This topic is about providing guidance and support for someone who has recently undergone urostomy surgery, specifically focusing on dietary suggestions and early post-operative care. The person in question is an 81-year-old man who is now on a semi-solid, strictly vegetarian diet. Here are some helpful insights and advice for his care:
1. Dietary Suggestions (First 3-4 Weeks Post-Op)
- Many people can return to a normal diet by three weeks, but some may benefit from a low-residue (low-fiber) diet.
- Vegetarian low-residue options include well-cooked soft vegetables in small pieces, toast, pasta, cheeses, fruit juices, soft fruits without skins or seeds, and tofu.
- Ensure he drinks plenty of fluids.
- Introduce new foods gradually and opt for smaller, more frequent meals.
- If he is taking opioid pain medication, consider adding a stool softener to help with constipation.
2. Bowel Function
- Since part of the intestine is used to form the urostomy, bowel patterns can vary from frequent liquid stools to constipation. This usually stabilizes within a few weeks.
3. Persistent Hiccups
- Occasional hiccups are common after abdominal surgery, but if they are constant, it is advisable to consult the surgeon if they do not resolve within a week.
4. Accessing Professional Help in India
- To find a specialized nurse, inquire at larger city hospitals for a "stoma nurse," "ostomy nurse," or "ET nurse," as they all refer to the same specialty.
5. Bathing with a Urostomy Pouch
- It is safe to bathe or shower with the pouch on, and most users keep it in place.
- Warm water may cause the wafer edge to lift; prevent this by taping around the flange with surgical tape, Pink Tape, or Hy Tape, or by using a skin-prep product to "waterproof" the tape border.
- Use lukewarm water to reduce adhesive softening and avoid the need for adhesive removers, which can irritate sensitive skin.
- For safety, especially at age 81, consider using a shower chair or bench to reduce the risk of falls when entering or exiting a tub.
6. Abdominal Support Belt
- The belt is worn to support the abdominal wall, reduce strain on the new stoma site, and help prevent hernias during early healing.
- The duration for wearing the belt is specific to the surgeon's advice, but it is commonly worn for several weeks until the tissues strengthen. It is best to ask the operating surgeon for exact timing.
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