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Two Suggestions for Granulation Tissue
In the March/April LifelineLetter “Tube Talk” column, I saw the discussion about granulation tissue. You may not be aware of something called Kenalog or Triamcinolone cream. It is a wonderful alternative to silver nitrate, as there is no pain or discomfort involved in the application. When my son, Sean, gets granulation tissue, we apply a very tiny amount of this directly to the tissue, 4x per day, and usually within a day or two it is completely gone. It is a cortisone type cream, so you need to be careful not to apply it for more than a few days running, as it thins the skin surrounding the stoma. It comes in .1% and .5% concentrations.
We have also found that cleaning the area around the stoma with plain soap and water seems to help control the growth of the granulation tissue. Back when we cleaned with diluted hydrogen peroxide he was more likely to grow granulation tissue, and since switching he has not had a problem but the one time he had to have a g-tube instead of a button. I hope this helps.
—Heidi ForneySweet, Idaho
I have one suggestion for granulation tissue. Talk a short piece of toilet tissue (1 to 2 squares, depending upon how “plush” it is.) Roll it up into a string effect and then wrap that around the g-tube. Depending upon the amount of leakage, you may need to change it one or more times a day. It does two things - First it keeps the button snug. (If you’re like me - the fit for your button can vary within one day!) and second it absorbs any fluid that may be leaking out. If you do have this type of leaking, it is particularly important to change the tissue a few times a day. Since I started doing this I rarely have much granulation tissue build up.
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