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Apr 12, 2009

Understanding the Difference: Iliostomy vs. Colostomy

Understanding the difference between an ileostomy and a colostomy can be a bit confusing, especially if you're new to having an ostomy. Here's a simple breakdown to help clarify things:

- **Fundamental Distinction**
- A colostomy involves creating an opening from the colon, or large intestine. The output can range from mushy to more formed, and you might need to empty the pouch about 1 to 5 times a day.
- An ileostomy is made from the small intestine. The output is usually more liquid or porridge-like, and you might find yourself emptying the pouch around 7 to 9 times a day. Constipation is rare with an ileostomy, but if you experience no output along with pain, it could indicate a blockage, and you should visit the ER.

- **Location Clues**
- Colostomies can be located on the right, left, or across the belt line, depending on which part of the colon is used.
- Ileostomies are most commonly found on the right side of the abdomen, though they can be placed elsewhere.

- **Typical Reasons for Surgery**
- Colostomies are often performed due to conditions like colorectal cancer, Crohn’s disease, a ruptured diverticulum, or stool incontinence.
- Ileostomies might be necessary for ulcerative colitis with colon removal, some cases of Crohn’s disease, or as a temporary measure to allow a reconnection site to heal.

- **Practical Guidance**
- If you're unsure about your type of ostomy, ask your surgeon or an ostomy nurse. They can also help with any skin or appliance issues you might have.
- For more information, you can visit the United Ostomy Associations of America website at www.uoaa.org. Navigate to “Ostomy Info” and then “Ileostomy” for a detailed guide.
- The Phoenix magazine offers inspirational stories, product updates, and other resources for those with an ostomy.

- **Product Tip**
- Odor-control and thickening gel packs, which come in bags of 100, can help reduce odor and thicken the liquid output in an ileostomy pouch.
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