You can bathe or shower with or without wearing your pouching system. Normal exposure to air or water will not harm or enter your stoma.
It's totally safe to shower without a stoma bag as long as you just use water and pH-autobalancing soap. In fact, 29%* of colostomy patients always shower bag-less, another 29%* on 3-4 days per week. However, in case of a recent surgery, wounds, or high output, you should leave the bag on while showering.
Avoid applying products that contain alcohol as they can cause dry skin. Do not use skin products made with oil. They will make it difficult for the pouch to stay attached. If you have hair on the skin surrounding the ostomy, you may need to keep it shaved so the pouch will stick.
Your colostomy pouching (bag) system is waterproof. Always wear your pouching system when you take a bath or swim. You can use waterproof tape around the edges of the wafer or adhesive strips to help keep a tight seal around your pouching system, if needed.
Issues or problems with the skin around the stoma is probably the most common complication for ostomates. Not only is having sore skin extremely uncomfortable for the patient but it can also compromise the attachment of the bag to the skin causing leaks and leading to further skin damage.
A colostomy is an operation to divert 1 end of the colon (part of the bowel) through an opening in the tummy. The opening is called a stoma. A pouch can be placed over the stoma to collect your poo (stools). A colostomy can be permanent or temporary.
It's always a good idea to empty or change your stoma bag before you go to bed as it will help to prevent your bag from filling up too much overnight and disturbing your sleep. A full stoma bag is always at risk of leaking and that's not something you want to experience during the night.
If you're having trouble sleeping after your ostomy surgery due to worries about leakage or rolling over on your pouch, that's completely normal. But some options will help you relax and get back to a restful sleep schedule. Here are our top tips for improving your sleep after ostomy surgery.
The best position to sleep in when you have a stoma is on your back, or on your side. If you prefer to sleep on your stomach, this will be fine at the beginning of the night but increases the chances of leaks as the night progresses and your bag fills.
So there really is no reason to be worried when going through airport security. If the security scanner does detect your stoma bag, you don't actually have to show it to security staff, nor do you need to remove clothing to expose it or let them touch it.
Some common complications of stoma include poor siting, parastomal hernia (PH), prolapse, retraction, ischemia/necrosis, peristomal dermatologic problems, mucocutaneous separation, and pyoderma gangrenosum. Each will be discussed separately in further detail.
Colostomy bags can have an unpleasant odor, causing embarrassment for patients who wear one. There are ways to prevent smells from your colostomy bag.
Smaller meals with frequent snacks and nourishing drinks between meals. Regular intake of food and fluids to help achieve optimal colostomy function. Minimise high intakes of caffeine from tea, coffee, and fizzy drinks, and alcohol.
Sit-ups and crunches can be uncomfortable with an ostomy bag, also called a stoma bag. They also put strain on your belly area that could raise your risk for a hernia. Try gentle alternative ab exercises like pelvic tilts or knee rolls instead.
Make sure your clothes are not too tight around the bag.
You may need to be careful that waistbands do not rest below the stoma restricting ability to drain into your pouch. Depending on stoma placement, you may feel more comfortable with high- or low-rise waistband items, like underwear, jeans, or activewear.
Complications of ileostomy and colostomy may include stoma or skin complications, dehydration, problems absorbing nutrients, and intestinal obstruction.
Signs of Stoma Problems
The stoma is no longer beefy red or pink but pale in appearance. The stoma is no longer moist in appearance but seems dry. Your stoma turns dark red, purple, or even black in color. Your stool from the stoma is always watery or diarrhea.
Common early complications include leakage and skin irritations, high output resulting in fluid and electrolyte imbalances, or stoma necrosis; late complications include parastomal hernia, stoma prolapse, and stoma stenosis [7].
Colostomy bags and equipment
How often it needs to be changed depends on which type of bag you use. Closed bags may need changing 1 to 3 times a day. There are also drainable bags that need to be replaced every 2 or 3 days. These may be suitable for people who have particularly loose poos.
Many people enjoy leaving their skin uncovered for 15 to 30 minutes after taking their pouching system off. This is called a skin break. Taking a skin break can help with irritation or keep it from happening. You can decide if you want to take a skin break.
Seatbelts can press down on a stoma. Some people use a device that locks the seatbelt in a comfortable position but releases safely when necessary. And you can also buy seatbelt ostomy protectors. Some devices marketed for pregnant women also work to reduce the pressure on the abdomen.