PEG Tube Care Tips for Parents

Guidelines for Parents of Children with a New PEG Tube for Feeding Due to Failure to Thrive

Having a child with a new Percutaneous Endoscopic Gastrostomy (PEG) tube for feeding can feel overwhelming. This guide is designed to help you care for your child’s PEG tube safely and effectively to support their nutrition and growth.

What is a PEG Tube?

A PEG tube is a feeding tube inserted directly into your child’s stomach through the abdominal wall. It is used to provide nutrition when a child cannot eat enough by mouth, often due to failure to thrive.

Initial Care After PEG Tube Placement

• Keep the area around the PEG tube clean and dry.
• Wash your hands thoroughly before touching the tube or the site.
• Inspect the skin around the tube daily for signs of infection (redness, swelling, discharge).
• Avoid submerging the tube site in water (no swimming or baths until healed; sponge baths are recommended).

Feeding Guidelines

• Follow your healthcare provider’s instructions on feeding schedules and formula types.
• Start with small volumes and increase gradually as tolerated by your child.
• Use a syringe or feeding pump as directed for measured, controlled feeding.
• After feeding, leave the tube open or clamped as instructed to prevent air buildup.

Tube Maintenance

• Flush the tube with water before and after feedings or medication to prevent clogging.
• Never force feed or push fluid if resistance is felt—contact your healthcare provider.
• Secure the tube to prevent pulling or dislodgment.
• Replace or rotate the tube according to your provider’s schedule and instructions.

Monitoring and Troubleshooting

• Watch for signs of infection: fever, redness, swelling, or discharge at the site.
• Note any changes in your child’s tolerance to feeding such as vomiting, diarrhea, or abdominal pain.
• Report any tube displacement, blockage, or leakage to your healthcare provider immediately.
• Keep emergency contact numbers handy for issues needing urgent evaluation.

Emotional Support and Preparation

• Explain to your child in an age-appropriate way about the tube and its purpose.
• Provide comfort and reassurance regularly—it may take time to adjust.
• Seek support from healthcare professionals, dietitians, or support groups for families with PEG tubes.

When to Contact Your Healthcare Provider

• If you notice signs of infection.
• If the tube becomes clogged or dislodged.
• If your child is vomiting excessively or unable to tolerate feeds.
• If there are any concerns about your child’s growth or health.