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Jul 09, 2016

Ostomy Blockage Help Needed

This topic is about managing colostomy blockages and considering colostomy irrigation as a potential solution. Here are some helpful tips and insights for dealing with these issues:

- Identify possible causes of blockage:
1. Not chewing food thoroughly can leave it too coarse.
2. Eating large meals at once may overload the bowel.

- Immediate at-home measures for easing a mild blockage:
1. Drink more water.
2. Use a warm-water bottle on your abdomen or take a warm bath.
3. Gently massage your belly.
4. Remove the flange, cover the stoma with a plastic cover or towel, and relax while using warmth and massage.
5. If you experience severe pain or no relief within 8 hours, seek medical attention.

- Dietary adjustments to prevent future blockages:
1. Avoid corn and other hard-to-digest foods.
2. Cook vegetables until they are soft, preferably by steaming.
3. Be aware that gas-producing vegetables can inflate the pouch.
4. Some people use daily osmotic laxatives like Clear Lax, CitroMag, or Magnalax with a doctor's approval to help draw water into the intestine and reduce "pancaking."

- Consider colostomy irrigation as a long-term solution for constipation-type blockages:
1. Flushing the colon with warm water can empty stool and allow users to wear a small adhesive stoma patch instead of a bag.
2. Start with an irrigation kit that includes a cone, water bag, wafer, and sleeve.
3. Perform irrigation at the same time each day (or every other day) to train the bowel; do not skip sessions.
4. Expect a forceful return flow initially—quickly seal the top of the sleeve.
5. A flat or recessed stoma is usually not a problem; the cone slides in easily.
6. Between irrigations, wear a stand-alone stoma patch or a wafer with a tiny cover.
7. During irrigation, attach the sleeve to a wafer, then discard and apply a new patch afterward.
8. Clean the area afterward with a warm water rinse inside the sleeve; some use a squeeze bottle for less mess.

- Laxatives vs. irrigation—key differences:
1. Laxatives affect the entire gut, while irrigation only empties the lower bowel.
2. Long-term laxative use should be monitored by a physician; stimulant products like Senokot can cause cramping, whereas osmotic types like Clear Lax generally do not.
3. Irrigation offers predictable control and freedom from wearing a pouch but may not be suitable for people with severe IBS or motility disorders.

- Hydration support: Drink plenty of fluids, such as water or Gatorade, whenever using laxatives or irrigating.
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