This topic is about some concerning issues that someone is experiencing with their urostomy. They are noticing several changes and are seeking advice on what might be happening and whether they should see a doctor. Here are the details and some helpful advice:

- The skin around the stoma has turned a blue-black color, is painful, and there is redness and itchiness nearby.
- The stoma itself looks red and generally healthy but bleeds a little.
- The urine is very dark and has a bad smell.
- The inside of both the daytime pouch and the nighttime drainage bag are turning purple.
- There is no fever, but there is extreme nausea, especially at night.
- The abdominal area on the side of the stoma is visibly bulging.

Advice and insights include:

1. It is important to see a doctor, stoma nurse, or urologist as soon as possible. Early assessment can help prevent serious complications.
2. Possible causes for these symptoms could be:
- A kidney or urinary tract infection, which might explain the dark, foul-smelling urine and nausea.
- Kidney stones, which can also cause dark urine with an odor. A suggested home check is to void into a clear jar and look for reddish "sand-like" sediment.
- A peristomal hernia, which could be causing the bulging around the stoma.
- A blockage or urinary stone causing a backup and infection.
- Potential gastric bleeding, as noted by one member, since purple or black discoloration in the pouch combined with nausea should be reviewed by a medical professional.
3. The dark or black peristomal skin is not normal and needs professional evaluation and treatment.
4. Prepare specific questions for the doctor, such as:
- Could I have a urinary infection or kidney stone?
- Is the bulge a peristomal hernia, and what are the management options?
- What is causing the discoloration of my pouch contents and skin?
- What tests, like urinalysis, imaging, or blood work, are needed?
5. Collect a urine sample in a clear glass jar before the appointment to show the color, odor, and any sediment to the doctor.