This topic is about exploring ways to manage colostomy output so that it happens predictably once a day or every other day. The person sharing their experience is considering two methods: traditional colostomy irrigation and using Dulcolax as a stimulant. They hope that by achieving predictable bowel movements, they can reduce accidents, use a smaller pouch or stoma cap, and make traveling easier. They are seeking advice from others who have tried these methods.
Here are some insights and advice shared by others:
1. General bowel-training without irrigation:
- Plan light meals, such as a bagel and Ensure for breakfast, and have an early supper. Taking an anti-diarrheal like Opium Tincture an hour before bed can help minimize nighttime output.
- Adjust the timing of Miralax to keep the stool loose and reduce issues like "pancaking."
2. Dietary and consistency tips:
- Using Benefiber daily can help thicken very watery output and prevent sticky, pancake-prone stool.
- Taking Miralax each morning helps some people keep their output loose and reduces pancaking.
3. Experience with Dulcolax:
- Taking two Dulcolax tablets at night can clear the bowel within about an hour. While it provides temporary control, some have switched to irrigation for more consistent results.
4. Advantages of irrigation:
- Offers near-complete continence, allowing many users to wear only a stoma cap for 24 hours.
- Convenient for travel, as it can be done in airports and hotels if a private bathroom is available.
- More commonly taught and used in the UK.
5. Irrigation equipment and technique:
- Use a water-gravity bag held 4–5 feet above the body. A Command removable hook, shower-curtain rail, or glass-suction hook can support the bag, as holding it by hand is impractical.
- Insert the cone at a slight downward angle toward the left hip and sit if possible.
- Monitor the flow meter, make small adjustments, and avoid moving the cone to prevent leaks.
- A full bag should infuse in about 10 minutes, and the irrigation sleeve should stay on for about 40 minutes to finish.
- Mastery takes practice, but once learned, it becomes routine.
6. Common hurdles and fixes with irrigation:
- Initial difficulties with fitting the cone and getting water to flow are normal. Ensure the bag is high enough and keep the cone steady.
- Lack of privacy or time (a session can take about 40 minutes) may deter some users.
7. Skin and appliance issues:
- For sensitive skin and frequent leaks, the Coloplast SenSura Mio wafer system has been helpful for one user.
- Ostomy pastes, provided by a stoma nurse, can improve adhesion.
- Allergies to standard adhesives may require trying multiple wafers, seals, and bags designed for sensitive skin.
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