Irritation Around G-tube Site

Sarah - posted on 04/27/2009 ( 26 moms have responded )

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My son just got his g-tube 2 weeks ago. We are cleaning it once a day with a peroxide saline mix, and then a second time with just saline. We use Bacitracin during both cleanings, and a gauze dressing around the site. Overall, the site looks like it is healing well, but one side seems to be more red and irritated than the rest, and is a bit oozy, although not infected. I was wondering if anyone had any advice on what we might be able to do to lessen the irritated area? How long can we expect the site to look a bit red?

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Angela - posted on 05/04/2013

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Sarah, I am new to whole gtube thing. My son got his gtube in Decamber. It is always a bit oozy from stomach acids. the best tip that I have found is ... after cleaning it with a warm wash cloth and then peroxide, I let it dry then I put the gauze on, and then I lift the gauze a pour a small amount 1/4 teaspoon maybe of Mylanta directly on the opening and put the gauze back down. Weird huh, I buy regular Mylanta in the mint green bottle. My son says "ahhh better" after I put it on .
After going to the doctor over and over and over they have told me , it will always be a bit red and not pretty.
I also use http://drkusointment.50webs.com/ ... when it is a little more inflamed it works AMAZING!! over night!!
angi

Nikki - posted on 08/03/2009

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I found this out the hard way! I would stop using peroxide first & just use saline. Peroxide can be harsh on irritated skin & actually make it worse. I used 2x2 IV sponges around Marina's button. On her skin when it got irritated, I used Sensicare on her skin. Sensicare is by ConvaTec & is a skin protectant that helps to treat "denuded" skin. This also works wonders as a diaper cream! It's the only thing I use! If you can't find it over the counter, ask your GI doc to write an as needed script. I learned of this from the Skin Care team @ All Children's Hospital in St. Pete, FL.

Jamie - posted on 06/26/2014

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As your baby gains weight the gtube becomes to small. The stem isn't long enough and it rubs in the tummy causing discomfort. Then baby messes with it and the stomach acid leaks on the surrounding tissue. Then baby itches and it gets more irritated. Even if you put A and D or anything else it is going to continue unless switched out. This is normal. The irritation is normal because if the stomach acid burning it. You have to be careful tho as with any burn you can't use an oil based ointment. It will make the burn deeper and worse. I can tell you what worked for us overnight. Get clear tape or paper depending if baby has an allergy or not. Then get the square gauze pad by Johnson and Johnson with quick-loc the size is 2x2 in. Then get bacitracin ointment. Take the gauze pad open it to a rectangle then cut one the fold. Now rip or cut a line in the middle. Make sure the edges are in tac. Then skip the button threw the hole. Then apply the bacitracin to the irritated spots. Then take the clear tape and rip it once the long way after you take a piece off. Then just tape the top and bottom unless your little one tries to rip it off in their sleep. In that case tape it up. Put the diaper over the button, put underwear over that and a onesy. Then rap them up or just put them to bed. I feed my daughter once after she falls asleep. So don't tape over the opening. If they have been fed before bed tape over the opening. Then in the morning it will look so much better. Take off the gauze and switch it out with a clean one but use A and D or whatever you use to keep it dry. You can even leave it off for the day. One thing I have done is tape the tube on both sides then tape over that on both sides. The gtube doctors said he never saw that before but it works and he complimented me on it. So hope this helps out too. :-) My sugar pop is gonna have surgery soon to switch it out. Wish us luck!

Lauren - posted on 09/17/2013

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I'm a nurse and I work with g-tubes all day 5 days a week and have seen some angry stomas/peristomas. Try putting a barrier cream with zinc oxide, I use sensi care protective barrier it's in a blue tube. It's pretty thick so I mix it with A&D, I do half and half. It works like a charm and will protect the skin from drainage as well as promote healing of the irritation. I also place a drainsponge on top as well. Try it out Im confident it will fix the issue ;)
FYI (If your doctor wants you using an antibiotic cream you can mix that with the barrier cream rather than the A&D)

Stacey - posted on 11/20/2009

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My daughter has had her button for about 2 months now, and we clean it once a day with water and gold dial soap...this is what the hospital recomended to us. It healed great and has not ever gotten red at the site. I know you can get a special cream/ointment from your dr for the redness, we just haven't had to yet!

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Jamie - posted on 01/31/2014

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My daughter is one now. She had a gtube placed before she left the NICU. I have never had an issue with irritation until now and all I normally do is wash around the opening during bath time with baby soap. However, she has been messing with it and it now has red bumps that seem to itch. Her Home nurse also said A and D. She visibly got relief the moment I applied it. She has had three granulation tissue issues. The drs assured me it is just normal for gtubes to get the extra tissue. I have been given a container of silver nitrate sticks. Mind you im to chicken to do it myself. However the dr got the tip wet and dabbed it on the tissue and it came right off. No blood or any discomfort. Hope this helps.

Cilla - posted on 08/16/2013

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So my daughter is 22 months old she had her gtube placed when she was 5 wks old. And as of today her skin around the area is red and puffed could it be infected?

Jessica - posted on 01/29/2010

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My son's tube site is always inflamed too. We use non-antibacterial soap with aloe to clean it daily. I just mix a small amount of the soap with some warm water and rinse it well afterward. Instead of using the antibiotic ointment I put A&D ointment (the yellow kind) around the site in the morning and before bed. In the beginning his doc wanted us to use the peroxide to keep it from getting infected, but instructed us to switch to a non-antibacterial soap after the site healed.

Misty - posted on 12/26/2009

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my son is a twin and spent 32 days in the NICU. He has had a Nissen and g tube placement since he was 2 weeks old and he is now 4 months old.
Jacob has had irritated skin off and on. I found that he was allergic to certain things so I use warm water and dove soap. twice a day. He was also placed with the wrong size tube at first which was causing leakage. After being sent back and forth from Ped and his surgeon and nothing happened, I demanded something be done. I was referred to a Gtube specialist. She fitted him for the correct size and for the irritation she prescribed a cream that works wonders. The cream is called CALMOSEPTINE. It is pink and to be applied 4 times a day.

You may have to change your guaze more often. If the area remains damp the skin will be irritated and if let to get to bad , could be cellulitus that an antibiotic would be needed.
Good Luck

[deleted account]

We were told to try this and it works because sometimes it's the stomach acid that is making the belly raw ..get a mixture of mylanta and benedryl and appy to the area around the gtube ...It works but our daughter has had her almost 8 years and we are constantly having to do this, we were told not to put bactoban or neosporin we were giving some derma adhesive but she doesn't like it..so we are sticking it out... hope it helps in some small way...

Heather - posted on 09/26/2009

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I love this group! My son had a tube placed 3 wks ago. We saw GI yesterday, and they took off a granule, but never mentioned cream. I'll have to try that. Jacob gained 4 lbs in 3 wks!

Sarah - posted on 08/17/2009

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Granulation tissue is kind of like scar tissue. Irritation leads to granulation around the stoma, and the area gets pink to red. Sometimes it can bleed. My son gets granulation tissue fairly frequently. The doctors can use silver nitrate to dry out the skin, and it eventually heals. Your pediatrician should be able to do it.

Katrina - posted on 08/14/2009

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What is granulation? My son just had his tube placed a few weeks ago. What do I need to look for, and is this something I go to the pediatrician, gastro or surgeon for??

Tara - posted on 07/25/2009

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My daughter has had a bard G-Tube for 9 years. We have had good luck with Calmoseptine Ointment irritation or Nystatin Powder for irritation and iching.

Laura - posted on 07/06/2009

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My 2 yr old has had his g-tube for just over a year....He started with a peg tube & seemed to have more discharge in the beginning....He changed to the mic-key tube after about 10 weeks....I only clean it when he has a bath now....no where near the discharge as when he had the peg.....When it starts looking a little red/irritated I will normally put a little neosporin on the skin under the tube and it will clear up in a day or two......Since yours little one's tube is so new I would check with his Dr before putting anything on it.....

Sonya - posted on 07/06/2009

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Honestly, we only clean Matthew's site when he has a bath, otherwise, we've found that it's best to leave it alone. I only ever clean it with soap and water and rinse well. We definitely don't use gauze or tape around it. That seems to keep the area wet and thus irritated. Matthew's had his tube for 10 years and the only issue we've ever had was some small granulation tissue in the first 3 months, and after that, it's clean and clear and nice and pink. The less you fuss with it, the better off you will be.
Keep in mind that you might have issues with the site if you don't have a tube that is large enough (such as you need a 14 french and they've given you a 10 french) and you're getting leakage around the site. Or if he's got a lot of acid in his stomach, that can cause issues around the stoma as well.

We don't have any issues with leakage around the site, even with a full stomach, or if the tube falls out.

Jillian - posted on 05/12/2009

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My daughter's site had SO many issues, it was outrageous. The surgeon told us to stop putting the gauze on the site, because it was holding moisture at the site and it needs to be totally dry to heal. She was leaking REALLY badly for awhile, so we would put a small diaper over her stomach to catch the liquid and save her shirts, it seemd to help. For the skin, we use diluted eucalyptus oil and it has kept the site perfectly clean and maintained. She has had the tube now for almost a year and it looks great.

Sarah - posted on 05/06/2009

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Thanks for all the responses!! We saw the surgeon last week, and he was happy with how things looked. He just told us to keep at as dry as possible.

Jamie - posted on 05/02/2009

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We actually usee melaleuca products, but I wasn't sure if we rae supposed to use anything on the g-tube site...Thanks for the info.

Evie - posted on 05/02/2009

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My son is 21 months old and has had his g-tube since he was 3 months old. When he first got his g-tube, he did have the granulation tissue lots of times and I kept taking him to the pediatrician and he would remove it with silver nitrate. It seemed like it did take a long time for this redness and irritation to stop. A close friend of mine introduced me to Melaluca. They have an ointment similar to neosporin that works wonderful. She likes the smell of it, I think it stinks, but it does work and it works fast. You can also purchase the Melaluca oil that you can put on the gauze that wraps around the g-tube. I hope this helps.

Jamie - posted on 04/29/2009

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My son just got his g-tube 1 week ago.. He got his Mic-key button right away. He is oozing some too, but the docs said only regular baths now..no ointments or anything. We had to keep the tegaderm bandage on for a few days, but no special cleaning.We do put gauze around it just to keep it from leaking all over his clothes. It is starting to get a little more red, but doesn't look infected..just irritated.

[deleted account]

Hi my daughter had a tube placed last nov and it cleared up well at first but she vomits a lot (separate issue) so then it gets red again because the whole gets wet. We clean it once a day with water, dry it and then put sudocreme or zinc creme to help the skin dry up. If she vomits more, then we clean it twice a day - but only with water. We also always put a gauze on and that helps to keep the skin clean.
But I think it is normal for it to stay red for quite a long time. hope this helps

Ali - posted on 04/27/2009

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Our daughter also had irritation while she had the temporary tube in and once she got the mic-key in it cleared up nicely. We used a barrier cream to help with the irritation (I think it was called calmoseptine - it is an over the counter diaper rash cream here in Canada) or we were also told that polysporin would help but the first one worked great so we never tried the polysporin. There is also something called aaqua cel which our GI nurse gave us which is a special guaze to wrap around the tube and draws the moisture out. That worked well too. It will get better!

Megan - posted on 04/27/2009

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i put a and d ointment around the g tube and then cover is with the gauze. it really seems to help. before i started doing that her tube was so irritated it would actually bleed. the ointment worked wonders.

Jessica - posted on 04/27/2009

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When Maya first got her tube we really only cleaned it about once a day (mostly because she is so hard to keep still!) and it was red for about 6-8 weeks I think. The ooze is definitely normal and will continue for a long time. Maya had hers placed about 8 months ago and it still oozes. We put fresh gauze on everyday. She had a long temporary tube in while the surg. site healed and that rubbed her skin and caused granulation tissue (looks kind of like a small red cherry, like a skin blister) and her doc. removed that. After her Mic-key button was placed she has not had any other issues with granulation tissue.

[deleted account]

maybe its irritated because its getting cleaned too much maybe try twice a day every other day or something like that. my son has had a G-tube for 5 years now. if you cant get it to look any better i would just ask the pediatrician or even the GI doctor. i know i was so afraid that my sons was going to get infected that i cleaned it too much and sometimes some of the stuff you are using can also cause some irritation if the child has sensitive skin.

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