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Mar 20, 2024

Need Advice on Emptying Ileostomy Bag in Public

This topic is about finding ways to comfortably and confidently empty an ileostomy bag in public without needing to kneel or straddle a toilet. A 73-year-old person, who had surgery a year ago, is looking for practical solutions to manage this task and reduce leaks, so they can feel more at ease leaving home. Here are some helpful tips and advice:

1. Practice at home by sitting normally on the toilet, scooting back, and draining the pouch between your legs. Many public toilets in the U.S. have split-front seats, which can make this easier. Be cautious of automatic flush buttons, especially on airplane toilets.

2. To prevent splashing, place a few sheets of toilet paper in the bowl before emptying and release the output slowly.

3. Consider using alternative emptying aids:
- Carry a disposable paper or plastic cup to empty into, then pour the contents into the toilet and discard the cup.
- Use a three-sided container held between your knees, lined with a small plastic bag. After use, knot the bag and discard it.

4. Ostomy bag liners, like Colomajic, can be helpful. Keep a liner in the pouch and have a second liner-loaded pouch ready in your bag. Simply snap off the used pouch, cap on the clean one, and dispose of the liner later.

5. Build your confidence by taking short trips outside and gradually increasing the time away as you become more comfortable with public emptying.

6. For leak prevention:
- Consult an ostomy nurse for personalized fitting help. You can find one at a local hospital's wound-care department or through your supply manufacturer's helpline.
- Experiment with different pouching systems, as most brands offer free samples and telephone support.
- Use moldable barrier rings, cutting small pieces to place where leaks usually occur. Pre-warm the wafer against your abdomen, remove the backing, apply, and press by hand for 1-2 minutes.

7. If frequent emptying is a concern, talk to your gastroenterologist about bowel-slowing medications and adjust your diet to thicken the output. Some manufacturers offer extra-large pouches that fit certain barriers.

8. Prepare a public-toilet kit with a zip-lock bag containing baby wipes or seat covers. Use these to wipe the seat, pouch tail, and your hands before reaching the sink.

9. At home, consider using a Kohler power-flush toilet with an open-front elongated seat. This setup allows for easy forward-sitting emptying and mimics many public seats, helping you practice.
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