Understanding the differences between a colostomy and an ileostomy can be a bit confusing, but it's important to know how each one works and what options are available for managing them. Here’s a simple breakdown to help clarify things:

- A colostomy is created when the stoma is formed from the colon, usually the descending or sigmoid colon, meaning most of the large bowel is still present. In contrast, an ileostomy is formed from the ileum, which is the end of the small intestine, and typically involves little or no colon remaining. This difference affects the consistency of the output: colostomy output is usually firmer, while ileostomy output is more liquid.

- Irrigation is a method used to manage a colostomy. It involves flushing out the colon to control when stool is expelled. This is only possible with a colostomy because it requires the presence of most of the colon. Attempting to irrigate an ileostomy is unsafe due to the risk of perforation and the absence of the colon where water would pool. For those who can irrigate, it can provide a predictable period with little or no output, allowing them to wear a smaller stoma cap instead of a full pouch.

- The location of the stoma on the abdomen can vary. Colostomies are usually placed on the left side, while ileostomies (and urostomies) are typically on the right. The exact position can depend on surgical needs and the patient's body shape.

- Even with a colostomy, most people do not have voluntary control over their output. They can somewhat schedule it through diet or irrigation, but without irrigation, the output may be unpredictable.

- For those with an ileostomy, staying hydrated is crucial because the colon's water-absorbing function is lost. It's recommended to drink plenty of fluids, around 3 liters per day, to prevent dehydration and kidney issues.

- Personal routines for irrigation can vary. Some people find that daily evening irrigation provides all-day dryness, while others may irrigate every third day, combining it with a low-fiber diet and high water intake to extend the time between outputs.

- For more visual explanations, there are YouTube videos available that show the anatomical differences between a colostomy and an ileostomy. Additionally, anyone undergoing an abdominoperineal resection should be informed about the option of colostomy irrigation.