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Aug 09, 2023

Finding a Comfortable Sleeping Position Post-Colostomy

This topic is all about finding comfortable sleeping positions after having colostomy surgery. If you’re finding it hard to get a good night's sleep post-surgery, you’re not alone. Many people face similar challenges, especially if they were used to sleeping on their side. Here are some helpful tips and insights to make your nights more restful:

1. Give it time. It might take a month or two, or even longer, before you can comfortably return to your favorite sleeping positions. As your body heals and you regain strength, you'll find more comfort and options.

2. Try different sleeping surfaces:
- A firm couch or recliner can help keep you semi-upright, preventing you from rolling onto your stoma.
- Consider using a firm or extra-firm memory-foam mattress topper with a cut-out for your pouch. This can allow some stomach sleepers to rest face-down without putting pressure on the bag. However, be aware that memory foam might not be comfortable for everyone, especially those with arthritis or fasciitis.

3. Use pillows strategically:
- Body pillows or large C-shaped pregnancy pillows can stop you from rolling unintentionally and provide support.
- Placing a pillow between your knees can offer stability when lying on your side. You can also put a pillow under your knees or upper back to relieve pressure when lying on your back.
- Create a "nest" of pillows with different firmness levels around your torso until you feel more comfortable moving freely.

4. Tips for side-sleeping:
- Start by lying on the side opposite your stoma. Use pillows to keep a slight tilt rather than lying fully on your side.
- If you want to lie on the stoma side, position yourself first, then check to ensure the pouch is free and not trapped under you.

5. Stomach-sleeping might be possible after complete healing. Some people find that a small amount of air in the pouch acts like "bubble wrap" for the stoma, and they report no leaks with certain types of bags.

6. Manage your nights:
- Set an alarm 3–4 hours into the night to check or empty your pouch until your body naturally wakes you.
- Keep a towel by the bed just in case of leakage.
- Switching to a smaller, lighter pouch can reduce discomfort during the night.

7. Adjust your mental approach and sleep habits. Accept that your sleep patterns might change temporarily. Training your body to wake for emptying and allowing short daytime naps, like a one-hour rest at noon, can help maintain overall sleep quality.

8. Here are some additional practical tips:
- Roll the tail end of Velcro-closure pouches in two folded squares of toilet paper and tuck them into your underwear to prevent accidental opening.
- Stay well-hydrated to promote healing and comfort.

These suggestions aim to help you find a comfortable way to sleep and improve your overall rest as you recover.
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