Category: health

November 27, 2018

How can I get stoma collars?

Stoma collars are used to prevent stoma leakage. Patients need to put them between the skin and the stoma, and it in turn creates a collar. This is to create a barrier that prevents the output from coming out and touching the skin, in order to avoid irritation and peristomal skin issues. This is a big problem with ostomates, and irregularities will arise through the remodeling of skin, the pressure from the devices, changes in habits, and of course, adjacent scar tissue. This can oftentimes create contours that arise early, so you might need dressings or pastes to compensate for the contours.

But, where do you get them?

Well, for starters, it might not be good for everyone. Those with thick stool, for example, don’t benefit from using them since the device is attached a certain way.  They must be placed in direct contact with the skin before the wafer is placed, or they remain above the wafer.

Now, to figure this out, you want to find the right wafer that works for you. You want to make sure that you choose the right adhesive that’ll stick to your skin despite sweat and other grime that might be there.

You might want to consider stoma collars for herniated stomas since this will help with collecting the stool and preventing a pancake near the upper area which might start to leak near your flange.  The collar for the stoma is best used for this since they’re made to prevent leaks. The collars can be used to stop any leakage, even if the stoma isn’t herniated  They come in a few sizes, but the one downside is they’re not adjustable, so the proper size needed for comfort and efficiency might vary.

The best way to find a stoma collar for you is to look for convatec ostomy supplies. They know about the stoma appliances, and they’re available with a prescription. The accessories are used to stop leaks, to remove adhesives, and to protect peristomal skin.  The nurse will need to ascertain the accessories needed, and help you find it.  The best way to get one of these is to ask your nurse for one.

You should make sure that you don’t waste these products, but you should know how to use this on the appliance, so it doesn’t leak.  You might need to see a stoma specialist or a stoma care nurse help you find the right one for you and get the education that you need as necessary.  This is definitely something which you may consider if you’re looking to get a stomal collar, and you might need something for either leakage or a skin breakdown as well.

But you should learn to understand that stomal collars are definitely not something you can get on your own, and they do cost a little bit of money. They can get pricey, but if you talk to your nurse about this so you can get the help as needed, and the assistance that you want.  You owe it to yourself to have a good experience with your stoma and to make this work for you in a simple, yet effective manner as well.

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 22, 2017

Two Piece Ostomy Bags: All About them

An ostomy bag which is two-piece is a variant of the ostomy appliances that are there, with the other being a bag which is one piece the primary difference is one will go directly to the peristomal skin.  When you use a one-piece, the adhesive is directly on the bag, whereas the two pieces are separate.

In the one-piece ones, there is a pouch and a barrier that’s put on the body and acts as one system.  The system which is two pieces is typically used with a wafer that attaches to the stoma, and then the appliance.  And then of course the flange you use to put the pouch on.  The beauty of a two-piece is you can change this without interrupting the system.  This doesn’t need to be changed as much and it can be worn during swimming and other activities. This short pouch is also easy to snap together, and you can replace and pop off the system as needed.

You don’t have to remove the waver with the system that is two pieces, which is cool. It literally clicks on and presses, and that makes it simple to use.

This does fit a little bit different, since the plate may be put on in a different manner, and usually, you can leave this on for a few days. Once you need to change it, you just have to put the bag on there.  The system with two pieces also is much more secure, and you can hear a clicking sound when you secure it.

Some pouch systems are made to be changed on the daily, while others are every 3-7 days or so.  You should follow the same principles regardless of the system, and make sure to do this gently. Use warm water as needed, or adhesive remover if it’s stuck. 

From there, ash that area of the skin gently with water and a washcloth or soft paper towels. You don’t need to use soap, however. You should avoid products which contain alcohol, and premoistened wipes or towelettes since this can cause irritation and interfere with the skin adherence.

When doing this, you should definitely be very careful because while it doesn’t have any nerve endings, if you’re too rough, it can cause trauma to the skin as well. Once you’ve prepped and cleared the skin up, apply the skin barrier, and then apply the pouching system.

And there you have it. An ostomy system. It’s that simple the cool thing about the two-piece versions is that you can remove the bag without detaching the barrier, which in turn reduces the incidence of skin irritation, inflammation, and of course infection, where are very common with two-piece bags.

You should definitely take some time to learn which works best for you and make sure to reduce the trauma as much as you can.  There is a lot of benefits to this as well, and if you use this to protect the irritants, it’ll help with improving the body, and of course the skin as well.

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.