To observe the effects of blenderized tube feeding (BTF) containing fiber and impact of bowel medications on diarrhea and rectal tube use, a retrospective chart review was conducted in the Neurotrauma Intensive Care Unit (NTICU) at Legacy Emanuel Medical Center (LEMC) from January 2018 to March 2020. Patients who were on ECMO and who reached goal EN were included. Patients were excluded if they had any confounding bowel diseases at baseline, if they received ECMO for treatment of COVID-19, and if they were on parenteral nutrition. Patients were then separated by formula type: blenderized formula (BTF) or non-blenderized formula (non-BTF).