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Oct 19, 2016

Relief for Leakage and Skin Damage - Fecal Flushing Technique

The topic is about a technique called "fecal flushing" that can help people with ostomies manage issues like leakage, skin erosion, and burning pain. This method involves rinsing the ostomy pouch with water to keep it clean and reduce skin irritation. Here’s how it works and some helpful tips:

1. Start by emptying your pouch as you normally would, using your thumbs to push out any thicker waste.

2. Pour plain tap water into the pouch. Using a small plastic funnel can make this step easier.

3. Swish the water around inside the pouch several times, then drain it. Repeat this process until the water runs almost clear.

4. Try to do this quick rinse every time you empty the pouch or when it’s about a quarter to half full.

Benefits of this technique include:

- It helps flush away acidic waste before it can seep under the seal and damage the skin around the stoma.
- It can reduce burning pain almost immediately, allowing you to wear the appliance longer between full changes.
- When combined with two layers of skin-barrier film and a stronger adhesive wafer, it can lead to minimal leakage and a noticeable improvement in skin condition within a week.
- Some people also use a homemade pressure gasket or O-ring and a belt to secure the wafer after each flush.

Additional advice and insights:

- Many people already use this water-rinse method to prevent soreness and extend the wear-time of their pouch or flange.
- Suggested tools for rinsing include an irrigation sleeve, a sports water bottle with a long, angled spout, or an ordinary spring-water bottle refilled at the sink.
- For beginners, here’s a step-by-step recap:
1. Empty the pouch into the toilet.
2. Add about half a bottle of water.
3. Swish the water so it passes over the stoma and around the pouch.
4. Drain and repeat until the water is mostly clear.
- Make sure the wafer opening fits snugly around the stoma. If you suspect output is getting behind the flange, a full appliance change is still recommended.
- Regular rinsing allows some users to keep a pouch on for up to three days without irritation.
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