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May 22, 2014

STOMA PLUGS

This topic is about using stoma plugs in combination with colostomy irrigation. It provides insights and advice from someone who has practical experience with this method. Here are some key points and helpful tips:

- Stoma plugs are considered a very useful tool after irrigation as they help stop any residual output and control odor.

- Occasionally, a plug might detach from the wafer and slip inside the stoma. In such cases, using stainless-steel forceps can make retrieval easy.

- The reliability of stoma plugs is generally high, with thousands of successful uses and only a few instances of detachment.

- The recommended product is the Conseal Stoma Plug, 45 mm, by Coloplast. This is the brand and size used daily by the originator.

- The plug is typically changed every morning after nightly irrigation. While the originator prefers daily irrigation for consistent control, some people can manage with intervals of 1–2 days.

- In the U.S., Coloplast USA does not stock Conseal plugs, so the originator is experimenting with alternative devices, such as Hiko calf-feeding teats with a 6 mm opening, to see if they can serve the same purpose. Results of these experiments will be shared later.

- Stoma plugs are intended for colostomates who irrigate. They are generally not suitable for ileostomates because irrigation is usually not recommended, and the liquid nature of ileostomy output would likely pass through the plug’s porous core. Always seek professional advice before trying this.

- For those in the U.S. facing sourcing issues, there is no definitive workaround yet, but the group is actively looking for alternatives or third-party suppliers.

- If a plug detaches, it can often be retrieved safely with narrow, stainless-steel forceps, or it may be expelled naturally through peristalsis.

- Many users replace the plug once daily after each irrigation session, though some can extend the interval to 48 hours or more, depending on personal comfort and consistency.

- An experimental alternative being tested is modifying Hiko calf-feeding teats to function as a plug when paired with an ostomy wafer. Testing is ongoing to determine its effectiveness.
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