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Nov 03, 2012

Understanding Irrigation in Colostomy Care

Understanding irrigation for colostomy management can be a bit confusing at first, but it's a helpful procedure for many people with a colostomy. Let's break it down into simple terms and offer some useful advice.

Colostomy irrigation is a method used to flush out the colon, allowing individuals to have more control over their bowel movements. This means they might not need to wear a pouch that fills up unpredictably. It's important to note that this procedure is suitable only for those with descending or sigmoid colostomies and should be approved by a surgeon or stoma nurse.

Here are some key points to consider:

1. **Timing After Surgery**
- It's generally recommended to wait at least six weeks after surgery before starting irrigation. This gives the stoma time to settle.

2. **Frequency & Time Commitment**
- Irrigation can be done daily or every other day, with each session taking about 30 to 60 minutes.
- Many people find that between sessions, they can use a small cap or dressing instead of a full pouch.

3. **Technique Resources**
- Watching a short instructional video can be helpful. You can find one here: https://www.youtube.com/watch?v=g14kbuw1fU8
- It's also beneficial to get hands-on guidance from a stoma nurse or experienced members of local ostomy support groups.

4. **Equipment Tips & Product Mentions**
- An irrigation set typically includes a water bag, cone or catheter, and a drainage sleeve.
- The Dansac Irridrain tube is popular for its extra length, allowing comfortable use while standing.
- Some people create a homemade device to rinse the stoma and direct waste into the toilet.
- If you have a hernia, you might need to use gentle pressure, like a hand-pump device, to help the water flow past any partial blockages.
- After successful irrigation, some switch from a pouch to a cover, using large wound dressings or a large sticking plaster. Cutting a small slit at the top can help vent gas and prevent ballooning.

5. **Key Success Factors**
- Staying well-hydrated and maintaining regular exercise can significantly improve the results of irrigation.
- Persistence is important. While the process might seem tedious initially, it can lead to fewer leaks, fewer bathroom trips, and greater confidence.

6. **Precautions**
- Always ensure that irrigation is medically suitable for you, especially if you have conditions like active disease, prolapse, or a short bowel.
- If you experience pain, bleeding, or unusual resistance during irrigation, stop and seek professional advice.

By understanding these aspects, you can make informed decisions about whether colostomy irrigation is right for you and how to go about it effectively.
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