I don't know how any of the posters on this board got through eating using the syringe, (Several have said it was not problem for them) I couldn't do it. Please do a search under the word PEG and it will find all the previous posts related to this, there have been a ton. From my own experience I have these recommendations. Only eat from a slow drip bag and forget about shooting it into your stomach with a syringe. I couldn't tolerate that and it made me sick every time I tried it. 3 cans of ensure and 2 of water on a slow drip from the bag = feeding time one hour. Next always eat sitting up. After eating, do not lie down for at least 45 min, you'll get sick. Feeding material room temperature. Nothing cold. Stool softeners everyday, over the counter type. (The pain meds are constipating, as are most of the PEG feeding formulas.) Ensure has one with fiber, but it isn't enough to get the job done. Rx laxatives may be required, have them on hand. Senecote is one.