Question: What are some common myths about ostomies?
Answer: Based on the forum discussions, here are some common myths about ostomies:
1. Ostomies Always Smell Bad: Many people assume that having an ostomy means dealing with constant odor. However, modern pouch systems are designed to be hygienic and odor-free, often incorporating charcoal filters and personal deodorant sprays to contain smells effectively.
2. Stomas Can Be Used for Penetration: There is ...
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Question: Is it common to use convex wafers immediately after ostomy surgery?
Answer: The discussions from MeetAnOstoMate suggest that the use of convex wafers is not limited to hard-to-seal cases but is increasingly considered for immediate postoperative use. Convexity is primarily recommended for stomas that are flush, retracted, or surrounded by skin creases, as it helps create a better seal by applying gentle pressure around the stoma. This can be particularly beneficial in pre ...
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Question: What should I know about J-pouch excision and conversion to a permanent ileostomy?
Answer: The forum discussions provide several insights and advice for individuals considering J-pouch excision and conversion to a permanent ileostomy:
- Stoma Creation and Positioning: It is recommended to have the stoma placed away from belt or pants lines and to ensure it protrudes at least 1 inch to help with appliance sealing and prevent skin irritation. An enterostomal nurse should mark the optimal ...
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Question: What can I use to prevent pancaking in my ostomy pouch?
Answer: To prevent pancaking in your ostomy pouch, consider the following options based on forum discussions:
- Baby Oil: Many users find that a small amount of baby oil inside the pouch helps stool slide down more easily. However, be cautious as excessive use may weaken the pouch material.
- Cooking Spray: A generic cooking spray can be an inexpensive and effective way to coat the pouch interior, helpi ...
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Question: Has anyone used the Stealth Belt for a 1 3/4 inch opening, and how was your experience?
Answer: Based on the forum discussions, the Stealth Belt is generally well-regarded among ostomates for its ability to provide support, concealment, and comfort. Here are some key points from the discussions:
- Sizing and Fit: It is crucial to match the Stealth Belt’s stoma hole precisely to your flange size. The belt should be ordered in the correct waist size to ensure a snug fit.
- Styles and Preferen ...
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Question: How can we manage leaks and skin irritation with a recessed stoma?
Answer: Based on the forum discussions, here are some strategies for managing a recessed stoma and preventing leaks:
- Convex Systems: Use a convex pouching system to help the stoma protrude into the pouch, which can reduce leaks. Ensure the convexity is appropriate for the stoma's depth.
- Barrier Rings and Seals: Apply barrier rings or seals, such as Eakin Cohesive Seals, around the stoma to fill gaps ...
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Question: Why does my ileostomy have no output during the day and then suddenly start at night, causing nausea and sleep disruption?
Answer: Based on the forum discussions, here are some insights and suggestions that might be relevant to your situation:
1. Dietary Adjustments: Consider adjusting meal timing and content. Eating your main meal earlier in the day and having lighter snacks in the evening might help shift stoma activity to daytime, potentially reducing nighttime disruptions.
2. Hydration and Fiber: Ensure adequate hydrati ...
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Question: How do alcohol, vaping, and smoking affect ostomy output?
Answer: From the discussions, alcohol consumption can affect ostomy output in several ways:
- Dehydration: Alcohol is a diuretic, which can lead to dehydration, especially in ileostomates. It's recommended to alternate alcoholic drinks with water to maintain hydration.
- Output Changes: Alcohol can increase the volume and liquidity of output. Beer and sugary or carbonated drinks may cause excess gas and ...
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Question: What are the best ostomy products and tips for a 92-year-old with delicate skin and limited dexterity?
Answer: I could not find enough information from the discussions on MeetAnOstoMate specifically addressing the needs of an elderly person with a new ileostomy. However, based on general knowledge:
- Ostomy Bags and Skin Barriers: For elderly individuals with delicate skin, consider using products that are gentle and designed for sensitive skin. Coloplast SenSura Mio and Hollister products are often recom ...
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Question: Is it normal to lose weight and appetite after ileostomy surgery?
Answer: Based on the forum discussions, significant weight loss after ostomy surgery is a common experience. Many individuals report losing a substantial amount of weight during their hospital stay and in the early recovery period. This can be due to several factors, including reduced appetite, malabsorption, and the body's response to surgery and healing.
Here are some general strategies and insights sh ...
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Question: Is it normal for a stoma to protrude slightly after sneezing, coughing, or blowing the nose?
Answer: Based on the forum discussions, it is common for a stoma to experience temporary prolapse or swelling due to increased abdominal pressure from actions like sneezing, coughing, or blowing the nose. This type of minor prolapse often resolves on its own, especially when lying down, as you have observed. Many ostomy users report similar experiences, and it is generally not a cause for concern if the s ...
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Question: My stoma has started swelling and shrinking, and I'm experiencing leaks and skin irritation. What can I do to manage this?
Answer: Based on the forum discussions, here are some suggestions for managing your situation:
- Stoma Size and Appliance Fit: Stomas can naturally fluctuate in size and shape, which is common. Ensure that you are measuring your stoma before each appliance change to get the most accurate fit. If the pre-cut size no longer fits well, consider using cut-to-fit wafers to accommodate changes in stoma size.
...
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Question: Should I keep bracing my stoma area when coughing or sneezing after surgery, and when am I considered fully healed?
Answer: Based on the forum discussions, it is common advice to brace the stoma area with a hand or pillow when coughing, sneezing, or performing activities that might strain the abdominal area. This practice is primarily recommended during the post-operative recovery period to help prevent complications such as hernias and to provide comfort.
- The duration for which you should continue this practice ca ...
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Question: What should I expect with gallbladder surgery as a longtime ileostomate?
Answer: Based on the discussions from MeetAnOstoMate, here is some advice and insights for someone with a long-term ileostomy facing gallbladder surgery:
- Surgical Approach: Many ostomates have undergone gallbladder removal, often via laparoscopic surgery, which is generally considered straightforward. Surgeons can usually work around the stoma, even if it is high-placed.
- Post-Operative Concerns: Whi ...
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Question: What advice do you have for someone preparing for ileostomy surgery, and what should I consider as a nursing student with a stoma?
Answer: Based on the forum discussions, here are some insights and advice for preparing for ileostomy surgery:
- Pre-Surgical Preparation:
- Consult with a WOC (Wound, Ostomy, and Continence) nurse to mark the optimal stoma site. This can help reduce leaks and improve comfort.
- Consider trying out different pouching systems before surgery by requesting free samples from major manufacturers like Holl ...
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Question: Can a stoma still have stenosis if sometimes a finger can fit in and other times it can't?
Answer: Based on the forum discussions, it is possible to have a stenosis even if the ability to insert a finger into the stoma varies. Stenosis can fluctuate in severity, and the difficulty in inserting a finger could indicate a partial narrowing that changes over time. Here are some insights from the discussions:
- Stenosis can cause partial blockages, especially with solid foods, leading to symptoms l ...
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Question: How soon can I return to a desk job after end ileostomy surgery?
Answer: Based on the forum discussions, returning to a desk job after an end ileostomy surgery can vary significantly depending on individual circumstances and the specifics of the surgery. Here are some general insights:
- Recovery Time: Surgeons may suggest a return to work as early as two weeks post-surgery, but many forum members report needing more time, often 4-8 weeks, especially if the surgery wa ...
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Question: Does ileostomy output change over time after surgery?
Answer: Based on the discussions, it is common for ileostomy output to change over time, especially in the weeks following surgery. Initially, output may be low as the body is still healing and adjusting. Over time, as healing progresses and dietary intake normalizes, output may increase. However, individual experiences can vary widely. Some key points from the discussions include:
- Output often remains ...
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Question: Can you scuba dive with an ileostomy?
Answer: Based on the discussions from MeetAnOstoMate, scuba diving with an ileostomy is generally considered feasible with proper preparation and precautions. Here are some key points:
- General Feasibility: Many ostomates report successfully engaging in snorkeling and scuba diving without ostomy-related issues. A secure pouching system is crucial.
- Pressure and Depth Considerations: Depth-related pres ...
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Question: Can food tolerance change over time with a loop ileostomy?
Answer: It is not uncommon for individuals with a loop ileostomy to experience changes in food tolerance over time. Here are some general insights based on the forum discussions:
- Food Tolerance Variability: Tolerance to certain foods can fluctuate, and what was once manageable may become problematic. This can be due to changes in the digestive system, stress, or other health factors.
- Re-evaluate Die ...
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