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Jul 16, 2024

Octreotide Injections and Changes in Ileostomy Output

This topic is about a person with short-bowel syndrome who experienced a sudden change in their ileostomy output after starting octreotide injections. They were concerned because the output turned dark-green, a color they usually associate with infection. Here are some helpful insights and advice shared by others:

1. The change in color might be a temporary effect of octreotide.
- Someone else mentioned experiencing the same dark-green output for a day or two after each dose of octreotide.

2. If you are administering the injection subcutaneously, here’s a simple technique:
- Pinch a fold of skin on the back of your arm, inner thigh, or lower abdomen, away from the stoma.
- Clean the area with alcohol and let it dry.
- Insert the needle and press the plunger to inject the medication.
- It’s important to receive proper instruction on this before leaving the hospital, and the lack of education was noted as a concern.

3. It’s crucial to seek professional follow-up right away.
- Reach out to the hospital ward, a duty nurse, or a stoma/IBD specialist nurse for guidance on:
- The correct dose and method of administration (intramuscular vs. subcutaneous).
- Storage requirements, like whether the medication needs refrigeration.
- Proper disposal of needles.
- Whether the dark-green output is expected or if it indicates an infection or dehydration.

4. Always feel free to ask healthcare providers for detailed guidance and reassurance to prevent any complications.
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