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. It is normal for the smell of the bag contents to differ from what you were used to before your surgery because part of the bowel has been removed.
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.
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.
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.
Other foods that colostomy patients tolerate well are bananas, tapioca, sticky white rice, and white toast. Small quantities of lean animal proteins are also beneficial.
Adding foods, such as buttermilk, cranberry juice, yogurt and parsley, to your diet may help prevent odor. It may be helpful to eat them at the same meal with those that cause odors, to balance the effect.
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.
Try to include a low fibre starchy food (bread, potatoes, pasta, rice) and protein food (peanut butter, eggs, meat, fish, cheese) at each meal and snack. This will help to slow down the digestion of food through the bowel allowing more time for your body to digest and absorb.
Can a colostomy bag qualify for disability benefits? Yes. As a general rule, if you have a colostomy bag that makes it difficult to work, you'll qualify as disabled. If your colostomy bag is functioning well or if you expect to have it reversed within the year, you probably won't qualify.
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.
As you may have gathered so far, there is not a major difference between a colostomy and an ostomy. A colostomy is actually a type of ostomy that allows the body to pass stool when the colon is not working properly, or if a disease is affecting a part of the colon and it needs to be removed.
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.
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.
Keeping hydrated with an ileostomy, colostomy and urostomy
You should try to drink 6-8 glasses of water each day along with any other drinks such as tea or coffee.
In general, if you have a colostomy you will change your closed bag one to two times a day and if you have an ileostomy or a urostomy, you will need to empty your bag several times a day and change your bag every three to five days depending on the wear.
By the time it's halfway full, your pouch will likely weigh more and exert more pressure against your ostomy seal. Above all, be sure to avoid the danger zone, which is when your bag gets so full that output collects around the stoma itself. This highly increases the risk of leakage.
Raw vegetables, including salad e.g. lettuce, celery, raw bell-peppers and spring onions. Hard to digest vegetables, including beans like butter beans or green/runner beans, sweetcorn, peas, mushrooms, cabbage, brussel sprouts, spinach, kale and spring greens.
Coffee and tea are fine, but as with anything else be aware of any reactions in your digestive system. Carbonated drinks in general can cause gas. Beer can cause the output from the ostomy to become more liquid. You can drink alcohol.
One major issue to watch out for with a stoma is the laxative effect of some chocolates. The caffeine and fibre within the chocolate can increase the rate of motility (which is the contraction of the muscles in the digestive tract that encourage bowel movements).
Applesauce, Bananas, Boiled white rice, Creamy nut butter (such as peanut butter), Oatmeal/porridge, Gelatin containing foods (jelly babies, marshmallows).
You must still include fibre in your diet. Choose some foods from the following list daily: Wholemeal bread. High fibre cereal e.g. Weetabix, porridge.
A guide to foods not to eat when you have a colostomy bag
Stay away from these foods when you've recently had colostomy surgery: Dairy products, with the exception of small amount of yogurt. Fried food or any fatty meats, including potato chips.