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Aug 23, 2010

Irrigation Issues with My Colostomy - Advice Needed

This topic is about someone seeking advice on colostomy irrigation, a process used to manage bowel movements by flushing the colon with water. The person is experiencing challenges with their current irrigation routine and is looking for tips on water volume, frequency, and equipment to improve the process.

Here are some helpful insights and advice:

1. Water Volume and Delivery
- Many people use between 1.0 to 1.5 liters of water at once. Some prefer to use 500 ml, empty, and then another 500 ml, which seems to be working for you.
- Hang the water bag so that the bottom is about shoulder height. Use the flow valve and the Coloplast wheel to control the speed of the water.
- Keep the cone gently against the stoma. If the flow stops, try tilting or twisting it slightly instead of removing it. Gravity usually helps the water flow within 5 to 6 minutes for 1.5 liters.
- Ensure the water temperature is similar to body temperature (98–99 °F or about 37 °C) to minimize cramps.

2. Timing and Training
- The results can vary; some people irrigate every 24 hours, while others do it every 48 to 72 hours. A small output the next day is normal as the bowel adjusts.
- A 36-hour schedule is possible. Consistency in timing can help with training, but some people successfully alternate between morning and evening without issues.
- Fasting for 2 hours before evening irrigation or doing it before breakfast can improve results. Eating a light snack afterward can help clear any remaining stool.

3. Diet Effects
- Foods that may increase output include fresh fruits (except bananas), spicy foods, caffeine, deep-fried foods, and high-fiber items.
- Foods that may reduce output include bananas, bagels, toast, potatoes, pasta, and protein-rich meals.
- If returns are low, eating a small amount of light fiber, like Wheat Thins, 7 to 8 hours before irrigation can be helpful.

4. Dealing with Low Inflow or Blockages
- If only part of the water enters and you feel full, try irrigating again later the same day.
- Stay well-hydrated to prevent thick stool and blockages.

5. Position and Clean-Up Options
- Some people sit on a chair facing the toilet, while others lie down or use a shower bench for irrigation.
- For the shower method, sit on a bench, hang the bag from the shower spout with an S-hook, drain the output into a bucket, then stand and rinse. Standing can help expel any remaining stool.

6. Travel and Equipment Hacks
- Use stick-on suction hooks or sturdy "S" hooks on any vertical surface. A camera tripod can also serve as a portable stand.
- In caravans or hotels, hanging the bag from a shower head, towel bar, or suction hook usually works well.

7. Sleeves, Wafers, and Brands
- Snap-on sleeves that fit Hollister New Image flanges can eliminate the need for belts and adhesive concerns. Hollister offers free samples upon request.
- Hospital cloth tape can reinforce any flange or sleeve for extra security.
- Some users prefer the Coloplast irrigation kit for its flow-rate wheel and thermometer.
- Other brands mentioned include Dansac 950-35 one-piece (noted for leaking) and Coloplast 1560 two-piece with a belt.

8. General Encouragement
- Training can take weeks, but persistence can lead to longer intervals without a pouch, fewer blockages, and more freedom in daily life.
- Since few people irrigate, peer forums and manufacturer helplines can be valuable resources for support and advice.
See full discusison
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