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Feb 22, 2018

Safe alternatives to irrigating?

This topic is about finding safe and effective alternatives to colostomy irrigation that can provide predictable and long-lasting results. The person asking the question is looking for simpler options, like a pill or drink, and is considering discussing the use of laxatives with a doctor.

Here are some insights and advice shared by others:

1. There is no alternative that matches the quick and predictable results of irrigation. Many suggest trying irrigation first.
2. Irrigation typically takes 30 to 60 minutes per session. Many people find that it keeps them "dry" for the rest of the day, offering more freedom and confidence.
3. Irrigation is generally safe when done correctly, as it uses plain lukewarm water.
4. Equipment options for irrigation include:
- A commercial pump from Braun, which is reliable but can be expensive.
- DIY options like a hand-pressure garden sprayer or a battery-operated camping shower, used with a plastic cereal container and an adhesive temperature strip from a gravity bag.
5. Laxatives and stimulants:
- Products like Senokot (senna) can cause severe cramping, nausea, and fluid and nutrient loss, and they usually take 12 to 24 hours to work. One person reported becoming very sick and stopped using them.
- Some find that senna tea taken at night works well, with output occurring during sleep and minimal daytime flow. However, effectiveness and tolerance can vary, and long-term use should be discussed with a doctor.
6. Suppository foam products have been mentioned but are often described as messy and unreliable.
7. The consistency of the output can affect irrigation efficiency. Those with very watery stomas may find irrigation less effective, and results can vary, so trying it out is recommended.
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