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Mar 26, 2025

Tips for Firming Stool with a Retracted Stoma

This topic is about finding ways to firm up stool for someone with a retracted colostomy stoma. When a stoma retracts, it can lead to softer, mushy output, which might cause leaks and skin irritation. Here are some suggestions to help manage this situation:

1. Experiment with foods that might thicken the output. Keep in mind that everyone’s body reacts differently, so it may take some trial and error:
- Try starchy foods like mashed potatoes, bread, and bagels.
- Consider fruits and spreads such as bananas, apples, applesauce, and peanut butter.
- Some people find that sweets like marshmallows and jelly babies help.

2. Understand that for some individuals, the output may remain loose despite dietary changes. This is a personal experience and can vary greatly.

3. If changing your diet doesn’t help, you might want to think about surgical options. Some people find that a surgical revision to correct or extend the retracted stoma is the most effective way to address chronic leakage.

4. Consider using commercial gelling products to help absorb moisture and reduce odor. For example, "Trio Pearls" gelling sachets can be placed inside the pouch to firm up the output and minimize smell.
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