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Jan 31, 2024

Changing from Ileostomy to Colostomy

The topic is about transitioning from an ileostomy to a colostomy and what to expect in terms of daily management. Here are some helpful insights and advice for those undergoing this change:

- Output characteristics:
- With a colostomy, the stool is usually thicker and more formed compared to the watery output of an ileostomy. This means less irritation to the skin around the stoma.
- The stoma for a colostomy is generally larger in diameter because the colon is wider than the ileum.

- Emptying frequency and nighttime routine:
- Most people with a colostomy find they need to empty their pouch 2 to 3 times a day and can often sleep through the night without needing to empty it, unlike many with an ileostomy.

- Appliance change schedules:
- A common routine is to change the entire 2-piece appliance twice a week. Some prefer to replace the wafer every 7 days and snap on a new pouch every 3 days.
- This schedule seems to work well, with no reports of leaks or blowouts when using the Hollister 2-piece system.

- Bag emptying technique:
- Since the output is thicker, some people rinse the pouch each time they empty it. You can keep a small cup by the sink, add warm water, swish it around, and drain until clean.
- If you're not near suitable facilities, like at work, you can simply drain the pouch without rinsing.

- Hydration and diet:
- It's important to maintain a high fluid intake, including water and electrolyte drinks, to prevent dehydration. One person mentioned needing a hospital stay due to dehydration.
- Eating soups and generally soft foods can help ease concerns about blockages. You can eat normal foods but stay mindful of items that might cause issues.

- Physical activity:
- Light movement a few times a day can help with bowel function.

- Hernia support:
- A peristomal hernia can cause the stoma to push outward. Support belts from companies like Nu-Hope Corp. can help keep it in place.

- General mindset:
- The transition is manageable. Listen to your body, adjust your food choices if necessary, and don't hesitate to ask questions of peers or professionals.
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