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Dr. Andrew Rynne

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Have Dementia. High WBC. Given A Feeding Tube. Is It Necessary?

My mother has dementia and was taken to the hospital after not eating or drinking for about 2 days. The hospital did several tests, noted her white blood count was up, and gave her antibiotics. Her white blood count came down and she was given a feeding tube. After 5 days, the feeding tube was removed as the doctor felt there was no change with the tube. She continued to be on a glucose drip and oxygen. Two days later she has perked up somewhat. Hurray. But she has failed the swallowing test twice. We are not sure if we should put her through the insertion of the feeding tube again. How long could she possibly live on glucose/saline drip alone?
Mon, 20 May 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.
Your mother can live on glucose/saline drip for a few days at most, and for long term feeding, feeding tube is required. This is because all the essential nutrients can not be given by the drips.
Another option is PEG tube (percutaneous endoscopic gastrostomy), where a tube can be inserted via the stomach, and this can be left permanently or can be closed, if swallowing improves later.
Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My email: drsudhirkumar@yahoo.com
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Have Dementia. High WBC. Given A Feeding Tube. Is It Necessary?

Hi, Thank you for posting your query. Your mother can live on glucose/saline drip for a few days at most, and for long term feeding, feeding tube is required. This is because all the essential nutrients can not be given by the drips. Another option is PEG tube (percutaneous endoscopic gastrostomy), where a tube can be inserted via the stomach, and this can be left permanently or can be closed, if swallowing improves later. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com