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Jan 01, 2023

DIY Stoma Wash - Brian's Portable Solution

This topic is about creating a DIY solution for gently cleaning a stoma between appliance changes, especially when dealing with leaks or messes. The idea is to avoid the need for frequent full showers, which can be uncomfortable if the skin around the stoma is sensitive. Here are some helpful insights and advice shared by others:

1. A colostomate, six months after surgery, wanted a way to clean the stoma without showering every time there was a leak. They created a "Stoma Bath" using a cut-down plastic container as a shield and a spray bottle for a gentle rinse.

2. To make this DIY stoma bath, you need:
- A discarded plastic container to form a shallow shield or cup.
- A kitchen spray bottle with an adjustable nozzle for a fine, low-pressure spray.
- A craft knife and 100-grit sandpaper to smooth the edges.
- A thorough wash of the materials before first use.
- Optionally, a battery-powered handheld bidet sprayer for easier rinsing.

3. Some family members and nurses were skeptical, but the device worked well for the creator, reducing the need for multiple showers each day.

4. An alternative method is the "tub-and-shake":
- Use a small clear plastic tub, half-filled with warm water, placed over the stoma and gently shaken for a minute.
- The clear sides help you see when the area is clean.
- Blot any remaining water with toilet paper.
- This method requires only one hand, making it suitable for those with arthritis or limited grip.

5. Another option is the single-handed squeeze-bottle routine, similar to hospital practices:
- Remove the pouch with an adhesive-remover wipe.
- Place a hand towel under the stoma.
- Pat the stoma with toilet paper.
- Use fragrance-free, water-only sensitive baby wipes, rinsed and lathered with a little Kirk’s Castile Soap, then rinse with a plastic squeeze bottle of warm water.
- Pat dry and apply a new pouch.
- Use a hospital-issued plastic irrigation bottle or a food-grade condiment squeeze bottle as a cost-effective replacement.
- Keep a stack of inexpensive hand towels dedicated to stoma care.

6. General advice includes:
- Simple, low-cost household items can be effective for stoma care, and trying different methods is encouraged.
- Choose between a two-handed sprayer-and-shield system or a single-item wash method based on your dexterity and hand strength.
- Sharing homemade solutions can be valuable for others facing similar challenges.
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