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Aug 02, 2019

Understanding Irrigation: More Than Just "Washing Out the Bag

Understanding colostomy irrigation can be a bit confusing at first, especially if you're new to the concept. Let's break it down into simpler terms and provide some helpful insights.

Colostomy irrigation is a process used by some people with a colostomy to manage their bowel movements more predictably. Here's what it involves and some advice on the topic:

1. Definition & Purpose
- Colostomy irrigation involves introducing water into the stoma, which is the opening in the abdomen, to flush out stool from the colon. This helps keep the colon empty for about 24 to 48 hours.
- After irrigation, many people find they can wear a smaller stoma plug, cap, or pad instead of a full pouch, as the output is temporarily halted.

2. Suitability
- This method is typically recommended for individuals with descending or sigmoid colostomies.
- It is generally not suitable for those with ileostomies because the small intestine is more delicate, and the remaining colon is often too short for safe irrigation.

3. Equipment & Method
- A special irrigation set is used, which includes a water bag with tubing and a flow regulator.
- A soft cone tip is gently inserted into the stoma to introduce the water.
- A long plastic sleeve with an adhesive baseplate is used to direct the water and stool into the toilet.
- For those interested, there are visual guides and step-by-step demonstrations available online, such as on YouTube.

4. Training & Results
- The process requires regular practice at the same time each day to "train" the colon. Over time, this routine becomes more effective and reliable.
- Many people find that once they establish a routine, irrigation can significantly improve their quality of life.

5. Managing Rectal (Anal) Stump Mucus
- For those with a retained rectal stump, some choose to irrigate this area to manage mucus discharge. However, this can be messier and less convenient than stoma irrigation.

Hopefully, this explanation helps clarify what colostomy irrigation is all about and provides some useful tips for those considering it.
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