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Jul 02, 2024

Seeking Advice on Optimal Timing for Ostomy Irrigation

Choosing the best time of day for ostomy irrigation can make a big difference in your daily routine and comfort. Here's a friendly guide to help you find what works best for you:

- Try different times to see what fits your lifestyle and work schedule best.

- Morning irrigation:
- Your colon is usually fuller after a night's digestion, which can make the flushing process more thorough.
- If you follow a low-fiber or low-residue diet, you might find you can comfortably go 48 hours between irrigations, reducing the frequency.

- Early-evening routines (around 5 PM to 6 PM):
- Typically takes about 45 minutes, with 5 minutes to instill water and the rest for emptying.
- This timing can give you an "output-free" day the next day.
- You might have some residual output overnight, so fold the irrigation sleeve into a temporary bag, clip it, and empty it in the morning.

- Nighttime (around 8 PM) is also an option; just keep an eye out for any overnight seepage.

- Water volume and technique tips:
- 1.5 liters of warm water is usually enough for many people.
- Watch for seepage while filling and clip the bottom of the sleeve to prevent spills.
- Stay relaxed during the process, as being calm can help improve the flow.

- Frequency can vary greatly: some people irrigate daily, others every other day, or even once a week, depending on diet, bowel motility, and personal preference.

- Equipment tips:
- Some users modify a Braun “irypump” to run on a 12 V mains adaptor.
- The Coloplast Assura 1-piece pouch #15879 has a wide opening that allows for in-bag irrigation.

- Practical tips:
- If using a standard pouch like the Assura #15879, plan to spend about 20 minutes kneeling over the toilet for the initial flush, then clip the bag and go about your day.
- After successful irrigation, some people can leave the stoma uncovered with just a simple dressing and an ostomy belt for 8 to 12 hours.

Finding the right time and method for irrigation can make your routine smoother and more comfortable.
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