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May 12, 2022

Irrigation for Ostomy - Seeking Advice and Experiences

This topic is about someone who recently had surgery and is having trouble keeping their ostomy pouch attached. They are considering switching to daily colostomy irrigation as a solution. Here are some helpful insights and advice shared by others:

- **Confirm Eligibility for Irrigation**:
- It's important to check with a doctor to ensure that irrigation is a suitable option. This is especially true if you have a healthy segment of the descending colon.

- **General Encouragement**:
- Many people find a reliable solution through trial and error. It's important to stay calm and seek help when needed.

- **Skin-Barrier Strategies**:
- For those with poor adhesion or sensitive skin, using 3M Cavilon Advanced Skin Protectant can be helpful. It's a single-use sponge wand that should be applied carefully to the skin around the stoma.
- Tegaderm film is another option for those with sensitive skin, and it can be placed over or around the wafer.

- **Irrigation Experiences and Routines**:
- Many find that irrigation offers freedom from wearing a pouch, predictable bowel movements, and less need for adhesives.
- A typical routine might involve irrigating early in the morning with a standard irrigation set. After the process, some people use a small plastic bowl secured by underwear for any residuals, then switch to a cotton makeup pad with Tegaderm film for the rest of the day.
- Adjusting your diet can also help improve the efficiency of irrigation once you get the hang of the basic technique.

- **Practical Tip**:
- If you qualify for irrigation, it's often best to start and learn by doing. There are many people willing to offer guidance and support to newcomers.
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