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Apr 16, 2023

Emptying Ileostomy Bag - Standing or Sitting?

This topic is all about finding the best position for emptying an ileostomy bag. People with an ileostomy often have different preferences for how they do this, and the discussion is about sharing tips and experiences to make the process easier and less messy. Here are some helpful insights and advice from the discussion:

- There is no one-size-fits-all solution. Choose the position that feels most comfortable and causes the least mess for you. Here are some common methods:
1. Sit on the toilet facing forward or try sitting in reverse, facing the tank.
2. Stand in front of the toilet, bending your knees slightly, which can be helpful if you're shorter.
3. Kneel on one knee in front of the toilet to reduce the distance the contents drop, which can help minimize splashing, especially for taller individuals.

- To reduce splashing:
1. Place a few squares of toilet paper on the water's surface or the front edge.
2. Partially flush the toilet before emptying to let the water swirl down.
3. Use toilet-seat covers as a slide toward the front of the bowl.
4. In public restrooms, line the bowl with paper and cover automatic flush sensors until you're done.

- The height of the toilet can make a difference. Hospital toilets are often higher, so you might need to adjust your technique at home. Taller users might experience more splash if emptying from a full standing height.

- If you need to measure output, standing can make it easier to hold a container beneath the pouch outlet.

- In public restrooms:
1. Some women might feel self-conscious standing, so turning shoes backward or explaining to staff can help.
2. Carry quart-size Ziploc bags for discreet emptying if bending is painful or the toilets are unsuitable. Expel air, seal, and dispose of them properly.
3. Be mindful of privacy, especially with toddlers or others who might peek through stall gaps.

- Consider additional equipment and home adaptations:
1. Install a shelf in front of the toilet if you prefer sitting in reverse.
2. Convert a laundry trough or install bidet-style trigger hoses beside the toilet for rinsing the bag.
3. Some users replicate Japanese-style ostomy toilets with standing stations and wash hoses at home using stainless-steel sinks and flexible hoses.

- For warmth when changing to a new pouch:
1. At home, use a hair dryer on low or a heating pad.
2. While out, keep a spare pouch next to your body under clothing to keep it warm.

- Some products mentioned include:
1. Hollister (not the company the advising nurse represents).
2. Flushable ostomy liners for two-piece systems (brand not specified and usually not covered by insurance).
3. Ziploc brand plastic bags for temporary waste containment.

- The general consensus is to experiment with different positions—sitting, standing, kneeling, or reverse-sitting—until you find the method that minimizes splash, protects your clothes and skin, and fits your environment.
See full discusison
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