This topic is about dealing with recurring stoma blockages, managing pain, and exploring the possibility of colostomy irrigation as a preventive measure. The person sharing their experience has been facing severe blockages about once a month, which come with intense pain and vomiting. They used to go to the hospital for morphine and monitoring but now try to manage at home with oral medication that is no longer effective. They are considering colostomy irrigation to help prevent these blockages but are hesitant and seeking advice from others.
Here are some insights and advice shared by others:
1. Hospital-based relief:
- Some people find relief with morphine or oxycodone and cyclizine during blockages. Injected Buscopan is noted to work faster than tablets.
2. Understanding the cause:
- Blockages often occur due to kinks or collapses at scar-tissue sites. More surgery can sometimes worsen adhesions.
3. Day-to-day prevention strategies:
- Eating small portions, focusing on protein, and chewing food to a liquid consistency can help.
- Gentle physical activity, like walking, especially later in the day, can keep the bowel moving.
4. When irrigation is possible:
- Suitable for those with a reasonable length of healthy colon (sigmoid or descending) and a colostomy. It is not typically suitable for most ileostomies.
5. How irrigation is done:
- Typically done every 1–3 days, taking about an hour per session, including setup and cleanup.
- Warm water is used to help the colon expel water and stool through a natural reflex.
- After successful irrigation, many people can wear a small stoma cap for 24–72 hours.
6. Reported benefits:
- Many experience fewer or no blockages, minimal unplanned output, fewer leaks, and more freedom to work or travel without constant bathroom concerns.
7. Learning curve and caveats:
- Expect some accidents initially; practice leads to mastery.
- Warm water is most effective but may increase odor; cool water might not fully empty the bowel.
- While not perfect, many find the quality-of-life improvements worth it.
8. Resources:
- A YouTube video titled "How to Irrigate a Colostomy" by Brian is recommended.
- There are also two older UK-published books on colostomy irrigation that provide detailed guidance, though titles are not mentioned.
See full discusison