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Jan 03, 2011

Need advice on impacted colon - any thoughts?

This topic is about dealing with a challenging situation involving a loop ileostomy, where a small amount of stool bypasses the stoma and enters the colon, leading to impaction. The person is experiencing discomfort and is seeking advice on how to manage this condition. Here are some insights and suggestions that might help:

1. It's not unusual for some stool and mucus to reach the colon with a loop ileostomy. The colon continues to absorb water, which can cause the mucus to thicken.

2. Medical professionals, such as nurses or doctors, can help by flushing the inactive part of the colon. This might involve inserting a tube into the mucous fistula side of the loop to irrigate and remove old stool. Enemas like Fleet (sodium phosphate) or glycerine suppositories might also be used, but it's important to get a doctor's approval, especially if there's pain or bleeding.

3. Gentle abdominal massage following the path of the colon (up the right side, across, and down the left) along with regular exercise might help stimulate movement. Warm baths can also help relax the abdominal wall during massage.

4. Using warm water directed at or soaking the anus and buttocks, either with a bidet seat or in a bathtub, can help relax the anal sphincter, reduce pain, and allow small, hard stools to pass.

5. Holding a Fleet Enema for as long as possible might increase the chances of dislodging the impaction, but this should only be done under medical guidance.

6. Psychological stress and muscle tension can worsen the situation by causing outlet obstruction. Relaxation techniques might help reduce sphincter spasms.

7. It's important for doctors to monitor for infection risks in a stagnant colon segment, as this can be a concern similar to stool-filled fistulas.

8. A metallic or foul taste in the mouth can sometimes be a side effect of certain medications, such as Flagyl (metronidazole). It might be helpful to review the full list of medications to identify any other possible causes, even though Flagyl is not being taken.
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