Nausea, Vomiting, and Abdominal Discomfort Possible Causes Prevention and Treatment Not tolerating the formula • Work with your health care provider to determine cause and talk about switching to a different formula. Formula may be going in too fast • Begin at a slow rate. • I ncrease the rate and amount gradually over 24-48 hours. Formula may be spoiled or contaminated • Wash and dry your hands prior to preparing during preparation or delivery a feeding or touching the feeding tube. • A void touching any part of the feeding tube system that will come in contact with the formula. • Record date and time on can after it is opened and store covered in the refrigerator. • Discard unused formula after 48 hours or as recommended by formula manufacturer. Incorrect position or incorrect tube • C onfirm tube placement prior to placement during and after feeding feeding if recommended by your health care provider. • Ele vate your head 30 degrees or more by propping yourself up in bed or on a couch. • K eep your body in a raised position for at least one hour after feeding. Medication side effects • Ask the health car e provider or your pharmacist to see if an alternative medication is available. • Sometimes s witching to another form of the medication (i.e. from liquid to pill) can help alleviate side effects. Stomach, esophagus, or intestine not • H ealth care provider may order additional working properly tests following examination. Guide to Adult Tube Feeding | 15