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Jul 12, 2020

Stoma pain after fall - seeking advice

This topic is about someone who recently had a stoma and experienced a fall while playing with kittens, leading to abdominal pain and a headache. They are concerned about whether the injury is serious and how to treat it. Here are some helpful insights and advice:

1. The pain might be due to a muscular strain around the stoma or surgical site rather than the stoma itself. Using ice can help reduce inflammation.

2. Avoid using heat, as it can increase blood flow and swelling. Instead, apply ice packs in short intervals for relief.

3. If the pain worsens, lasts more than one to two weeks, affects stoma output, or is accompanied by new symptoms, it's important to contact a stoma nurse, surgeon, or general practitioner promptly.

4. For pain relief, over-the-counter options include:
- Ibuprofen-containing tablets, which are anti-inflammatory, if they are tolerated.
- Acetaminophen (Tylenol) as an alternative for pain relief.

5. Consider using protective wear for future activities:
- Stealth Belt ostomy support belts, which are used by active ostomates like cyclists to protect the stoma during falls.
- Ostomy Armor waist protectors, available in standard and titanium models, which are highly durable.

6. Remember the precautions for lifting and falls after surgery. A belly-flop impact is similar to lifting significant body weight and can lead to hernias.

7. The headache might be due to stress, sinus issues, dust, or even a cat allergy. Keep an eye on it and consult a professional if it persists.

8. Generally, bruised stomas are painful but rarely suffer permanent damage. Most strains resolve within days to a couple of weeks.

9. The bowels and stoma do have nerves, so a direct impact can cause pain for several days.

10. Rest, ice, distraction, and patience are recommended. If there's no improvement, arrange an in-person or video appointment with a doctor.

11. Avoid repeating high-impact activities on the abdomen. Consider using belts or armor when interacting with pets or engaging in physical hobbies.

12. It's noted that stomas can feel pain, as evidenced by the use of certain medications like Diphen Atropine, which affects motility and can cause discomfort when its effects wear off.
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