Which of the following is NOT a potential indicator of pain at a G-tube site?

• A. It is common and expected
• B. Infection
• C. Pressure necrosis
• D. Intraperitoneal leakage

Answer: (D)

Pain around a G-tube site is usually due to local issues at the stoma. Mild discomfort can be a normal part of healing, especially soon after placement. If infection is present, the area around the stoma becomes tender with redness, warmth, drainage, and perhaps fever, all of which signal pain linked to local inflammation. Pressure necrosis from the tube or its dressings can cause persistent, sharp local pain because continuous pressure damages nearby tissues and worsens the sensation at the site.

In contrast, intraperitoneal leakage means fluid has escaped into the abdominal cavity. That doesn’t produce pain limited to the skin around the G-tube; it would cause more diffuse abdominal pain with signs of peritoneal irritation or systemic illness—such as severe abdominal pain, guarding, fever, tachycardia, or leukocytosis—indicating a serious intra-abdominal complication. So intraperitoneal leakage is not a local pain indicator at the G-tube site.