What to do if reflux occurs after nasogastric feeding

Aug 01, 2023 Source: Cainiu Health

Dr. Zhou Chao

Introduction

Nasogastric feeding refers to the process of manually inserting a gastric tube through the nasal cavity into the esophagus under special circumstances, and using manual pressure on the plunger to deliver food to patients who are unable to swallow independently. In general, if reflux occurs during nasogastric feeding, it can be improved by immediately turning the patient, promptly clearing the oral contents, and reinserting the gastric tube, all under medical guidance.

Nasogastric feeding refers to the process of manually inserting a gastric tube through the nasal cavity into the esophagus under special circumstances, and using manual pressure on the plunger to deliver food to patients who are unable to swallow independently. In general, if reflux occurs during nasogastric feeding, it can be improved by immediately turning the patient, promptly clearing oral contents, or reinserting the gastric tube, as guided by a physician. Specific measures are analyzed as follows:

1. Immediate Turning

Once reflux occurs, the patient should be turned immediately to maintain a lateral (side-lying) position. The rate of nasogastric feeding should not be too fast, and aspiration (checking for residual content) should be performed before each feeding.

2. Immediate Clearance of Oral Contents

For patients with swallowing difficulties, it is recommended to immediately clear any material from the mouth, such as food or secretions, to prevent aspiration and potential choking.

3. Reinsertion of the Gastric Tube

Improper placement of the gastric tube may lead to reflux. It is advisable to reinsert the tube correctly, ensuring it reaches the bottom of the stomach, which can help alleviate reflux.

In summary, the appropriate approach varies depending on the specific situation. However, if the patient develops difficulty breathing, emergency medical services (call 120) should be contacted immediately and the patient transported to a hospital for prompt treatment to avoid delays in care.

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