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Jun 13, 2024

Managing Excessive Noise from Wind Post-Colostomy

Managing excessive wind noise after a new loop colostomy can be a bit challenging, especially when you're just a few weeks post-surgery. This topic is about dealing with those sudden, loud gas releases from the stoma, which can be quite surprising and sometimes embarrassing, particularly in quiet or intimate settings. Here are some tips and insights that might help:

1. Consider over-the-counter anti-gas medication like Gas-X (simethicone) tablets, which can help reduce the volume of gas.

2. Try some behavioral tricks for when the noise occurs:
- Cough loudly to cover up the sound.
- Light-heartedly acknowledge it by saying it's the stoma or jokingly ask those around you, "Was that you?" to ease any embarrassment.

3. Explore products and DIY solutions to prevent the stoma outlet from vibrating:
- Some people used Coloplast stoma plugs, which are now discontinued, but if you can find them, they might help.
- A DIY option involves modifying a Vicks nasal-spray tube. Cut the screw-on outside section to act as a retaining nut, add a washer or wafer to prevent movement, and loosely pack the tube with cotton wool. This allows wind to pass but stops the stoma wall from vibrating. It's most effective for those who irrigate, as output might dislodge it otherwise.

4. Manage your diet and how you swallow air:
- Drink peppermint tea or use IBgard (peppermint-oil capsules) to help reduce gas production.
- Avoid talking while eating, smoking, using straws, chewing gum, sucking candies, or gulping drinks to minimize swallowed air.
- Identify and avoid personal trigger foods. For some, candy, high-fat foods, and apples can increase noise.

5. Be patient. Many people find that stoma noise decreases as more time passes after surgery. Since you're only four weeks out, it might just take a little more time for things to settle down.
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