Diarrhea tube feeding-related

Diarrhea Drug related Antibiotic-induced bacterial overgrowth Hyperosmolar medications administered via feeding tubes Antacids containing magnesium Malabsorption Hypoalbuminemia/gut mucosal atrophy Pancreatic insufficiency Inadequate GIT surface area Rapid GIT transit Radiation enteritis Tube feeding related Rapid formula administration Formula hyperosmolalty Low residue (fiber) content Lactose intolerance Bacterial contamination... 

Management of diarrhea in patients receiving EN should focus on identification and correction of the most likely cause(s). Tube feeding-related causes include too rapid delivery or advancement of formula, intolerance to the formula composition, and occasionally formula contamination. 

On the other hand, constipation may occur in some patients receiving tube feedings, especially the elderly. Increased provision of fluid or fiber may be useful in attaining bowel regularity. As with diarrhea, constipation maybe drug-related, in which case discontinuation or replacement of the offending drug may help to alleviate the problem. 

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