This topic is about finding ways to manage the challenges of sleeping with both a stoma and a CPAP machine. The main issue is that swallowing air during sleep causes the ostomy bag to fill with air, leading to leaks and disturbed sleep. Here are some practical suggestions to help manage this situation:
1. Use an irrigation sleeve overnight:
- Attach an ostomy irrigation sleeve, fold, and clip it into a large "bag" to contain excess air and output. This method can be used for both ileostomies and colostomies.
2. Consider a night drainage system:
- Connect a 2-liter night drainage bag to a high-output pouch. Place the drainage bag on the floor or in a bin under the bed to prevent accidents.
- Ensure the tubing is free of kinks to allow air and liquid to flow smoothly.
3. Reduce air intake while using CPAP:
- Try using a nasal-only CPAP mask to discourage mouth breathing.
- If using nasal pillows or cushions, add a chin strap or medical mouth tape to keep the mouth closed.
- Consider an oral sleep-apnea mouthpiece as an alternative to CPAP or to help position the jaw to limit air swallowing.
- Have the sleep center reassess and possibly lower CPAP pressure settings, as excessive pressure can increase air swallowing.
4. General pouching tips for night comfort:
- High-output bags hold more volume and are less likely to detach, reducing the chance of leaks.
- Use barrier spray or wipes before applying any pouch for a stronger seal.
- Filtered bags can reduce gas build-up for a few days, but you may still need to "burp" the pouch once the filter clogs.
- Empty the pouch before bed and consider eating a larger lunch and a lighter dinner to reduce overnight volume.
5. Extra practical ideas:
- Empty or "belch" the pouch just before sleep to start with minimal air.
- Keep the drainage or high-output bag inside a wastebasket or kitty-litter bin in case of accidental opening.
- Remember that swallowing air is common with CPAP use; strategies to manage this include eating slowly, avoiding carbonated drinks, and managing anxiety.
