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gastric decompression for gastroparesis

Posted By rbs on March 14, 1999 at 17:05:40:

I am a 27yo female who recently underwent laparoscopic placement
of jejunostomy and gastrostomy tubes for gastroparesis.  I was
diagnosed with chronic idiopathic gastroparesis about 14 months
ago.  My nutrition has been maintained with TPN for the last year.
I am now going to try J-tube feedings to see if I can get off the
TPN.  Anyway, I also had a g-tube inserted for decompression
because I have frequent vomiting despite the use of antiemetics
(IV ondansetron and prochlorperazine) and the fact that I have
not been eating anything.  I have been letting the g-tube drain
by  gravity when I feel nauseated.  This has helped, but I have
noticed some blood (dark red/brown with small clots) in the drainage.  
Sometimes I do suction the g-tube, and I am wondering if this may
be the etiology of the bleeding.  I aslo realize that frequent
drainage could lead to dehydration and electrolyte loss.  How
often should I drain the g-tube?   When should I start to worry
about the blood in the drainage?  I take ranitidine syrup 300mg bid
for dyspepsia and h/o gastritis.  I appreciate your taking the
time to respond to my question.
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