This topic is all about finding the best way to clean the end of a drainable ileostomy or colostomy bag. If you're new to this, it can feel a bit overwhelming, but with some practice and the right tips, it can become a smooth part of your routine. Here are some helpful insights and advice from others who have been in your shoes:
1. General Approach
- There isn't a one-size-fits-all method. Do what makes you feel clean and confident.
- With practice, you'll get faster and more efficient, often taking less than a minute.
2. Dry-Wipe Methods
- Many people use toilet paper or tissues. Start by wiping the outside edge, then fold the paper and clean the inside of the tail.
- Thicker toilet paper works better. Some people prepare a few pieces in advance to make the process quicker.
- Cutting a small notch in the pouch tail can make it easier to open later.
3. Wet-Wipe Methods
- Baby wipes or plain water wipes are great for a final clean, especially when you're out and about. Carry them in a Ziploc bag for convenience.
- Be cautious with "flushable" wipes as they can clog plumbing. It's safer to dispose of them in the trash at home.
4. Water Rinse Techniques
- Pour or squirt warm water into the pouch, swish it around, and then drain. This is helpful for thicker output.
- Hand-held shower heads or small spray bottles can be useful, but be careful not to use too much water as it can affect the pouch's filter or wafer.
5. Accessories and Products
- Some people use specific pouches like the Coloplast Sensura Mio with a Velcro roll-open tail.
- Deodorant drops can help control odor, and disposable gloves can make cleaning tidier.
- A few drops of baby oil in the pouch can help stool slide out more easily.
6. Positioning and Time-Saving Tips
- Find a comfortable position, whether sitting, standing, or using a shower chair.
- Crimp the new pouch tail while it's clean to make future openings easier.
- If suitable, using Imodium can reduce the frequency of needing to empty the pouch.
7. At-Home vs. Away-From-Home
- At home, many rely on toilet paper and save wipes and extra water for tougher clean-ups.
- When out, carrying baby wipes or a small spray bottle can be handy, and pre-cut toilet paper pieces can help if you need to manage with one hand.
Remember, it's all about finding the right balance of cleanliness, speed, and practicality that works for you. Over time, your routine will become quicker and less awkward.
See full discusison