Doctor insights on:
Colostomy Side Effects
Parastomal hernia: If your colostomy is set in your lower right side, you may have a hernia around your colostomy. A parastomal hernia will cause pain and swelling or bulge around your ostomy. Go to see your doc. A ct scan of your abdomen would be helpful to evaluate your symptoms. Like all hernias, a parastomal hernia should be repaired. ...Read more
Could the extreme pain I'm experiencing be a hernia of some sort? Colostomy reversal done last week & pain is on rt side 1-2" below stoma location
Depends: On quality and character of pain. I suspect this was for diverticulitis perforation with colostomy and then takedown? You could have same thing happen again if the pain is constant, sharp and steady esp with fever or chills. Other possibility would be constipation or adhesion. Need to call ur medical doctor. ...Read more
I recently had reversal of colostomy and am experiencing right side stab like pain, I have Crohn's could it be muscular or scar tissue?
Pain midline right side upper and under ribs like being punched abd after colostomy surgery 8 weeks out? Sire and tender surgery left side
Pretty normal: This is normal especially if you had a laparoscopic port site there, or if you had a retracting instrument placed underneath your ribs during the operation. If you develop nausea, vomiting, fevers or chills seek immediate medical attention. ...Read more
My friend has a colostomy bag, on her left side. On her right side she had a small incission, a few days ago, about 8 in. Of her large intestine has pushed it's way through. What should she do?
Go to the ER now: If she had recent surgery and you can see exposed bowel through the incision, she must go immediately to the hospital. Put a clean moistened towel over the incision and hold in place. Call the surgeon's office to tell them what is going on and tell them where you are going. ...Read more
ABDOMINAL OPENING: The second part of the colon, which runs from the right upper quadrant to the left upper quadrant is appropriately named the transverse colon. If this part of the colon is brought up to the surface of the abdominal wall, as a stoma, it is a transverse colostomy. I hope this helps. Good luck. ...Read more
Permanent no: A colostomy does not have to be permanent. But some patients are better off if it is permanent if the anal sphincter is weak or if the stool is frequent etc. Individual choices need to be made. You are in iowa city so jefffields at u iowa in gastroenterology can help guide you. ...Read more
Depends on disease: In order to give you an adequate response, I need to know what your diagnosis is. I am going to assume it is a colorectal malignancy. A colostomy is performed when it is necessary to bypass or remove the distal colon, rectum, or anus, and it is not advisable or not possible to maintain integrity of the bowel. The ostomy is permanent if the distal rectum or anorectal sphincter is removed. ...Read more
If it is: Permanent, no. The surgeon must have removed all of rectum. If it were temporary, then it can potentially be reconnected at later date. ...Read more
Http://www. Wocn. Org/
this is a website and an excellent place to start to find all kinds of great information regarding this question. I think you should be able to find an ostomy nurse who is best qualified to help with your needs. Good luck. ...Read more
Carefully: Whether sitting or standing, it shouldn't really matter. As long as the open part of the bag is at the lowest point, you should be able to empty the bag completely without making a mess. ...Read more
An ileostomy is usually performed when a major resection of colon is performed and mostif not all of the colon is resected for conditions such as colitis.
A colostomy is a diversion in a portion of the colon to protect a distal colon resection and possible suture line. ...Read more
Ileostomy/colostomy: An ileostomy has mainly liquid output because the stool never passes through the colon to have the majority of water content re-absorbed. A colostomy will usually have more normal appearing, solid stool output. Patients can become severely dehydrated from high ileostomy output, sometimes needing hospitalization. Ileostomy output can also be more irritating to skin, making ostomy care difficult. ...Read more
Liquid diet: For a procedure on the GI tract, the less food content in the bowel at the time of surgery, the easier for surgery to be performed. With colostomy and ileostomy the stoma is created on the abdominal wall in the absence of a needed anastomosis so that there is no problem with food products having to cross an early created anastomosis. A liquid diet prior to this surgery is helpful. ...Read more
The most important consideration is care of the skin surrounding the colo/iliostomy appliance to prevent skin breakdown. Consult a stoma therapist to fit the appliance to your needs and help care for and maintain it.
Consult your surgeon for the names of these RN Specvialists ...Read more
An ileostomy is made from the end of small bowel, tends to have a higher output and be more liquid and tends to be slightly more difficult to maintain.
A colostomy is made from the colon (usually sigmoid) has output with a consistency of regular bowel movements. The are different situations (usually anatomical) for construction of one verses the other. ...Read more
Rectal output: This depends if any rectum was removed when the colostomy or ileostomy was created. If the rectum is completely removed and the anus closed (APR operation), then there should be no output as there is no rectum remaining. If rectum is still present, then it is not uncommon to pass mucous produced by the lining of the rectum every few days or so. ...Read more
It depends: Depends on the operation. An ileostomy is usually placed in the right lower quadrant of the abdomen, but this can vary. A colostomy is typically formed in the left lower quadrant or right lower quadrant. Again, this can vary. Your surgeon should be able to tell you where a planned ostomy will be prior to surgery. It is important to meet with a stomal nurse before to optimize the location. ...Read more
Most kinds: The safest thing is to try one type at a time and see the result, there is no problem with any bean except that you may have excessive gas, in that case try beeno, gasex, etc if it is considered a problem. ...Read more
Yes: Irrigation of the colostomy is much like giving an emema. It stimulates emptying the colon. Occasionally this is a therapeutic intervention for constipation. Some long term colostomy patients use irrigation as a means of controlling when they eliminate into the ostomy bag. After irrigating, it might be several hours before having feces in the bag. ...Read more
Carefully & Complete:
Most devices have a suitable opening
and clip to allow drainage conveniently. ...Read more