You may wish to keep your clothing loose for the first couple of weeks, because your tummy may feel uncomfortable. But the good news is that in a few weeks, you should be able to wear your usual clothes. Wearing tight-fitting clothes will not affect your stoma.
There are specialist stoma underwear, swimwear and clothing companies that produce clothing for people with stomas but this is not necessary to purchase or wear – your usual clothing should be suitable.
Depending on your personal style preferences, you may want to try trousers with waistband pleats, which can give you more room across the stoma pouch area. These types of trousers are available in most stores. A belt can sometimes cause a problem if it goes across the stoma. Braces may work better.
The opening is called a stoma. The colon, where poop forms, will now expel poop through your stoma instead of your anus. You may need to wear a colostomy bag to catch the poop when it comes out. Some people only have a colostomy for a few months, and others need it for life.
It's always a good idea to empty or change your stoma bag before you go to bed as it will help to prevent your bag from filling up too much overnight and disturbing your sleep. A full stoma bag is always at risk of leaking and that's not something you want to experience during the night.
You can bathe or shower with or without wearing your pouching system. Normal exposure to air or water will not harm or enter your stoma. If you're showering without your pouch, remove the skin barrier too. Try to create a routine that coincides with when you're due for a pouch change.
Once home, avoid strenuous activities that could place a strain on your abdomen, such as lifting heavy objects. Your stoma nurse will give you advice about how soon you can go back to normal activities. At first you will pass wind through your stoma and then, usually within 2 or 3 days, you poo through it.
The best position to sleep in when you have a stoma is on your back, or on your side. If you prefer to sleep on your stomach, this will be fine at the beginning of the night but increases the chances of leaks as the night progresses and your bag fills.
You can always shower without a colostomy bag, water and pH-autobalancing products do not harm your stoma. In fact, 38% of colostomy patients prefer to shower bag-less every time, and 23% shower without the bag 3-4 days per week.
Make sure your clothes are not too tight around the bag.
You may need to be careful that waistbands do not rest below the stoma restricting ability to drain into your pouch. Depending on stoma placement, you may feel more comfortable with high- or low-rise waistband items, like underwear, jeans, or activewear.
If you have regular and predictable bowel patterns, you may not always need to wear a colostomy bag. But as occasional leakages can happen, it's recommended that you wear a small stoma cap. Additional products that can make living with a colostomy more convenient include: support belts and girdles.
Bending. It's near enough in possible to do gardening without having to bend down. This is fine, but you can bend down in a way that reduces the risk of injuring your stomach muscles and stoma area. For example, rather than bending over at your waist, try bending down slowly at your knees.
It is normal for some food to pass through to the stoma unaltered. However, foods high in fibre may cause a blockage because they are difficult to digest when eaten in large quantities or not chewed well. Foods that may cause constipation or blockage: Vegetables with skins or stalks such as celery, peas or sweetcorn.
After a stoma, the bottom part of the bowel no longer has poo passing through it, but it still produces mucus. Dead cells from the lower bowel or rectum may be mixed in with the mucus. The mucus may leak out of the anus, or you may feel the urge to go to the toilet.
Change your pouch every 5 to 8 days. If you have itching or leakage, change it right away. If you have a pouch system made of 2 pieces (a pouch and a wafer) you can use 2 different pouches during the week. Wash and rinse the pouch not being used, and let it dry well.
Leakages can happen when the skin surrounding the stoma opening isn't completely even. This is usually caused by scarring or skin folds and means that a baseplate can't sit flush against the skin. Output can leak into these tiny gaps and cause skin soreness.
Plants lose the majority of their water through stomata. Thus, they close their stomata at night to prevent excess loss of water through them. Stomata can not be closed in the daytime, because the plant has to intake carbon dioxide for the process of photosynthesis.
Some common complications of stoma include poor siting, parastomal hernia (PH), prolapse, retraction, ischemia/necrosis, peristomal dermatologic problems, mucocutaneous separation, and pyoderma gangrenosum. Each will be discussed separately in further detail.
If you allow it to get too full, the weight of the stool may pull the pouch away from the skin. A person with an ileostomy will need to empty the pouch about five or six times in a 24-hour period. If you have a colostomy, you will need to empty the pouch two or three times in a 24-hour period.
Many ostomates worry about odour. If the stoma bag fits well there should be no smell except when changing it. If you do notice a smell from your bag, you should check it as there may be a leak under the flange and the bag will need changing.
You may feel concerned about getting your stoma or skin wet, but normal exposure to water and air will not harm your stoma in any way.