Previously, he had been following the fifth percentile for weight, despite being at the 50th percentile for height. His medical history was notable for eczema, iron-deficiency anemia and bronchitis. He unintentionally lost 4. He denied abdominal pain, vomiting, headaches, wheezing, reflux, arthritis, rashes and travels, and he passed formed stools daily. He was hungry, ate a varied diet, and denied concerns with body shape, restricting, binging or purging. Although he wished to gain weight, early satiety limited portion sizes.

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Case 2: Weight loss despite tube feeding



How a Feeding Tube Changed My Life
Thousands of people are unable to eat by mouth and therefore require long-term home enteral tube feedings. While most use standard commercial enteral nutrition EN formulas, a growing number of home EN patients want fresh unprocessed foods instead of, or in addition to, their typical EN regimen. To accomplish this, whole foods are liquefied in a blender with water, juice, broth, or various types of milk, and administered by syringe bolus in feeding tubes. This is a flexible practice ranging from adding one small blended food per day with a standard commercial EN regimen to consuming a diet consisting of only blenderized foods. If done properly, blenderized foods in feeding tubes can be safe and healthful and improve patient satisfaction; however, it can be difficult to ensure that full nutrition needs are met, and there are some risks. All across the country, more RDs are stepping up to the challenge of assisting home EN consumers with the use of blenderized foods for tube feeding, yet not much medical research has been done to support this practice. This article will discuss the benefits and risks of home tube feeding with blenderized foods and provide strategies for its success.


How a Feeding Tube Changed My Life
The care of elderly persons in chronic care nursing wards is generally complicated by nutritional problems such as weight loss and worsening protein status. An inability or refusal of the patient to consume enough food often necessitates the use of expensive commercial formulas for nutritional support. The purpose of this study was to determine whether the use of an in-house high-protein, milk-based low-cost formula with added minerals and vitamins for total nutritional support would be effective in maintaining weight and protein status of patients in the long term. Participants were recruited from five nursing care units of a single geriatric facility. All residents who required formula feeding were followed prospectively.




When I tell people that I have a feeding tube, most of the time I get looks of disbelief. I have married my high school sweetheart and seen my confidence and self-esteem grow like never before. My personal and professional life has been flourishing for the past two and a half years. You would think it would be the opposite since I have this tube coming out of my stomach. But before I had my feeding tube, I was so thin that people thought I had anorexia.