Topic Explanation
The forum discussion revolves around concerns for new ostomates, specifically those with a colostomy, and whether they need to wake every three hours due to output. The original poster is preparing for a colostomy and is anxious after seeing a video suggesting frequent nighttime awakenings are necessary for new ostomates.
Advice and Insights
1. Initial Output and Diet:
- Early post-surgery, output may be loose and watery, but it stabilizes as you start eating solid food.
- Output patterns can vary, but many find it similar to pre-surgery once the diet is normalized.
2. Nighttime Output:
- Many colostomy patients report not needing to wake up every three hours at night.
- Some experience little to no output during sleep, especially if they manage their diet and meal timing.
- A few individuals do wake up due to gas or bladder issues rather than output.
3. Irrigation and Control:
- Irrigation can help manage output and provide more control, reducing nighttime disturbances.
4. Dietary Adjustments:
- Eating earlier in the evening and avoiding large meals before bed can help minimize nighttime output.
- Some find that bland foods for dinner and proper hydration help manage nighttime activity.
5. Individual Experiences:
- Experiences vary widely; some never wake up at night, while others do due to different factors like gas or bladder needs.
- It's important to understand that each person's situation is unique, and what works for one may not work for another.
6. Managing Expectations:
- Many find the reality of living with a colostomy less daunting than expected.
- It's a learning curve, and patience is key as you adjust to new routines.
7. Practical Tips:
- Using a pillow under the knees or an orthopedic bed wedge can help with comfort if sleeping on the back is necessary.
- Setting an alarm may be helpful initially if you're concerned about waking up to check the bag.
8. Emotional Support:
- Fear and anxiety are natural, but staying positive and informed can help manage these feelings.
- Engaging with support communities can provide valuable insights and reassurance.
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