During your hospital stay, you'll learn to care for your colostomy and the appliance or pouch that collects your stool. Your nurse will show you how to clean your stoma.
After you go home, you'll do this gently every day with warm water only. Then gently pat dry or allow the area to air dry. Don't worry if you see a little bit of blood. Use your time in the hospital to learn how to care for your colostomy. If you have an ascending or transverse colostomy, you will need to wear a slim, lightweight, drainable pouch at all times. There are many different types of pouches, varying in cost and made from odor-resistant materials.
Some people with a descending or sigmoid colostomy can eventually learn to predict when their bowels will move and wear a pouch only when they expect a movement. They may also be able to master a process called irrigation to stimulate regular, controlled bowel movements. Before going home, be sure to talk with an ostomy nurse or other expert who can help you try out the equipment you'll need.
What works best will depend on what type of colostomy you have; the length of your stoma; your abdominal shape and firmness; any scars or folds near the stoma; and your height and weight. Sometimes, the rectum and anus must be surgically removed, leaving what's called a posterior wound. In the hospital, you'll use dressings and pads to cover this wound, and you may also take sitz baths--shallow, warm-water soaks. Ask your doctor and nurse how to care for your posterior wound until it heals.
If problems should occur, please contact your doctor. The skin around your stoma should look the same as elsewhere on your abdomen. Exposure to stool, especially loose stool, can be irritating. Here are some tips to protect your skin:.
Change the pouch regularly to avoid leakage and skin irritation. Don't wait until your skin begins to itch and burn. A good rule is to empty your pouch when it's one-third full. And be sure to change the pouch before it leaks. As a general rule, change it no more than once a day, but not less than every three or four days.
A colostomy represents a big change, but you will soon learn to live with it. Even though you can feel the pouch against your body, no one else can see it. For this reason, it is advised that a patient has appendix surgery in Huntington station immediately if they believe they have complications with their appendix.
How long does it take to recover from a colostomy reversal? Can a colostomy be reversed? What are the colostomy reversal risks? Colostomy Reversal Recovery Time People are generally able to leave the hospital between 3 to 10 days after surgery. Back to Hompage. Quick Links. Before and After Pictures Am I a candidate?
Brooklyn Location 9th St. But bleeding should not continue for more than a few minutes. It is important to make sure your pouch is correctly connected to your stoma.
Pouches that do not fit well can irritate the skin. You should also keep this area clean and dry. If this skin looks wet, bumpy, itchy, or painful, contact your health care team.
These can be signs of infection. It is important to know what problems can happen with your colostomy, what is normal, and when to call the health care team. Some common colostomy concerns include:. High stool output. During the first few days after surgery, you may pass more stool than normal through the stoma. This will become less as your body gets used to the stoma and the colostomy. If it does not decrease after a few days, call your health care team.
You may lose too many fluids, and this could cause an electrolyte imbalance. Electrolytes are minerals that help keep your body working correctly. Managing gas. Just like with stool, you will also need to release gas from your colostomy pouch. The way you do this depends on the type of pouch.
Some pouches have a filter that deodorizes and vents gas. This keeps the pouch from stretching too much, coming off, or bursting. The amount of gas you have depends on your diet and the type of colostomy. Foods and drinks such as beans, onions, milk, and alcohol can cause a lot of gas. Swallowing air can also increase the amount of gas in your colon.
This happens when you chew gum or drink through a straw. You may have a lot of gas right after surgery. But you should have less as your body heals. Your health care team can help you make food and lifestyle choices to reduce gas.
Whole pills or capsules in stool. Coated pills and extended-release capsules may come out intact in your pouch. This can mean that your body did not absorb the medication. Back to Health A to Z. A colostomy is an operation to divert 1 end of the colon part of the bowel through an opening in the tummy.
The opening is called a stoma. A pouch can be placed over the stoma to collect your poo stools. A colostomy may be needed if you cannot pass stools through your anus. This could be the result of an illness, injury or problem with your digestive system. A colostomy is often used after a section of the colon has been removed and the bowel cannot be joined back together.
This may be temporary and followed by another operation to reverse the colostomy at a later date, or it may be permanent. A colostomy is carried out while you're asleep under general anaesthetic , using either:. Generally, keyhole surgery is the preferred option because recovery is quicker and the risk of complications is lower.
There are 2 main types of colostomy: a loop colostomy and an end colostomy. The specific technique used will depend on your circumstances.
In a loop colostomy, a loop of colon is pulled out through a cut in your tummy. The loop is opened up and stitched to your skin to form an opening called a stoma.
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