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Sep 11, 2010

Stoma Discomfort and Occasional Bleeding: Seeking Advice

This topic is about dealing with discomfort and occasional bleeding from a stoma after surgery. The person sharing their experience is five months post-ostomy and is feeling some internal discomfort, like a cut, on the inside right edge of their stoma. This discomfort is more annoying than painful and sometimes comes with minor bleeding. They are curious about how long it typically takes for complete healing and are looking for advice from others who have been through similar experiences.

Here are some helpful insights and advice:

1. It's common to experience mild, intermittent pain in the first few months after surgery. Many people tend to ignore it unless it becomes severe or constant.

2. Discomfort and occasional bleeding can last for over a year, especially in areas where the stoma was stitched. The flange or wafer collar might rub against this sensitive area, causing irritation.

3. Be aware of serious bleeding signs, such as a toilet bowl full of darker-maroon blood. If this happens, seek emergency care immediately, as it could be serious.

4. Sharp, "wasp-sting" pains soon after surgery might be due to irritated nerve endings at the suture line, rather than scar tissue needing surgical revision. These nerves can be aggravated by paste, wipes, flanges, or stool but usually settle over time. If the pain doesn't decrease, a clinician might be able to help by deadening the nerves.

5. Light bleeding from washing or wiping the stoma edge is usually harmless. As long as it stops quickly and isn't heavy, it's considered normal.

The person plans to see a surgeon at the end of the month for more answers. Since their original surgery was an emergency out of town, they are currently without a local ostomy specialist and are looking to find one for future care.
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