An ileostomy patient has to care for the skin and stoma. It should be their regular practice just like bathing and shaving. An ostomy person should know that this is their new life with some extra care. They used to bath, change dress, and shave; however, now they have to take care of the opening and peristomal skin. There is nothing difficult or different for ileostomy; every ostomy needs care and a healthy routine.
No doubt, before adopting a new habit or tactic, you should discuss it with your doctor. After all, he is the one who knows about your healthy, type of ostomy and your skin requirements. Hence, this article will give you a few suggestions and tips. You can practice them for a healthy ileostomy and skin, but before that, visit your doctor and discuss these steps with them. If they approve these practices for your skin, then go for them.
Protection of Stoma and Peristomal Skin
After the ileostomy surgery, you will need to give some extra care and safety to the peristomal skin. Because of the wrong selection of ostomy supplies, this part of the body may get tender or sore. If your ostomy bag leaks, the because of the output, your peristomal area may get damaged. Thus, you need to supervise this section of the body with vigilance. However, to keep the stoma and skin around it protected, you should follow the following steps:
- You should use the right size of the ostomy bag.
- The pouching system should not leak.
- There should be no contact of discharge with your skin around the stoma.
- If you have a skin allergy, irritation, or any other skin disease, then you should discuss it with your doctor and use medicated products.
- The skin around the stoma should not be red, irritate, or burn.
- You should use ostomy supplies like flanges and ostomy belts if you have a leakage problem.
- The stoma should bot bleed.
- There should be no swelling in or around the stoma.
- You should change your pouching system regularly.
- Empty the ostomy bag four to five times a day.
- You should use medicated wipes and sanitizers to clean the peristomal skin.
- You should use medicated deodorant to get rid of gas.
- You should use filters in an ostomy bag to release the accumulated gas.
- Protect the stoma from any other external injury.
- Avoid foods that can cause diarrhea or constipation.
- Use water to wash the stoma and skin around it.
- You should clean the stoma and peristomal skin two to three times a day.
- Visit the doctor in case you feel any changes or problems in stoma or peristomal skin.
Emptying of the Pouch and Cleaning of the Skin
This is one of the most important and crucial parts of every ostomate. You should know how and when to empty your pouching system. Well, the simple answer is you should not wait for leakage. You should empty the bag when it gets 1/2 or 1/3 full. Moreover, you can change your pouching system two times a day. Well, if you have diarrhea, you should wear a new pouch every two or three hours. However, when it comes to cleaning, many ostomate think that they cannot touch their stoma or use soap or water. Well, this is just a myth about the cleaning of skin and opening. You can wash your skin around the stoma. Once your stoma and internal stitches heal, you can wash it with the water and medicated products.
Moreover, shaving the skin under the stoma is a problem for many ostomates. Well, if you are bulky and it is difficult for you to shave your skin, then you should use scissors. Moreover, you can use a trimmer or razor, it is safe.