MIC long (3009)

What is a MIC long tube? 

The MIC long tube is a long type of feeding tube.  It is held in place in the stomach by a water balloon. 

Some children may have an MIC long tube placed as their very first tube.  If this is your child’s first tube, it needs to stay in place for at least 6 weeks before it is changed.  This is needed for the tract to heal.  After this time, the tube will be changed by a doctor or nurse.  They will teach you how to change the tube at home. 

If your child had a tube changed to an MIC long tube, you will be taught how to change the tube. 

Why does my child have a MIC long tube?

You and your child’s doctor decided this kind of feeding tube would be the best for your child at this time.

Your child’s MIC long tube size is _____________.

How do I care for the tube?

See the Caring for a Child with a Feeding Tube Notebook or go to www.childrenswi.org/gtube

Information and videos on website:

• Cleaning the site
• Giving feedings
• Flushing the tube
• Giving medicines
• Venting the tube
• Common skin problems 

Balloon port

There is a port on the side.  This is where you can add water or remove water to the balloon.  If your child’s button has never been changed yet, do not check the amount of water in the balloon port.                                       
To check the amount of water in the balloon: 

1. Attach a slip tip syringe to the balloon port. 
2. Pull back on plunger.  Look at amount of water.
3. Add any more sterile, distilled or bottled water to the balloon port if needed.

How do I replace the tube?

• If this is your child’s first tube, you should not replace it until you told to do so.
• If your child’s tube has been changed, you need to keep a MIC long tube of the same size at home. 
• Change the tube every 3 to 6 months or sooner if it fails.  It is important to check gastric content after a tube change.

What problems might I have with the MIC long tube?

Problem: Balloon will not deflate
Causes: Balloon port clogged.
Note: If this is your child’s first tube, you should not check water balloon.  Call the clinic to talk to the nurse or doctor for instructions.
Gently twist the slip tip syringe in the balloon port until the valve is opened.  Using a moist cotton-tipped applicator, clean out the balloon port.  Attach a syringe and try again.  Call the clinic to talk to the nurse or doctor if this does not work.