What intervention may help to decrease distention when using a fiber-containing enteral formula?

• A. Providing additional free water flushes may help to decrease distention
• B. Increasing feeding rate
• C. Avoiding fiber entirely
• D. Using isotonic formula only

Answer: (A)

Fiber in enteral formulas adds bulk and can slow GI transit, which can lead to distention. Providing extra free water flushes helps hydrate the intestinal contents, allowing the fiber to swell and move through the gut more smoothly. Adequate hydration softens stool, supports peristalsis, and can lessen gas buildup, all of which contribute to reducing distention when a fiber-containing formula is used. The other approaches don’t directly address hydration and stool passage: increasing the feeding rate may worsen intolerance; avoiding fiber negates the purpose of the fiber-containing formula; and just using an isotonic formula doesn’t resolve distention caused by bulk and slower transit.