bolusfeeds

Bolus feeds are a method of administering liquid nutrition or medication into the gastrointestinal tract, typically the stomach or duodenum, in a single, large volume over a short period. This technique is commonly used in medical settings for individuals who cannot consume adequate nutrition orally or require medication administration via a feeding tube. Bolus feeding contrasts with continuous feeding, where nutrients are delivered slowly and steadily over an extended time.

The administration of bolus feeds is usually done using a syringe, often a 60 mL or 100 mL syringe, attached to the feeding tube. The liquid formula or medication is drawn into the syringe and then gently pushed into the tube. The rate of administration is typically controlled by the caregiver, aiming to deliver the volume within a specified timeframe, often 15 to 30 minutes. Before and after the feed, it is standard practice to flush the feeding tube with water to ensure patency and prevent clogging.

Bolus feeding can be beneficial for several reasons. It can mimic the natural pattern of eating, potentially improving gastric emptying and digestion for some individuals. It can also be more convenient for caregivers as it requires less equipment and time compared to continuous feeding. However, bolus feeds may not be suitable for everyone. Some individuals may experience gastrointestinal distress such as bloating, cramping, nausea, or diarrhea, especially if the volume is too large or administered too quickly. The medical team will assess individual needs and tolerance to determine the most appropriate feeding method.