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Aug 03, 2018

Irrigation techniques and equipment for stoma care - Seeking advice and tips

This topic is all about sharing tips and advice on irrigation techniques and equipment for colostomy care. If you're new to this or looking for some practical guidance, here are some insights from fellow colostomates:

1. **Scheduling & Frequency**
- Most people find that irrigating every 24 hours works best, though some can stretch it to 30–36 hours. A 48-hour interval might not be reliable for everyone.
- Evening sessions can be convenient, allowing you to finish before bedtime.
- Sticking to the same time each day can help train your bowel and reduce unexpected surprises.

2. **Technique & Volume**
- Sessions can take up to two hours, especially if your system is slow. Walking around with the sleeve pinned up can help speed things along.
- If you experience cramps, pause the flow, wait a bit, and then restart slowly. Water at about 75 °F (24 °C) is often ideal.
- Gently lubricating and inserting a finger first can help the cone seat well, allowing the full 1.5 liters to be infused without back-leak.
- Some people use up to 3 liters without issues, but the required volume can vary from person to person.

3. **Equipment Tips**
- The Convatec Visaflo irrigation bag is popular for its built-in water wheel that shows the flow.
- Convatec New Image irrigator sleeve and belt fit snugly, and the tail can be tucked into underwear.
- An ordinary ostomy belt can hold a sleeve, and placing an old towel on the floor can catch any splashes.
- Homemade rigid baseplates with two safety belts can prevent sleeves from peeling off.
- Clothespins can be a cheap and reliable substitute for sleeve clips.
- Some people use two large plastic cups over the toilet instead of bulky sleeves.

4. **Coverings After Irrigation**
- Hollister 1796 patches are available at various prices online.
- Small closed pouches that snap onto a two-piece flange can be used.
- Coloplast two-piece caps lined with gauze or makeup-remover pads can absorb any seepage.
- Nexcare Waterproof/Tagaderm-style bandages with absorbent pads are great for swimming or intimacy.
- Many still wear a normal pouch at night if they suspect late output.

5. **Lubricants**
- Aquagel (Ecolab) is available via prescription.
- KY Jelly is a more affordable over-the-counter option.

6. **Diet Guidance**
- A high-protein, low-fiber diet can help extend the time between irrigations. Gradually reduce fiber intake.
- Keep track of foods that might trigger issues, like salmon for some.
- Drinking a glass of water just before irrigation might improve results.

7. **Cost-Saving Ideas**
- Request free samples from companies like Convatec, Hollister, and Coloplast.
- Check suppliers like Edgepark or Mega Medical, and look for discounts on eBay.
- Clean and reuse sleeves with warm water, vinegar, baking soda, and dish soap.

8. **Hernia Considerations**
- One member has been irrigating for over 10 years and developed a hernia from heavy lifting, not irrigation. It didn't recur after repair with careful lifting habits.
- If you have an existing hernia, consult a stoma nurse or surgeon before changing your irrigation routine.

9. **Learning Resources**
- There are helpful YouTube tutorials available, and member photo galleries can provide ideas for homemade gadgets and setups.
See full discusison
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