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Apr 09, 2023

Need advice on stoma irrigation for retracted stoma

Topic Explanation:

The discussion is centered around seeking advice on stoma irrigation for a retracted stoma. The original poster is experiencing significant issues with their retracted stoma, leading to burned and broken skin, and is considering stoma irrigation as a potential solution.

Advice and Insights:

1. Consultation and Qualification:
- Before starting stoma irrigation, consult with a stoma expert, such as a nurse or doctor, to ensure you are a suitable candidate. You must have some descending colon left, and it must be healthy.

2. Irrigation Benefits:
- Stoma irrigation can be an effective way to manage a stoma, potentially freeing you from output during the day and making life easier.

3. Resources and Learning:
- There are many instructional videos available on YouTube that demonstrate how to perform stoma irrigation.

4. Product Recommendations:
- Consider using convex wafers if not already tried, and consult with a surgeon about a possible revision if they do not work.
- For skin protection, Cavilon advanced skin protection ampules with a sponge applicator can help protect irritated skin and improve adhesion of the wafer and bag. These may be covered by insurance.

5. Skin Care:
- Use Cavilon products to protect the skin and improve adhesion. Be aware that stool can wear through the Cavilon in 2-3 days, necessitating regular bag changes.

6. Additional Support:
- Contact your doctor and enterostomal therapist for advice on both irrigation and managing skin irritation.

7. Trial and Error:
- Finding the right solution may involve trial and error, as individual experiences with products and techniques can vary.
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