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May 22, 2024

Colostomy Irrigation - Is My Experience Normal?

Colostomy irrigation is a process some people with a colostomy use to manage their output. It involves introducing water into the colon to help regulate bowel movements. This can be a bit of a learning curve, as everyone’s body responds differently. Here are some insights and advice to help you navigate this process:

- It's normal for some stool to be ready to exit as soon as you start irrigating. The important thing is that all the water and stool eventually come out, even if it happens in a stop-start manner.

- If you find that water is expelled quickly and not retained, you might consider increasing the volume. Starting with at least 1 liter is common, and some people find they need up to 3 liters.

- Using the right equipment can make a difference. An electric pump or a homemade pressurized system might improve efficiency compared to a gravity bag. If you're using a Coloplast irrigation bag and cone, hold the cone in place for a minute or two at the start to help relax the bowel.

- Consistency is key. Try to irrigate at the same time every day to help train your bowel. Sit comfortably and relax, as the process can take 30 minutes or more.

- Remember, the water is meant to stimulate bowel movements, not to stay inside. Don’t worry too much about retaining the exact amount of water.

- If you experience irregular water "splash back" or temporary bloating, pause the input. A lighter diet might also result in less output.

- Be patient with yourself. It can take one to two months to achieve consistent results. Keep experimenting with volume, timing, and equipment, and be open to adjusting as your body changes over time.
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