Category: health

November 27, 2018

How can I get stoma collars?

Many ostomates, who suffers from the leakage problem, use stoma collars. It can control the leakage of discharge from the pouch. You have to place it between the stoma and skin. You make a collar around the opening, and it stops the waste from coming out. 

Because of the stoma collar, you can save your peristomal skin from any type of disease caused by the contact of discharge. It works as a barrier and prevents the solid and liquid waste from touching your skin around the opening. Thus, it protects the health of stoma and peristomal skin.

Up to 73%  of ostomates face peristomal irritant dermatitis disease. This is one of the most notable skin complications caused due to the contact of discharge with skin. Thus, you need to stop the leakage from coming out of the ostomy pouch. For this purpose, you should use stoma collars.

For the health of stoma skin, you should review your appliances. The special too is adhesive, your poor adhesion can cause severe damages to the peristomal. Moreover, if you have irregular skin surface around the opening, it can damage the shape of the stoma. Well, a balanced and healthy skin surface contours the surroundings of the opening. The irregularity can have several reasons. It could be, change in your diet, poor appliances, leakage, damaged tissues of stoma and skin around it, weight gain or loss, the pressure of the stoma tools, change in cleaning and emptying tools, or change in the habits.

For a healthy and regular skin surface around the stoma, you should not compromise on the ostomy appliances. If you are using a low-quality adhesive, then do change it. Moreover, the stoma collar can help you here. You should get this tool, and place it in between your skin and stoma. It will secure the adhesive and stop the leakage.

How to Get the Best Stoma Collar for You?

Before buying the stoma collar for your opening, you should consider the following points. They can help you in getting the best for you. Moreover, you will gain some knowledge regarding stoma collar, if you are unfamiliar with this tool or a new ostomate.

You Should Examine the Stoma Size and Type Before Buying the Stoma Collar

Every ostomate has a different size and shape of the stoma. However, a common stoma is round or oval, pink or red, 30 or 35mm in diameter. This is a usual opening shape, color, and size. Moreover, ileostomy and urostomy stoma are in the same place and of the same size. They both appear on the left of the iliac fossa. The difference is their output. Ileostomy discharges solid waste, whereas urostomy excretes urine. Urostomy stoma is permanent, while ileostomy can be permanent or temporary, depends on the disease. Well, the urostomy stoma is about 28 to 30mm in diameter. 

Thus, you should have a different stoma collar for the urostomy or ileostomy openings. Well, in a few patients the urostomy stoma is 25mm in diameter, Therefore, you cannot wear the same sized collar. Thus, before buying a stoma collar for your opening, you should know the actual size. Otherwise, it cannot control the leakage. The tight one can exert pressure on the stoma, and it can cause a blockage. Moreover, the loose or oversized stoma collar can leak. Both situations could be inevitable and problematic.

Is it Suitable for Your Stoma?

Every ostomy patient is not suitable for the stoma collar. Many patients discharge thick stool; therefore, there is no point of leakage or the use of a stoma collar.

An Appropriate Wafer for the Stoma Collar

For the best use of stoma collar, you should have a suitable wafer with your convatec colostomy bag. A wafer has an adhesive, softener, and hydrocolloid. It works as a barrier; therefore, before buying a collar, you should know either you need it or not. Some barriers absorb the moisture from the skin. In this case, you should use a collar. Moreover, you can ask for help from your nurse regarding the appropriate appliances and Stoma collar.

November 23, 2017

What is a Colostomy?

A colostomy is a procedure that makes an opening within your abdominal wall in order to bring a part of your intestine out. The resulting stoma is then attached to an ostomy bag and from there, collects the stool. This occurs during the removal of a part of the colon that isn’t working properly. The first part of this is called the cecum, which is where the small intestine is. From there, there is the ascending colon, which is in the right part of the abdomen, and of course, the transverse colon, which is right above the abdomen, and then the descending part, which is the left side, and finally, the sigmoid colon, where it connects to the rectum. A colostomy is one of the most common life-saving procedures to help decompress and obstructed colon or diverse the stool somewhere.

The purpose of a colostomy is to help with improving the bowel discharge.  The colon has two main parts to it, which is to absorb the water from the stool and to store the stool that you have until there is a bowel movement. The colon helps with digestion to solidify the unused food, and from there, turn it into the stool. It then receives everything that the small intestine isn’t able to absorb. The colon is responsible for absorbing the water, the nutrients, the electrolytes, and some vitamins, and from there, evacuate the indigestible matter that’s there in the form of feces. A colostomy creates a hole in order to expel the stool without reaching the anus and rectum.

A colostomy may be done as an emergency tactic, but also for elective surgical conditions for the management of wide ranges of both congenital, and benign and malignant conditions that happen. The diversion and decompression of the colon are the two main reasons.

Diversion is to help protect the contamination from the distal large bowel segment and it’s attending problems. Diversion is done for trauma and of course, rectal surgeries that are elective.  Decompression is done to relieve the obstructed large bowel, such as the malignant left side tumors, or even sigmoid volvulus.  The benign conditions will predominate this, such as the traumas and knotting. Some colorectal cancers also play a part in this as well.

Usually, these types of colostomies vary depending on the location of these. The ascending one, for example, is done on the right side of your abdomen, where the discharge is very liquid, and of course, this one is rarely used since an ileostomy is better if the discharge is a liquid one.  This is usually done in a similar way to a transverse colostomy.

The transverse one usually happens due to irritable bowel disease, cancer, birth defects, and obstruction. This is usually in the case if health problems will make it worse for further surgery.

Finally, there is the descending one.  The discharge of this is firm and regulated. The most common of these, the sigmoid colostomy, is done a lot. The stool of this is much firmer, and it doesn’t have the caustic enzyme content, and at this location, the elimination might be more regular and predictable, and the bowel movement does take place after some stool is collected there.

While many ones cause them to move regularly, sometimes in some cases the bowel movements may not.

If you’ve ever been curious about a colostomy, and whether you need one, hopefully this answers your questions, and tells you what you need to know about this type of procedure.

September 25, 2016

How Should an Ileostomy Patient Care about Stoma and Skin?

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.

June 21, 2016

What is a Urostomy?

A urostomy is a urinary diversion is the opening that allows for urine to bypass both the urethra and bladder it is done when there is bladder cancer, chronic inflammation, or a neurological bladder dysfunction, a malfunction of the kidneys, ureter, or urethra.  During this, the ureters are removed from the bladder. The urine flow remains there and then goes to a urostomy bag that’ll affix to the abdomen and it’ll either involve leaving the bladder there or taking it out.

This is the least common of the three kinds of the stoma, and it’s formed to get the urine out of the body. This is usually done by the ileum is isolated, and then oversewn, and the ureters are put there.  Immediately after surgery is done, there are stints in others to help prevent any anastomosis between the bowel and ureter from stenosing. 

This is usually a permanent end stoma.  The appliance to use this is, of course, a drainable bag with a bung or tap.  The part of the bowel that’s used to form the urostomy will help contain small amounts of mucus along with urine. This is emptied about 4-6 times a day and usually can hold 400 ml of liquid.  This is replaced on alternate days but might vary in some cases.  This usually involves a stoma where the appliance is worn.  The ostomy patient does need to see it and be able to access it, and usually, the ileal conduit goes beneath the waist, and of course to the right of the belly button. The colon conduit goes on the opposite end of this.

There are different types of urostomies too, and there are three which make up the  main practices.

The first is the ileal conduit, which is the resection of a small portion of your ileum, which is the small intestine, and the blood supply that correlates. Surgeons will attach one end to the resected ileum and the abdominal wall in order to create a stoma and then connect the ureters. This will disable the passage between the bladder and ureters, and will flow from the kidneys to the stoma, and then the bag.  Then, the remaining part of the small intestine is connected to improve the digestive function.

There is also the colon conduit, which is similar to the ileal version, but it connects to the colon segment. The stoma is bigger than when you’re using the small intestine, so you’ll need a bag with a much larger diameter. The mechanic are the same though.

Finally, you have the ureterostomy, which is where the surgeon connects the ureters to the abdominal wall, creating a couple of stomas. This is usually linked internally, but sometimes it can be done externally, and if the bladder no longer functions, you’ll then avoid using the large or small intestine with this one.  This usually requires two stomas and two bags, which definitely is much more involved than anything else.

This from there, will cause the urine to flow continuously, and this can be hard to place, especially when compared to fecal versions of this.  You do need to empty it a few times daily, and it should be recommended at night to attach to a drainage system.

And there you have it, a urostomy. It’s a pretty in-depth procedure but can help people if they do have bladder cancer, or urinary issues.

January 20, 2015

What is an Ileostomy

An ileostomy is a small procedure where the small intestine is detached from the large intestine. During this, it might remove either the full colon and rectum, or a section of this.  This ca be done as a temporary means, or permanent. 

The small intestine of course, is where you digest food, and it’s where you absorb all of the nutrients in your body. Any food that isn’t absorbed goes into the large intestine as either pee or stool.

An ileostomy is an intestinal stoma, in which the ileum is attached to the abdominal wall in a surgical manner so that the digestive waste is able to exit the body through the opening in which the appliance is then attached to collect the intestinal succus from the body.

What causes this though? Well, ulcerative colitis, bowel obstruction, colon and rectal cancer, congenital bowel defects, a bleeding from the large intestine, injury to your intestinal tract, and various inflammatory diseases are a cause of this.

Now, there are two types of ileostomies that you might get.  There are conventional ones, and continent ones, and we’ll go over both of these.

Conventional is basically taking the terminal area of your small intestine so it stays connected to your stomach, and from there adhering to the abdominal cavity opening. At that point, the undigested intake waste goes through there.  This is called the stoma.  The patient in essence loses their sphincter and controls the evacuation feces through the stoma, rather than through the anus.  This then used a bag to collect this waste, and the surgeon will extract the rest of the ileum along with the colon and rectum.  This was first used to help with advanced ulcerative colitis in 1912.  This can help because it will help with getting better control over that area, without the pain of ulcers. For many with an UC however, this end ileostomy is still preferred to the proctocolectomy, and usually is the more preferred alternative. The proctocolectomy is used with Crohn’s disease.

Usually, you might get this for other colon issues, but the best way to find out if you need it is to talk to your doctor about this.

The continent ileostomy is usually where you have an internal pouch and a value that’s used from the lower part of your ileum, and this then protrudes to the outside cavity, but only mucus comes from it.  Usually, you evacuate this a couple times a day through a tube that’s within the valve.  You can use a band-aid to cover this to contain the mucus.

With these, usually you’ll get a J pouch, which is essentially a type of ileostomy, and usually this is used for those with precancerous or dysplastic colonic mucosal changes to those who might need medical management, such as pain, frequency, and urgency.

With these, you might get them as a temporary means. The temporary one usually happens after a partial colon dissection is done, and from there, once this heals, the specialist will restore that connection. Usually, this is done and after about 6-12 weeks is reversed, but you might need to wait a little bit longer.

Usually, these are more commonly permanent. This is usually if you have UC, bowel obstruction, cancer, congenital conditions, or various trauma.  It does result in complications.

And there you have it, everything you need to know to have a basic understanding of an ileostomy, and why someone might end up getting one of these.