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Constipation and G-Tubes
Pregunta
An 11-year-old who had a Nissen Fundoplication is experiencing a lot of constipation and gas. He's tried Zantac, Mylanta, Prevacid, Reglan, and Enulose, all without effect. What other medications might provide him relief? Would Miralax be effective? What would you recommend for medications and are there any tests he should be having? He is also having difficulty with the area around the G-tube. Despite the application of different creams, antibiotics, keeping it dry...it is chronically inflamed. It had to be changed once already and the doctors are saying they won't put another one in. What do you suggest?
Respuesta de nuestros expertos
Miralax is a great medication for constipation. The laxatives he was on work by producing gas, so Miralax would probably be more effective for him.
I would go back to the surgeon who put in the g-tube to have it looked at. There are many reasons for red G-tube sites and the child should be seen by doctor to evaluate the g-tube site and course of treatment. Some hospitals use a stomal therapist for the difficult cases. CP/TK 7-13-10
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