After colostomy or ileostomy surgery, there will be a drastic change in your diet. You will also have to visit the toilet more frequently to empty your pouch. It might mean a few interruptions during sleep as well. Emptying the pouch as soon as it is one-third to half full will help you prevent leaks, odors, and other complications.
In this article, we will discuss the most effective ways to empty the pouch to ensure the best ostomy care.
According to the American Society of Colon and Rectal Surgeons, a human body gets rid of about 200 to 700 ml of waste content daily. This amount can increase to 1,500 ml in a day on certain occasions.
With a bowel ostomy, you may have to empty your pouch four to ten times in 24 hours. Having to manage an ileostomy can be more bothersome due to a constant flow of stoma output into the ostomy bag. It will remain like this until your bowel adapts to its short length. Gradually, you will learn to regulate your bowel movements, and the consistency of your stomal output will thicken as well.
The best practice is to empty your ostomy bag when it is one-third to half full. You may need to drain the waste content even before that in certain situations. The main aim is to avoid the bag from getting too heavy as it can cause the skin barrier to come off. You will also need to empty the bag if it feels inflated.
Your ostomy bag filling more slowly means that you may be dehydrated, and so you need to drink more water. Any change in bowel habits can be a sign of a problem that you must talk about with your doctor.
If you are using a drainable colostomy bag, you may need to change it twice every week. It will involve completely removing the ostomy appliance and placing a new one. You will need to change the appliance immediately if you feel burning, itching, or any sort of discomfort in the area around the stoma.
You may have to change your ostomy pouch daily if you engage in physical activities that result in a lot of sweating.
You may be able to avoid sudden and frequent trips to the toilet by having an internal pouch if you are a candidate for an ileostomy. The most successful type of internal or continent pouch is the BCIR, which uses a self-sealing valve to prevent waste materials from flowing out of the pouch. This valve, which the surgeon creates surgically using tissues from the small intestine, connects the continent pouch to the abdominal opening. When you must empty your continent pouch, you are going to have to insert a catheter into it through the valve. It will draw waste contents out, giving you complete control over when to pass out stools.
You can discuss with your doctor whether or not you are a candidate for a continent pouch.