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Nov 20, 2015

Ileostomy Op Date - Questions about Medications?

The topic at hand is about preparing for an upcoming ileostomy surgery, which is scheduled for December 4th. The person is getting ready for the procedure and has a few questions and concerns, particularly about medications, stoma placement, and skin reactions. Here are some helpful insights and advice gathered from the discussion:

1. **Medication Absorption**
- If a pill dissolves in about 30 minutes, it should be absorbed before reaching the stoma. You can test this by dropping a pill in a glass of water.
- If tablets pass through intact, consider splitting or crushing them (if safe) or switching to faster-dissolving or liquid versions.

2. **Stoma Siting**
- During the marking process, try bending, sitting, twisting, and lying down with a sample pouch to ensure comfort. Adjust the spot if it rubs or folds.
- Proper siting can help prevent leaks and skin issues later on.

3. **Pre-op Information**
- Ask the nurse for an ostomy information CD/DVD. If it's not available, you can contact UOAA.org for a free copy in the USA or look for a UK equivalent.

4. **Practicing Appliance Use**
- Wear a test pouch at home, even half-filled with water, to get used to the weight and check for comfort.
- Expect some trial and error, as routines can vary based on body shape and stoma type.

5. **Managing Skin Sensitivity & Adhesives**
- The stoma nurse can place wafer samples from different manufacturers on your arm for 24 hours to check for reactions.
- Barrier wipes or creams can help reduce trauma when removing the pouch.
- If one brand irritates your skin, try others. Coloplast SenSura Mio and various barrier creams are often gentler and available as free samples.
- Local support groups and manufacturer roadshows often provide additional samples.

6. **Emotional & Practical Recovery**
- The early weeks can be challenging, so try to maintain a positive outlook and ask for help when needed.
- Most people return to normal activities like shopping and cycling within weeks. Naming the stoma and using humor can help with coping.

7. **Resources & Extras**
- Websites like UOAA.org offer educational materials. You can also find personal ostomy memoirs like "Stanley and Me Make Three" on Amazon, Barnes & Noble, and TatePublishing.com.
See full discusison
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