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Sep 05, 2023

Stoma Seems Darker Red

This topic is about someone noticing a change in the color of their ileostomy stoma, which has become a darker red than usual. They are seeking reassurance and advice from others who might have experienced something similar. Here are some helpful insights and advice shared by others:

1. Stomas can naturally change color throughout the day due to variations in blood flow. A slightly deeper red color, without any other symptoms like pain, bad smell, or changes in output, can be normal. However, if the stoma turns very dark red, maroon, purple, or black, it might indicate a problem like reduced blood flow or tissue damage. Similarly, a stoma that becomes progressively pale could also be a concern.

2. To keep track of any changes, take a photo of the stoma each time you change your appliance. Use the same lighting, camera, and time of day, and include a fixed color reference, like a red Hollister box, to accurately monitor color changes. If the photos show the stoma getting darker over time, it's important to seek medical attention right away.

3. If you're worried about the color change, don't hesitate to get it checked out. Many people suggest going directly to your surgeon or gastroenterologist instead of just an ostomy nurse. If you can't get a quick appointment and the color is getting worse, consider going to the emergency department.

4. Some practical tips include posting a clear photo on a reputable ostomy forum for feedback from others who might have similar experiences. Keep an eye on the stoma's output, temperature, shine, and odor. If these remain stable and the color change isn't getting worse, it usually means there's no immediate problem.

5. Many people have shared that their stoma color varies without any issues. It's important to stay vigilant but not to panic.
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