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Mar 04, 2011

Nighttime Mishaps: How to Avoid Ruining Your Morning

This topic is all about managing those pesky night-time leaks and "morning-ruiners" that can happen when you have a colostomy. It's a common concern for many ostomates, and it can really put a damper on your day, especially if you're thinking about dating. Here are some helpful tips and insights shared by others who have been in the same boat:

1. **Empty and Prepare Before Sleep**
- Make sure to empty your pouch before going to bed, even if it doesn't seem full.
- Check that your wafer or flange is secure and dry.
- Wear loose-fitting nightclothes to avoid pulling on your wafer.

2. **Control Intake and Output**
- Avoid eating or drinking 2-3 hours before bedtime, especially greasy, high-fiber, sugary, or gas-producing foods.
- Some find that eating a few marshmallows or taking Imodium helps reduce output.
- Try to eat and drink without gulping air to minimize gas.

3. **Mid-Night Alarms and Natural Alarms**
- Consider setting an alarm for the middle of the night, around 2:45-3:30 a.m., to check your pouch.
- Some rely on pets to wake them up at night, which can also serve as a reminder.

4. **Reinforcing or Enlarging the Appliance**
- Use flange extenders or HydroFrame strips for added security.
- Many recommend the ConvaTec Natura Durahesive Moldable Convex Skin Barrier for its durability.
- Consider using convex wafers with an ostomy belt or a larger pouch for nighttime.

5. **Support and Containment at Night**
- Sleep on layered towels or waterproof mattress covers for extra protection.
- Belly bands, stoma-support underwear, or loose disposable underwear can help catch minor leaks.
- A body pillow can prevent you from rolling onto your stoma side.

6. **Lubrication and Pancaking**
- Use pouch lubricating gels or a few drops of baby oil to help stool slide to the bottom of the pouch.

7. **Deodorizing**
- M9 deodorant drops or similar products can help manage odors if a leak occurs.

8. **Travel and Care Package Tips**
- Always carry a spare wafer, pouch, wipes, sealant, plastic bags, and a small towel when you go out.
- For long trips, have a wide-mouth container or zip-top bags for emergencies.
- In hotels, use a disposable pad on the bed and keep supplies handy.

9. **Irrigation Option**
- Some colostomates irrigate before bed, which can significantly reduce night-time accidents.

10. **Dating and Relationships**
- Be open about the possibility of accidents with your partner; many find that understanding partners are supportive.
- Confidence grows with reliable products and routines.

These strategies, including bedtime emptying, dietary adjustments, alarms, and protective measures, are key to managing night-time leaks and ensuring peace of mind.
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