What is an appropriate strategy to prevent constipation associated with tube feeding?

Increasing free water intake is an effective strategy to prevent constipation in patients receiving tube feeding. Adequate hydration is essential for maintaining bowel regularity, as water helps soften stool and supports normal digestive function. When tube-fed patients do not receive sufficient fluid, the risk of constipation can rise due to the inadequate moisture content in the gastrointestinal tract, leading to harder stools that are more difficult to pass.

In maintaining proper hydration, the clinician should assess the overall fluid needs of the patient, considering factors such as age, medical condition, and the specific formula being used. Implementing an increased intake of free water through bolus feeding or continuous infusion can enhance stool consistency and help facilitate regular bowel movements.

Other strategies, such as using fiber-rich formulas, can also play a role in promoting digestive health, but the immediate effect of adequate hydration is a critical first step in managing or preventing constipation in tube-fed patients. Thus, ensuring sufficient water intake remains a foundational aspect of care in this population.