This topic is about the safety of using a regular enema bottle for colostomy irrigation while traveling abroad. The person in question has had significant portions of their colon removed and is concerned about managing their colostomy during a multi-leg international flight, especially since they are in a country with limited medical resources.

Here are some helpful insights and advice:

1. Do not use a standard enema bottle tip in a stoma. The rigid nozzle can cause serious injury by perforating the colon. If an enema is necessary, a Foley catheter specifically designed for stoma insertion should be used.

2. In situations where local medical support is limited, it is safer to avoid irrigation altogether. Instead, consider using an oral laxative to manage bowel movements without risking injury from makeshift equipment.

3. Traveling without the proper irrigation gear can be stressful. To avoid this anxiety in the future, plan ahead and ensure you have a complete irrigation set with you when traveling.

The person also experienced a shingles outbreak, likely due to stress, and managed to increase their output gradually after returning home by eating carefully, staying hydrated, and taking long walks. They were cleared to fly by a local doctor, as they had no pain, fever, or nausea, but were advised to seek immediate care if any of these symptoms appeared.