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Aug 08, 2015

Irrigation Frequency - Daily or Every Other Day?

This topic is all about finding the right irrigation schedule and equipment for ostomy care, specifically looking at whether to irrigate daily or every other day. The person who started the discussion currently irrigates every evening and is curious about the potential benefits or drawbacks of changing their routine. Here are some helpful insights and advice shared by others:

1. Irrigation Frequency
- Many people find success with irrigating every other day. It might be worth trying this schedule for a week to see how it works for you.
- Some individuals irrigate daily, or even twice daily, without any issues. The right frequency can depend on your diet, fiber intake, and personal anatomy.
- One person mentioned irrigating twice a day for pain relief, using 6 liters in the morning and 2 liters in the afternoon. Frequent irrigation is generally safe unless there are specific medical concerns like prolapse.

2. Water Volume, Timing, and Routine
- Common water volumes used range from 1.5 liters to 6 liters.
- Popular times for irrigation are in the morning before breakfast or in the early evening. It's important to stick to a consistent routine for at least a week when trying something new.
- Waiting times after irrigation can vary from immediate evacuation to up to an hour. Longer waits can help ensure less output later on.
- A tip from a stoma nurse is to flush a small amount of water first to clear any hard stool, then proceed with the rest.

3. Equipment Tips
- Many users cut disposable sleeves to a shorter length. Dansac Irridrain disposables and various reusable sleeves are popular choices. Some people create DIY adapters to prevent leaks, and reusable sleeves can last around 20 days.
- After irrigation, most people wear a small security pouch or stoma cap to manage any minor output. Hollister offers small two-piece bags, and Coloplast used to have a two-piece stoma cap.
- For pressurized delivery, the Braun Irrimatic is a commercial option, though it can be pricey. A DIY alternative is using a 5-liter garden sprayer, which offers benefits like easy placement and better temperature retention.

4. Diet Considerations
- Adjusting your fiber intake, such as through cereal or muesli, can help match your irrigation frequency. Higher fiber diets might require more frequent irrigation.

5. Colon Safety
- Many members have been reassured by surgeons that regular irrigation, even on a daily basis, will not harm the colon. The sigmoid colon is designed to handle frequent, large-volume evacuations.

6. Miscellaneous Tips
- Cutting sleeves to sit about an inch above the toilet water can help reduce splashing.
- For those with hernias, pressurized systems can be gentler, as the water creates space before inserting the cone.

These insights can help guide you in finding the best irrigation routine and equipment for your needs.
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