Oct 23, · If you have had surgery for colon cancer, you may need a colostomy bag in order to dispose of waste while your intestines heal. Essentially, the colostomy bag provides a place for stool to drain from your colon without going through the rectum. It’s a small, tough disposable bag attached to a stoma (hole in your abdomen.). Sep 17, · To change a colostomy bag, a person: First, washes their hands with antibacterial soap and warm water. Next, gently peels the bag from the stoma. Removes or cuts the bottom of the bag and empties it into the toilet or puts it into a disposal bag. Cleans the stoma using warm water and gentle soap.
It's usually needed because a problem is causing the colon to not work properly, or a disease is affecting a part of the colon and it needs to be removed. The end of the colon large intestine is brought through this opening in the skin to form a stoma.
A colostomy might only be needed for a short time temporarymaybe for 3 to 6 months. A temporary colostomy may be used when a part of the colon needs time to rest and heal from a problem or disease. But sometimes a disease, such as cancer, is more serious and a colostomy may be needed how to play symphony of destruction the rest of a person's life permanent.
Where the colostomy stoma will be on the abdomen depends on which part of the colon is affected. Some colostomies are large, some small; some are on the left side of the abdomen, some are on the right, others may be in the middle. A WOC nurse is a specially-trained registered nurse who takes care of and teaches ostomy patients. This nurse may also be called an ostomy nurse. When you look at a stoma, you are actually looking at the lining the mucosa of the intestine, which looks a lot like the inside lining of your cheek.
The stoma will look pink to red. How to grow heirloom tomatoes in containers way the stoma looks depends on the type of colostomy the surgeon makes and on individual body differences.
It may look quite large at first, but will shrink to its final size what does 4 factorial mean 6 to 8 weeks after surgery.
The shape will be round to oval. Some stomas may stick out a little, while others are flat against the skin. Unlike the anus, the stoma has no valve or shut-off muscle. There are no nerve endings in the stoma, so the stoma itself is not a source of pain or discomfort.
A colostomy changes the way your body works to allow stool to pass. After a colostomy has been created, the intestines will work just like they did before except:. Since nutrients are absorbed in the small intestine, a colostomy does not change how the body uses food. The higher up in the colon the colostomy is made, the shorter the colon is. A shorter colon means it has less time to absorb water, making the stool softer or more liquid.
A colostomy further down in the colon, near the rectum, will put out stool that has been in the intestine a longer time. Depending on the effects of illness, how do colostomy bags work, or other forms of treatment, the longer colon can put out a more solid or formed stool.
Some people with colostomies find that they are able to pass this stool at certain times of the day with or without the help of irrigation. See Caring for a Colostomy. After surgery, some people still may feel urges and even have some discharge from the anus.
This discharge is mucus, blood, and at times stool, left from the operation. If the rectum remains after surgery, it will keep putting out mucus that can be passed harmlessly whenever you have the urge.
These bags are used along with other several ostomy supplies. There are Urostomy bags and Colostomy bags; the latter for the urinary tract and the former for the digestive system. Both are attached to the stoma by a flange having an adhesive securing the bag to the skin. Some ostomy bags are two pieces where the flange stay firmly attached to the stoma making the bag detachable while some are . A colostomy changes the way your body works to allow stool to pass. After a colostomy has been created, the intestines will work just like they did before except: The colon and rectum beyond the colostomy are disconnected or removed. The anus is no longer the exit for stool, but it will still pass mucus from time to time. In some cases, after the surgeon removes a portion of the colon, it may be necessary to attach the remaining colon to the outside of the body in a procedure called colostomy. Creating a hole (stoma) in the abdominal wall allows waste to leave the body. A colostomy bag .
Learn all you can about life with an ostomy. Use this information to boost your self-esteem and help you adapt to your ostomy.
In some cases, after the surgeon removes a portion of the colon, it may be necessary to attach the remaining colon to the outside of the body in a procedure called colostomy. Creating a hole stoma in the abdominal wall allows waste to leave the body.
A colostomy bag attaches to the stoma to collect the waste. It takes time to become comfortable with an ostomy — a surgically created opening in your abdomen that allows waste or urine to leave your body.
Many questions may run through your mind as you plan your first ventures outside of your home. Can you go back to work after colostomy?
Can you ride your bike if you have an ileostomy? Will everyone figure out you've had urostomy surgery just by looking at you? You can do many of the same activities you enjoyed before your colostomy or other ostomy surgery.
Have a favorite dish? If you've been given the OK from your doctor to resume your regular diet, eat what you like. If you have a colostomy or ileostomy, you'll find that various foods affect your digestive tract differently. Just as some foods gave you gas before your surgery, you'll likely experience gas with certain foods now that you have an ostomy. While you may choose to eat gas-causing foods sparingly or only at times when the gas won't make you self-conscious — such as when you're at home, rather than at work — it doesn't mean you shouldn't ever eat gas-causing foods.
Certain foods are more likely to cause gas, diarrhea, constipation, incomplete digestion or urine odor. But which ones have these effects will depend on your body. If you're unsure how foods will affect you, consider trying them at home, one at a time, before eating them in public. Knowing how each food affects your digestion means you'll spend less time worrying about the food's effects and more time having fun with friends.
If you have a urostomy, you might be concerned about urine odor. Certain foods can cause a stronger urine odor, but you can minimize that by drinking water or cranberry juice. Unless your favorite hobby is a contact sport with lots of potential for injury, you'll be free to go back to the activities you enjoy after you heal from ostomy surgery. The main danger is injury to the opening where waste or urine leaves your body stoma , which means rough sports may be out.
If you want to continue these pursuits, ask your doctor or ostomy nurse about special products you can use and precautions you can take to protect your stoma during these activities.
Check with your doctor before you begin lifting weights after your surgery. You may need to wait for your surgical incision to heal before lifting weights, to reduce your risk of complications. Once you're fully healed, your doctor or an ostomy nurse might recommend a device to support your abdomen when lifting weights. If you're nervous that running, swimming or other athletic activity will loosen your ostomy bag and cause a leak, use a special belt or binder to hold your ostomy bag in place.
Check with your local medical supply store or look online for specialty products for active people with ostomies. You'll need time after your surgery to heal and recover, but you can eventually go back to work. You might choose to ease back into work or talk with your employer about a limited schedule until you feel more confident with your ostomy. If your line of work involves manual labor or lots of lifting, your doctor may recommend ways to protect your stoma on the job.
Once your doctor says you're ready, consider going back to work. If you're nervous about caring for your ostomy at work, talk to your doctor or an ostomy nurse. Don't let worrying get the best of you.
Returning to work is a good way to transition back to a normal routine, and working again can make you feel good about yourself. It's up to you to decide who to tell about your ostomy surgery. It may make sense to tell the people closest to you. These people may be worried about your recovery, and explaining your ostomy may ease their fears. Talking with loved ones is also a healthy way to cope with your emotions. Acquaintances may be curious about why you've been away from work or know that you were in the hospital and ask about your illness.
Think ahead about what to say when questions arise. You could say you've had abdominal surgery or use another basic description without going into details if you're uncomfortable discussing your ostomy with people you don't know well.
Other people will need to know about your ostomy for practical purposes. If you don't have a desk or locker at work to store extra ostomy supplies, for instance, you might need to reveal some details of your ostomy to someone at work so that such arrangements can be made.
Some people keep their ostomy surgery private, and others prefer to tell anyone who asks. Who you tell is up to you, but you may find you're more willing to discuss the details as you become more comfortable caring for your ostomy. To you, the ostomy bag attached to you is very obvious.
When you look in the mirror, you notice the bag under your clothes. You might think every gurgle and noise coming from your stoma is loud and heard by everyone in the room.
Most people won't notice your ostomy unless you tell them about it. As you get used to your ostomy, you'll figure out tips and ways to keep the bag concealed and the noises to a minimum. Here are some ideas to get you started:. Ask a close friend or loved one whose opinion you trust whether your ostomy bag is visible under your clothes or if the sounds your ostomy makes are as loud as you think they are. Everyone's body makes noises and produces odors from time to time.
While it can be embarrassing, don't let a fear of what could go wrong keep you from going about your day. No clothing is off-limits if you have an ostomy. However, your individual body contour and your stoma's location may make some clothes less comfortable. For instance, tight waistbands or belts might feel restrictive over your stoma.
Be open to experimenting with different styles of clothes. But don't let your ostomy keep you from wearing tightfitting clothes or even your bathing suit. Look into ostomy swimsuits and trunks, which can be found through specialty retailers. It will take some pre-trip planning, but having an ostomy shouldn't prevent you from traveling. If you'll be traveling by airplane, bring extra ostomy supplies and pack them in both your carry-on and checked bags.
Consider carrying a statement from your doctor about your ostomy. This note might explain why you have an ostomy and ask airport security screeners to respect your privacy during searches. You'll need time to recover after surgery.
And depending on what type of ostomy surgery you have, you may experience some temporary sexual side effects, such as erectile dysfunction or vaginal dryness. But sexual intimacy can continue after you have an ostomy. If you feel less attractive with your ostomy, take your return to intimacy slowly.
Maybe you aren't ready to have sex right away. Discuss this with your partner. Suggest starting with touching and kissing. Your partner can help make you feel more comfortable and reassure you that you are just as attractive with an ostomy. Take steps before intimacy to feel more confident. Empty and clean your ostomy pouch. Check the seal to make sure it's tight. Use an opaque pouch or try a pouch cover. Lingerie and cummerbunds made to conceal a pouch or hold it in place are available from specialty retailers.
Ask your ostomy nurse about companies that sell these products. Certain aspects of sex may change with an ostomy. You might find that some sexual positions put pressure on your ostomy and are uncomfortable. Experiment with new positions, such as lying on your side.
People with ostomies who are dating often worry about when to tell new companions about their ostomies. That's up to you. Some people feel more comfortable getting it out in the open right away, while others want to get to know and trust a potential partner first.
Do what feels right for you. Know that rejection is possible, and give a new partner time to consider what an ostomy means to your relationship. Answer questions openly and honestly. Get in touch with other people with ostomies — they sometimes refer to themselves as ostomates. Whether it's a support group in your community or online, getting advice from people who've been there is a great way to boost your confidence.
Mayo Clinic does not endorse any of the third party products and services advertised.