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#140535 09-24-2011 04:31 PM
Joined: May 2007
Posts: 132
Sue G Offline OP
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I've had my PEG for about 16 months now and have no real issues with it, but in the last 24 hours I have started to bleed from the PEG site (not alot but I need to have gauze there so my clothes don't stain) and it is tender and a bit swollen. I think perhaps I have an infection there and will go to see my GP tomorrow. Is there anything else that this could be? I have had the same PEG since May 2010 and prior to that was on a naso-gastric tube for nearly 6 months. I use the PEG for at least two feeds a day and try and have thickened liquids at least once a day, although I had aspirational pneumonia about 3 weeks ago.

Thanks Sue.


55 y/o
SCC LL Tongue 3/27/07
Part. mandibulectomy 9/2/07
Left ND 5/12/08
RT/Chemo
Rec LL Tongue 07/09
Part gloss 8/5 & 8/25
Surg 10/28/09 re mets to R neck & L jaw
RT & Chemo finished 12/22/09
PEG fitted 05/06/10
L buccal SCC 10/10
freeflap (forearm)surgery 2/28/11 L buccal and gingiva
Joined: Dec 2010
Posts: 5,260
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"OCF Canuck"
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Sounds to me like an infection. Hope you get itt checked, good luck,


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
Joined: May 2007
Posts: 132
Sue G Offline OP
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Thanks Cheryl. I also think that it is probably an infection so hopefully anti-biotics will fix it.


55 y/o
SCC LL Tongue 3/27/07
Part. mandibulectomy 9/2/07
Left ND 5/12/08
RT/Chemo
Rec LL Tongue 07/09
Part gloss 8/5 & 8/25
Surg 10/28/09 re mets to R neck & L jaw
RT & Chemo finished 12/22/09
PEG fitted 05/06/10
L buccal SCC 10/10
freeflap (forearm)surgery 2/28/11 L buccal and gingiva
Joined: Jun 2007
Posts: 10,507
Likes: 7
Administrator, Director of Patient Support Services
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You could have pulled it without realizing. Make sure to never lift anything heavier than about 15 pounds. Its not normal to have blood coming out from the peg site. I get some discharge sometimes so I always keep a drain sponge there to absorb anything that oozes. I have some granulation near my feeding tube site that has bled a little bit in the past but it was not big deal. I knew exactly where the blood came from. Yours doesnt sound like an emergency. But I would call your gastro doc first thing Monday morning unless it would get worse then I would suggest you go to the ER.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
Joined: Mar 2008
Posts: 3,082
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Sounds like irritation from the tube rubbing to me. I'd put some antibiotic cream on it until I saw the doctor. I sometimes Bleed from the PEG but like Christine, it's from obvious granulation tissue so I just cauterize it with a silver nitrate stick right away.
Your post reads like your PEG is a year and half old - mine only last 5 months - If it is 18 months old, I'd consider getting a new one. One remote possibility is that your stoma has enlarged and you need a larger FR size tube to prevent excess movement (I just heard about this at my last visit to get a new G tube- the doctors say it happens very often - although so far not to me)
First time I ever heard of a 15 lb weight limit to prevent bleeding. Heck, I do bicep curls with a 25 lb dumbbell in each hand (and body weight bench presses) and that has never caused any bleeding or problems.
I sympathize with everyone who has a feeding tube.
Charm



65 yr Old Frack
Stage IV BOT T3N2M0 HPV 16+
2007:72GY IMRT(40) 8 ERBITUX No PEG
2008:CANCER BACK Salvage Surgery
25GY-CyberKnife(5) 3 Carboplatin
Apaghia /G button
2012: CANCER BACK -left tonsilar fossa
40GY-CyberKnife(5) 3 Carboplatin

Passed away 4-29-13
Joined: Jun 2007
Posts: 10,507
Likes: 7
Administrator, Director of Patient Support Services
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My docs told me to be very careful with picking anything heavy up. I asked them how much I could lift and I was told no more than 15 pounds. I mentioned this to EzJim and he said his doc told him not to lift anything heavier than a gallon of milk. Be careful Charm with your weights, I dont want to see you have any problems.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
Joined: Dec 2010
Posts: 5,260
Likes: 3
"OCF Canuck"
Patient Advocate (old timer, 2000 posts)
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"OCF Canuck"
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Joined: Dec 2010
Posts: 5,260
Likes: 3
I agree - with what you all said - the thing hat twitted with me was the swelling and tenderness. Often a sign of infection. Maybe you pulled it and now you have a but of infection... Have it checked out for sure and good luck!


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan

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