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Nov 07, 2025

Any Cons to Irrigation for Colostomy Patients?

This topic is about the pros and cons of colostomy irrigation for someone undergoing chemotherapy. The person in question has a loop colostomy due to colorectal cancer and is considering irrigation as a way to manage their ostomy. They are curious about any potential downsides, especially since they have only heard positive things so far. Here are some insights and advice gathered from discussions and experiences:

1. After consulting with medical professionals, it was suggested to delay irrigation until after chemotherapy. This is because chemotherapy can cause neutropenia, which increases the risk of infection during irrigation. Since the current appliance is working well, waiting seems like a safe option.

2. A common downside of irrigation is the time commitment. It requires a regular schedule, which can be challenging, especially when traveling or dealing with time zone changes.

3. On the positive side, if irrigation doesn't work out, it's easy to switch back to the regular appliance without any issues.

4. Many people who have successfully used irrigation for years report benefits like fewer leaks, a nearly empty pouch for 24 to 48 hours, and the ability to work full-time without worry.

5. Some tips for making irrigation more manageable include:
- Adjusting the frequency of irrigation based on meal size or output levels, typically every 36 to 48 hours.
- Creating a comfortable bathroom setup with a chair, TV, or other relaxing elements can make the process more pleasant. Some even take a nap during irrigation.

6. Occasionally, unexpected outputs can happen, but they are usually minor.

7. While some people find the time required for irrigation frustrating, many still see it as a significant improvement over wearing a partially filled bag all the time.

8. For those who are medically cleared to try irrigation, there seems to be little risk involved, with most concerns being about time and scheduling rather than health.
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