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Apr 14, 2012

Tips for Beginning Irrigation at the Hospital

Starting colostomy irrigation can be a new and sometimes challenging experience, but with the right tips and insights, it can become a manageable part of your routine. Here are some helpful pieces of advice from those who have been through it:

1. **Learning Resources**
- Watching a step-by-step video on YouTube can provide a clear demonstration of the process.

2. **General Benefits & Expectations**
- Regular irrigation can help train your bowel, reduce or even eliminate daytime output, and improve your quality of life, especially if you have a physically demanding job or an active lifestyle.
- Keep in mind that not everyone finds success with irrigation, as results can vary and it requires a time commitment.

3. **Scheduling & Routine Suggestions**
- Common schedules include daily after breakfast, every other day, or in the evening around 7-8 p.m. to manage any residual output at home.
- Consistency is key, but be ready to adjust your routine if needed.
- Some people fast for a few hours before irrigation, while others prefer to eat first with a hot drink to stimulate the bowel. Experiment to find what works best for you.

4. **Water Volume & Technique**
- Typically, about 1.5 liters of lukewarm water is used for irrigation.
- Some prefer a gravity drip method, while others use a homemade pressure-input system or an electronic irrigation pump.

5. **Waiting & Completion**
- After instilling water, allow about 60 minutes for evacuation. Full session times can range from 25 minutes to an hour.
- If you feel fatigued, lying down for 15 minutes afterward can be helpful.

6. **Post-Irrigation Eating**
- Having a light meal soon after rinsing can help clear any remaining stool.

7. **Pouches, Caps & Accessories**
- Small closed-end or "mini" pouches are less noticeable and stay flat.
- Some people wear only a stoma cap or plug during the day, while others keep a mini-pouch for added security.
- Always carry spare sleeves or pouches when traveling to avoid issues if you forget your equipment.

8. **Diet Considerations**
- A lower fiber intake can extend the clear period to 48 hours or more, while a high-fiber diet may require daily irrigation.
- Keep an eye on any unusual foods that might lead to unexpected output.

9. **Troubleshooting Inconsistent Results**
- If you experience output between planned sessions, review your recent diet, consider shifting irrigation to the evening, and stay adaptable. Occasional setbacks are normal, so don't be discouraged.

10. **Lifestyle Notes**
- Many people successfully irrigate while working in heavy labor, driving long distances, camping, or taking multi-day train trips.
- Some find it helpful to fold and seal the irrigation sleeve overnight "just in case," though it's rarely needed.

These insights can help you navigate the process of colostomy irrigation with more confidence and ease.
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