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Mar 02, 2024

Colonoscopy with a Colostomy Bag - Seeking Advice on Enema Procedure

This topic is about preparing for a colonoscopy when you have a colostomy bag. The person sharing their experience is feeling a bit anxious because, unlike previous procedures, they need to use a rectal enema on the morning of the colonoscopy. They are seeking advice on how to manage this with a colostomy bag.

Here are some helpful insights and advice from others who have been through similar situations:

1. Many people with a colostomy have had colonoscopies. Typically, the scope is inserted through the stoma, and any necessary enema or flexible sigmoidoscopy to check the rectum is usually manageable without major issues.

2. It's a good idea to bring an extra set of ostomy supplies, like pouches and wafers, to the hospital just in case you need to change them after the procedure.

3. The procedure is usually brief and painless when done under sedation, and there are generally no problems with the stoma afterward.

4. If a full bowel prep is required:
- Consider using an extra-large, high-capacity drainable pouch with a tap, which allows for less frequent emptying.
- Hollister can provide these large-volume bags, and a wound/ostomy nurse can help arrange for them to be shipped to you.
- At night, you can connect the tap to long tubing that drains into a bedside collection bag, which helps avoid multiple trips to empty the pouch.

These tips aim to make the process smoother and more comfortable for anyone with a colostomy facing a colonoscopy.
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