This topic is about understanding the sensations that can occur in a stoma, particularly a phenomenon known as "tumescence." Tumescence is typically associated with the engorgement of blood in the sex organs, but it can also happen in stomas, such as those from a urostomy, ileostomy, or colostomy. Before the stoma releases output, it might swell with blood, produce mucus for lubrication, and start peristalsis, similar to the changes that occur during sexual arousal. Since the stoma is visible, people with ostomies might notice these sensations, which can feel unusual at first but are completely normal when the stoma is active.

Here are some helpful insights and advice:

1. Some people with ostomies find the tumescent phase to be a pleasant sensation. Understanding that this is a normal part of stoma function can help reduce any anxiety about it.

2. The sensation experienced can vary depending on the individual and the type of stoma. For example, one person with an ileostomy mentioned they only feel something if they have eaten bulky or fibrous food or if gas is involved. This suggests that those with a colostomy might notice tumescence more frequently than those with an ileostomy.