This topic is about dealing with night-time drainage issues when using a ConvaTec urostomy pouch and night bag. The poster's mother, who has a new urostomy, is experiencing problems with urine flow during the night. Initially, the drainage worked well, but later, the flow stopped unless she stood up. They are seeking advice on how to resolve these issues while using the ConvaTec system that she finds easiest.
Here are some helpful tips and insights shared by others:
1. Mixing Brands:
- Many people find success by mixing different brands. You can choose the wafer and pouch that fit best and use a night bag from another manufacturer if it drains better.
- Some users suggest starting the night with a small amount of urine in the pouch to create a siphon effect, while others find it best to empty the pouch completely. Experiment to see which method works best for continuous flow.
2. Managing Drainage-Bag Placement and Tubing:
- Ensure the night bag and tubing are always positioned below the pouch to maintain gravity flow. Avoid any uphill runs or kinks in the tubing.
- Consider using anti-kink tubing, like the one from Coloplast, or join two lengths for extra slack. Soften stiff connectors in hot water to fit mismatched parts.
- Secure the tubing to the mattress to prevent twists, or tuck it behind a knee. If the flow stops, straighten the tubing or lift the bag to restart the siphon. Pressing the soft connector can also help clear air.
3. Alternative Night Drainage Products:
- Hollister hospital-style urinary drainage bags can be ordered online and attach well to the bed frame.
- Coloplast drainage bags with a wide hanger are used by many with both ConvaTec and Coloplast pouches.
- Urocare Urinary Drainage Bottle No. 4100 is a rigid bottle that connects to the ConvaTec moldable pouch.
- Reliamed vented urinary drainage bags come with interchangeable tips.
- Welland one-piece pouch combined with a Coloplast drainage bag also drains reliably.
- Converters or adaptors are available if connectors do not match; consult a WOCN or supplier.
4. Product and Wafer Options:
- Hollister offers a moldable wafer called Formaflex, allowing you to switch to their system while keeping a moldable barrier.
5. Troubleshooting Techniques:
- If the flow stalls, "smack" the night bag on the floor to start it again.
- Hang a narrow bag on three of the four bed hooks to reduce stretching and air entry.
- For stubborn air pockets, keep squeezing the connector until urine reaches the bag inlet.
6. Leak and Bedding Protection:
- Place the night bag in a plastic box, tray, or waste basket on the floor to catch spills.
- Waterproof fitted sheets are available and stay in place better than flat protectors.
7. Living Without a Night Bag (Optional):
- Some people manage the night without a drainage bag by emptying the pouch before sleep. Be prepared for a very full pouch in the morning and ensure it has enough capacity.
8. DIY and Special Situations:
- One user with thick colostomy output created a home system using respiratory hose and a pickle jar, as larger-bore tubing prevents clogging when stool is involved.
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