When I was first marked for an ostomy, the nurse asked me if I knew what I wanted. I said no, and she asked if I wanted her to select products for me. I said yes because she had me slightly overwhelmed. The supplies I use are:
11203 Hollister CeraPlus Up to 1-3/4" Cut-to-Fit Flat Skin Barrier with Tape, 2-1/4" Flange Red
8805 Hollister Adapt CeraRing Barrier Rings
18193 Hollister New Image Lock N Roll Drainable Pouch with Filter, 2 1/4
The surgeon who created my stoma originally cut a bigger hole, I assume he didn't like the size, so he stitched the left side of the hole shut. When I was first being taught how to change my stoma, I had a little gauze called Aquasol that had to place over those stitches before placing barrier ring on top of it. The ostomy nurse training me made a comment about she didn't know why he created my stoma oval or that it wasn't protruding. It does protrude somewhat now.
I guess my first question is what is the difference between a protruding stoma versus a flat or concave stoma?
At chemo a few weeks ago, I met a lady that had a stoma, her stoma was flat, and they were only using the cut to fit skin barrier on her stoma, and she was very inflamed. Is that more the norm?
The reason I ask is because I have a home health care nurse that was an ostomy nurse and she said I should stop using the barrier seal and use only the wafer, and I told her I tend to have blowouts occasionally. I pointed out that most of my blowouts head towards the wound so the barrier is extra protection. Am I wrong in my understanding of how the wafer works without the barrier?
I've noticed that I have a bad habit of not walking upright since I have the ostomy because it always feels like it's going to pull off, the right side by where I tend to have blowouts is sore at times and feels like it is ripping there quite often. It hasn't. So far, it's ripped my skin on the top and where the stitches were. Any suggestions on how I can feel more confident that it is not going to rip off my skin?
My nurse suggested the belt after my wound is healed but currently he said that it will irritate the wound. Chemo has suggested that I never use a belt because i will weaken the structural integrity of my stoma. I think I prefer to get the opinion of those that have an ostomy.
Last of all, food ideas please. Chemo wants me to get lots of protein for healing. I can't have beef due to the gall bladder. I also can't have much fat or dairy. Before the ostomy, I ate a lot of beans, spinach, kale and I'm told not to eat that. Honestly I don't think there is a day when I do not have some gas with the ostomy. I am chickened out, tried numerous protein shakes. I keep looking for recipes for ostomates and I can't find anything. Any suggestions would be so greatly appreciated.