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Oct 28, 2025

Pus Coming Out Around Side of Stoma

This topic is about a person who is experiencing green pus coming from the skin near their 11-day-old ileostomy site. Their primary-care doctor thinks it might be an abscess at the suture line and has suggested they return to the hospital for further examination, possibly including a CT scan and surgical review. The person is understandably worried, as they have been following all post-operative instructions and are seeking reassurance from others who might have had similar experiences.

Here are some helpful pieces of advice and insights shared by others:

1. Seek prompt medical treatment:
- It is important to return to the hospital or see a surgeon who specializes in stomas as soon as possible, as green pus can lead to more serious infections like sepsis.
- Ask about getting the right antibiotics; flucloxacillin was mentioned as a possible option.

2. Understand that abscesses and suture-line infections are common:
- Many people have experienced similar issues, such as peri-stomal or postoperative abscesses, which often clear up with drainage and antibiotics.
- Early detection and treatment usually result in a full recovery.

3. Manage pain and monitor symptoms:
- Keep an eye on the color and consistency of any output; report any unexpected bile-colored fluid around the stoma.
- Be alert for increasing pain, swelling, or systemic symptoms like fever and chills.

4. Protect your skin and ensure your appliance fits well:
- Make sure the opening of the wafer matches the current size of your stoma. Even a small gap can allow effluent to damage the skin.
- Hollister offers downloadable oval templates to help size a loop colostomy or ileostomy accurately, which can be found on their website.

5. General encouragement:
- Early postoperative issues are common, and addressing them quickly is crucial.
- Advocate for yourself, especially if local healthcare providers lack expertise in stoma care. Insist on seeing the right specialist when needed.
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