This topic is about finding solutions for someone who has had their ileostomy moved higher on their abdomen after hernia surgery. The standard 12-inch pouches they used before are now too short, making it difficult to empty them without making a mess. They are looking for longer ileostomy pouches and are feeling quite frustrated with the situation.
Here are some helpful suggestions and insights:
1. Search for extra-long or high-capacity pouches. Some people have found that Coloplast offers a "long, large-capacity" pouch. It might be worth asking suppliers or requesting samples to see if they have what you need.
2. Consider using irrigation sleeves instead of standard bags. Brands like Dansac, Hollister, and Coloplast offer sleeves that are long enough to reach into the toilet. These can be folded or pegged at the top and are easy to rinse.
3. Use an intermediate container to avoid spillage:
- Hold a large plastic cup, bowl, or container at a comfortable height to empty the pouch into.
- Keep a container in the sink, empty the pouch slowly, flush the contents, and rinse the container. Replace the container monthly.
- When traveling, carry flushable, biodegradable dog-waste bags. Empty the pouch into the bag and then drop the bag into the toilet.
4. Adjust your body or equipment position:
- If possible, kneel in front of the toilet to make emptying easier.
- Use an adjustable rolling medical tray, which costs around $40 on Amazon, to hold the bowl or container at the right height while standing.
5. Preparation tips: Pre-fold toilet paper to wipe the outlet and keep it clean. Always point the pouch outlet up after emptying to avoid drips.
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