3.5 button to a 14 French 4.0 button cuz he was very extended from the tummy now it’s time you calm down the button seems to fit loose what is cause discomfort while eating

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