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Feb 24, 2024

Ileostomy vs. Colostomy - What's the Difference?

This topic is about understanding the differences between two types of ostomies: ileostomy and colostomy. If you're curious about how they differ, here are some key points to consider:

1. Location and Construction
- A colostomy involves creating a stoma from the large bowel, usually on the left side of the abdomen.
- An ileostomy involves creating a stoma from the end of the small bowel, typically on the right side.

2. Output Characteristics
- Colostomy output tends to be more solid and formed, resembling normal stool.
- Ileostomy output can vary from watery to a thick paste and doesn't usually look like typical stool. It needs to be emptied several times a day.
- Simply put, with an ileostomy, you pass thinner output and need to empty it more often.

3. Emptying Frequency Over Time
- In the early months, ileostomy users may need to empty their pouch very frequently.
- Over several years, the frequency might settle to about 4-5 times a day, although factors like meals, the amount eaten, scar tissue, or blockages can affect this.

4. Odor Considerations
- Some ileostomy users experience little to no odor when their output is very liquid or their diet is bland.
- Strong odors are usually linked to certain foods (like onions, garlic, fish, cruciferous vegetables, beans) or medications, rather than the type of ostomy.
- Deodorizers can help, but some foods might still overpower them.

5. "Benefits" Sometimes Noted for Ileostomy
- On days with low odor, an ileostomy user might say, "my output doesn’t stink," though this can vary based on individual factors, diet, and medications.

6. Resources Suggested
- A YouTube video by an ostomy nurse explaining the differences between colostomy and ileostomy.
- A detailed UK YouTube clip that covers all types of ostomies, including urostomy.
See full discusison
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