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|Tube Feeding Tips: Granulation Tissue Build up|
Many thanks to Laura Matarese, MS, RD, LD, FADA, CNSD, Manager, Nutrition Support Dietetics at The Cleveland Clinic Foundation for volunteering her professional opinion in response to the questions below.
Build up of Granulation Tissue
I also have a question regarding a continuous buildup of granulation tissue around the gastrostomy tube. I have had it cauterized with silver nitrate and surgically cut several times since I have had the tube, with no success. I have tried numerous antibiotic ointments, oral antibiotics, IV antibiotics and daily cautery after surgically being cut to prevent it from growing back. But nothing helps. It is chronically infected and irritated. The only other option suggested to me, was to have the tube removed to let it heal and reinsert it at a different site, but there is no guarantee that it will help. I would appreciate any feedback.
Painful Scar Tissue Around Stoma
I am looking for some help with painful scar tissue in my stoma. Apparently when I was first on enteral, my surgeon placed a Foley catheter and anchored it in a few places, stitching it to my stoma area. After two months, he took my Foley catheter and stitches out and put in a Mic-key, which I currently use as my J-tube. Nine months later, I now have three very painful raised scars which cause me to feel a sharp pain as the tube starts moving around. (Since I have a motility disorder, my tube moves around.) My dermatologist tried to shrink these scars by injecting them with Triamcinolone Acetonide ointment. I am going to try a pain clinic to see if they can anesthetize the nerves in my stoma. I am wondering if I would be better off if they just removed these scars?