The care team may also recommend medicines or nutrition adjustments to manage constipation. Being physically active and getting enough fluids can help. Gas and constipation can also cause fullness and pressure within the digestive tract. Sleeping on the side or back may reduce pressure. Sleeping on the belly can cause pressure on the tube and trauma to the stomach. If the tube is no longer the right size, it may need to be replaced. If the stem of the tube can be seen under the button, the tube may be too long. A weight gain can cause the tube to be buried in the skin fold around the stomach when sitting up. This can sometimes happen if a child gains or loses weight. If the balloon has less water than it needs, add the correct amount to the syringe and put the water back into the balloon.Pull back on the plunger to remove all the water from the balloon and note the amount of water.If the balloon continues to deflate, it may have a leak. If it has less water than it should, refill with the correct amount. Check the amount of water in the balloon. Talk to a dietitian or other care team member before making changes to nutrition. Slowing down the rate of feeding or using a different feeding schedule may help. The tube can sometimes leak during bolus feedings. Reasons for leaking around the feeding tube site include: If the skin does not improve or leaking continues or occurs in large amounts, talk to your care team. A barrier powder or ointment may be needed. The area will have to be cleaned more often if drainage increases. If this occurs, clean the skin with water several times each day. Moisture and acidic stomach fluids can cause the skin to be red and irritated. Leaks can also be related to neutropenia. If leaks occur from the tube, it can be due to a problem with the balloon fill. No dressing is usually needed after 2-3 days. ![]() Clean the area gently to remove the crust. The fluid often forms a crust as it dries. A small amount of fluid may leak from the site. Change the dressing if it gets wet or dirty.
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