The topic is about finding ways to get a full night's sleep when living with a colostomy pouch. Many people with a colostomy find it challenging to sleep through the night without waking up to check on their pouch. Here are some helpful tips and strategies shared by others in similar situations:
1. Psychological and Behavioral Approaches:
- Train yourself to avoid checking the pouch until morning. Some people find this helps eliminate unnecessary wake-ups.
- Accept that brief awakenings to empty the pouch can still allow for adequate rest. Staying in bed and resting can help restore energy.
- Set an alarm for 3–4 hours after going to bed to empty the pouch, then return to sleep knowing it's safe.
- Use relaxation techniques like breathing exercises, meditation, cognitive distractions (like naming actors), counseling, yoga, or hypnotherapy to ease sleep-related anxiety.
2. Equipment and Supplies for Night Security:
- Ensure you have the most reliable appliance for your body by trying different samples until you find the best fit.
- Use Brava strips, Sure Seals barrier extenders, stoma wraps, and convex rings to create a more leak-proof seal.
- Place a folded hand towel over the pouch to prevent hands from resting on it and to contain any leakage. Protect the bed with a puppy pad, flat towel, or flannel sheet.
- Consider attaching a 2-litre night drainage bag with a long hose from the pouch to the bag, so the daytime pouch stays empty and doesn't need emptying at night.
3. Positioning and Environment:
- Some people find that sleeping slightly upright in a recliner or using extra pillows reduces pressure on the pouch.
- Staying in bed after a partner gets up can provide extra restful hours.
4. Scheduling and Emptying Routines:
- Empty both the pouch and bladder when you get up during the night. Common schedules are every 3–4 hours or when the pouch is one-third full.
- Learn which foods minimize nighttime output to reduce accidents and wake-ups.
5. Medications, Cannabis, and Herbal Aids:
- Cannabis products like Indica gummies or chocolate can help some people relax and sleep without lung irritation.
- THC oil may provide 8–9 hours of sleep, with the initial "high" managed by watching TV.
- CBD gels offer milder effects, though results can vary.
- The herbal supplement "Sleep Better" by Oregon’s Wild Harvest, containing skullcap, valerian, ashwagandha, passionflower, and hops, can promote sound sleep without a hangover.
- Prescription sedating agents like low-dose amitriptyline can incidentally produce deep sleep.
- Address any possible undiagnosed sleep apnea, as CPAP therapy has resolved fragmented sleep and stopped snoring for some.
6. General Reminders:
- Even fragmented rest can be physiologically sufficient.
- After several poor nights, extreme fatigue may naturally lead to a full night's sleep.
- Keep experimenting with different techniques, as people often rotate or combine methods like equipment changes, alarms, and supplements to find a reliable routine.
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