I have a peg tube that goes into my intestines

Patient : I have a peg tube that goes into my intestines. I had a lump to come by beside it. The dr cut the lump and let it drain. This was 2 months ago. I have fecal matter coming out of the lump and also around the tube. Is this normal?
Doctor :   Hello, Thank you for your medical query at AskTheDoctor.com I understand your concern. From your description, you h ave a PEG tube going to the intestine for giving you enteral nutrition. However, it is not clear to me the reason for which PEG tube was put. That is one of the important factors to determine the healing/closure of the fistula - the condition which you are suffering from. In the course of time you developed obstruction distal to the PEG insertion site and that's why your surgeon opened the lump and tried to create a controlled fistula with the aim that it will close spontaneously or the tract has to be excised at a later date if it doesn't close spontaneously. Now you have 2 entero-cutaneous faecal fistulas one created by your surgeon to relieve obstruction and the other has formed in the course of time from the opening for PEG tube insertion. Definitely this condition is not normal and requires attention that's where your diagnosis and the reason for PEG tube insertion could have helped me to give you proper advice. Kindly consult your treating surgeon and get a CT abdomen and CT fistulogram to see the extent of the fistula tract from the skin to bowel. How much is the output of faecal matter? If i is more than 500mg/dl it is a high output fistula and will not heal spontaneously and the tract has to be excised. As you have two fistulas, I feel for you surgical excision of the fistulous tract will be ideal. Kindly consult your surgeon or surgical gastroenterologist and follow his advice.if the faecal output is more than 500mg/dl enteral nutrition has to be stopped and TPN to be started followed by fistula closure. Hope this was helpful, Regards

Related Q&A

Q: I recently had PFT's performed at the request of my PCP. This result is in comparison to the same tests from2/15. ...

Q: Hi, ten years ago, my mother was diagnosed with adenocarcinoma of the right lung. She was not a smoker.Did not spread...

Q: I had unprotected sex 3 times in one night. I pulled out each time. Her period had ended 4 days earlier. She took ...

Q: For the past couple night when I lay down, my left leg and arm hurts. worse in groin. I am 49 and have fibromyalgi...

Q: My father failed is barium swallow test and has been told not to eat anything from this point forward. My father h...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews