This topic is about someone who, nine weeks after having a loop ileostomy, noticed some changes in their stoma. They observed that their stoma had become larger, possibly due to increased fiber intake, and found a hard, black area on it. While cleaning, they also discovered a string underneath, which seemed to be a surgical stitch. This was confusing because they believed all non-dissolving stitches had been removed in the hospital. They were unsure if these changes were normal or if they needed to see a surgeon.

Here are some helpful insights and advice based on their experience:

1. If you notice any part of your stoma turning dark red, maroon, grey, or black, seek immediate medical attention. These colors can indicate restricted blood flow or necrosis, which can be serious.

2. If a surgeon dismisses your concerns, consider seeking emergency care elsewhere. Necrosis can progress quickly and may become life-threatening.

3. A healthy stoma should be similar in color to the inside of your mouth and should feel warm and moist, not cold or hard.

4. The fit of your ostomy appliance is important. If the barrier is too tight, it can restrict circulation. Make sure the opening allows for a slight clearance around the stoma.

5. Stitches around a stoma are typically absorbable and may take up to 10 weeks to dissolve. Avoid pulling on them with tweezers, as this can cause bleeding or injury.

In this case, the person saw a different surgeon due to insurance issues. The surgeon thought the discoloration looked greyish rather than truly black and suggested that the appliance might be too tight. They advised loosening it and keeping an eye on the situation. The person also noted that local ER staff had limited knowledge about ostomies, and previous visits were not helpful. They decided to monitor the discoloration for any spread, as they could not afford multiple surgical consultations.

The color of the stoma changed from grey to dark red, and the entire stoma became swollen. They temporarily stopped consuming fiber to reduce the swelling. The surgeon mentioned that the visible stitch should dissolve on its own, and they decided to leave it alone and observe, as dissolving could take up to 10 weeks.

The latest update was positive: the stoma returned to a healthy color with no further complications.