I am an RN in an ICU and am going to reply not based upon what I have seen - but from personal experience. In 2012, I had surgery to remove my right kidney. I developed an ileus and had an NG to remove gastric contents (even though was NPO). Weeks later, I had a doctor change my diet and told me to order a steak - cut a piece each tv commercial - and chew it 100 times. The chewing action (could be gum for that matter) signals the digestive system to kick in. If your patient is A&O, have them practice chewing.