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Jun 06, 2024

Preventing Colostomy Bag Explosions - Tips Needed

Topic Explanation:
The discussion in the forum revolves around seeking advice on how to prevent explosions in a colostomy bag, particularly due to issues with watery output. The original poster expresses concern about the limitations this issue imposes on their daily life, including their ability to return to work. They mention their current diet includes smoothies with flaxseed and chia seeds, which may be contributing to the watery consistency of the output.

Advice and Helpful Insights:
1. Diet Adjustments:
- Consider modifying your diet as flaxseed and chia seeds can act as laxatives, potentially causing loose stools. Milk products may also contribute to this issue.

2. Bag Management Techniques:
- Empty the colostomy bag more frequently to manage the volume and pressure.
- Use a lubricant or deodorant inside the bag to help the output slide to the bottom, preventing accumulation at the top which can lead to explosions.
- Introduce air into the bag to prevent pancaking (output sticking at the top of the bag). This can be done by slightly unsnapping the bag flange to let air in and then resealing it.
- Consider using a two-piece system which allows for easier management of gas and output. This system also facilitates the 'burping' of the bag (releasing excess air).

3. Irrigation:
- Explore stoma irrigation, which can significantly reduce or eliminate the output during the day. This method involves flushing the colon with water to control when eliminations occur, potentially allowing for more freedom from the bag.

4. Product Choice and Care:
- Ensure you are using a reliable product. Brands like Hollister have been noted for their durability and effectiveness in preventing leaks and explosions.
- Regularly rearrange the output within the bag if it tends to collect on one side, especially if a peristomal hernia is present.
- Consider wearing a retention belt to support the bag, especially if it becomes heavy.

5. General Maintenance:
- Rinse the bag with warm water during emptying to maintain cleanliness and function.
- Regularly change the wafer and the bag as per the usage and output level to ensure optimal performance and comfort.

By implementing these strategies, individuals with a colostomy may experience fewer complications and greater confidence in managing their condition.
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