Many ostomates worry about odour. If the stoma bag fits well there should be no smell except when changing it. If you do notice a smell from your bag, you should check it as there may be a leak under the flange and the bag will need changing.
All you need to do is put your preferred pouch deodorant in your ostomy bag after every time you change or empty your pouch, before reattaching the system. The deodorant will work as soon as your waste starts to fill the pouch, offering discreet odor eliminating options.
When the skin barrier isn't properly adhered to the skin to create a seal, your ostomy can leak odor, gas, and even stool or urine under the barrier.
People with a stoma smell
It is believed that this myth came about because early ostomy supplies were not odour-proof. However, with modern stoma bags there should not be any smell at all.
Most people will be aware of the smell of their colostomy because it's their own body. But someone standing next to you will not be able to smell the stoma. You'll have more gas than usual immediately after having a colostomy, but this will slowly reduce as your bowel recovers.
Many ostomates worry about smell. It's completely normal, especially when it's not something you're used to. Whether you have one fitted temporarily or permanently, there are a few easy ways to take good care of your ostomy bag and manage odours.
The first sign of a stoma infection may be a pus-like discharge, unusual swelling, increasing redness, or color changes. Some may notice an abscess or an ulcer. A Wound, Ostomy, and Continence Nurse (WOCN) or your doctor will be the best source for medical advice on this issue.
Taking a Skin Break
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.
You may notice more odor when you empty your pouch after you eat certain foods. Some of these foods are onions, garlic, broccoli, asparagus, cabbage, fish, certain cheeses, eggs, baked beans, Brussels sprouts, and alcohol.
If you notice bad odours from your ostomy pouch, note which foods cause odours so that you can limit them. Eggs, dried beans, fish, garlic, onions, asparagus, cabbage, broccoli, and alcohol may cause odours. Very spicy foods and some vitamin and mineral supplements also cause odours.
Change your pouch every 5 to 8 days. If you have itching or leakage, change it right away. If you have a pouch system made of 2 pieces (a pouch and a wafer) you can use 2 different pouches during the week. Wash and rinse the pouch not being used, and let it dry well.
The easiest way to clean your stoma site is to gently wash it with warm water using the dry wipes provided and then pat dry thoroughly using a clean dry wipe. Avoid using paper towels as these can get stuck to the stoma, always use dry cotton wipes.
To prevent the pouch from becoming too heavy, the pouch should be emptied when one-third full. If you allow it to get too full, the weight of the stool may pull the pouch away from the skin. A person with an ileostomy will need to empty the pouch about five or six times in a 24-hour period.
Ballooning occurs when your stoma bag blows up with wind. This is usually due to the filter becoming wet or blocked from stoma output. This can cause the bag to come away from the body. Please note: Stoma ballooning can happen with a colostomy or occasionally with an ileostomy.
You can always shower without a colostomy bag, water and pH-autobalancing products do not harm your stoma. In fact, 38% of colostomy patients prefer to shower bag-less every time, and 23% shower without the bag 3-4 days per week.
The dry air can make your airways produce mucus. The mucus can collect around your stoma and get crusty. To protect your stoma and your airways, try to avoid: extreme temperatures.
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. If you're showering without your pouch, remove the skin barrier too. Try to create a routine that coincides with when you're due for a pouch change.
Mucus-discharge is a common part of having any type of stoma. Mucus is produced by the lining of the bowel to help with the passage of stools. The lining of the bowel will continue to produce mucus after stoma surgery, even though it is not needed anymore.
Infections around a stoma are rare, but can happen for various reasons so it is essential to have a good skin care regime in order to maintain healthy skin. Check your stoma and skin regularly each time you change your stoma appliance, which will help identify any new issues if they arise.
It occurs when the blood supply to/ from the stoma is impaired or interrupted, resulting in partial or complete stoma tissue death. As blood flow and tissue perfusion are essential for stoma health, deficient blood flow to the stoma will lead to necrosis.
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.
All over the world ostomates are living normal active lifestyles including participating in sports, cycling, running in marathons, mountain climbing and most definitely swimming including going into hot tubs. A stoma is NOT an open wound, so having an ostomy is no reason to stop these activities.