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Suggestions for colostomy irrigation

Posted by Bettyjoe, on Sun Sep 11, 2016 12:43 pm

Hello  I started the irrigation process early this morning.  I had everything that I needed with me and for one strange reason or another it did not respond.  I placed teh cone in my stoma and low and behold nothing.  What did happen was that the water would filter out while the cone was in and fell into the sleeve but, not all of it 1.5 liters.  I am hoping that this model will work for me. I did reinsert the coe severa times.  Where did all of tha water go.  On my end it si 12:42.  It has been several hours know.  I am going to try again tomorrow morning.  Please chim in with suggestiosn or questions.  thanks

Reply by KittyBo22, on Sun Sep 11, 2016 2:05 pm

Hi.  When you begin to irrigate, make sure you have an ample supply of water (different for everyone;  I use Coloplast economy irrigation kit, No. 1511; I fill it up past the numbers and the letters LP T... almost to where it spills out when I hang the bag). 

Next, make sure all the air is out of the tube.

Then place cone in stoma and open water flow... let it run for about 15-20 seconds, then stop the water and press gently around the stoma.  Many times there is a bit of blockage at the base of the stoma, and doing this procedure once or twice will loosen it.

Now place cone in stoma and start flow.  

Also, it's important not to be dehydrated when you irrigate.  Try to drink water before you begin. 

Hope this helps.


Reply by Bettyjoe, on Sun Sep 11, 2016 9:14 pm

oh thank you i will give it a try in the morning

Reply by Bill, on Mon Sep 12, 2016 2:10 am

Hello Bettyjoe. Thanks for letting us know what is happening with your first attempts. Don't give up on it just yet, it's like Kittybo says, everybody is different and you need to know your stoma.

Because I developed a hernia which blocks the stoma, I could not get the cone in at all for a while and water was spurting out into the sleeve like you describe. However, with a little digital exploration, I found out what was wrong and figured out how to overcome it. It was my stoma nurse who showed me how to poke my finger in the stoma to identify what is happening  and I have been doing that for some years now because things change in there and I want to know what is happening so that I can do something about it. What I found was that I could not get my finger in at first because the peristomal muscles that were blocking the way were so strong they would not let anything past. With perseverance, I applied some medium pressure with my little finger and left it there for a minute or so. Much to my surprise, the muscles suddenly relaxed and my finger just slid into the stoma with no problem at all. Once it was in there for a few seconds, the muscles started to try to push it out again. The strength in the muscles is amazing and it took quite a lot of effort to keep my finnger from being pushed out. Then, after about thirty seconds or so, it all relaxed again. This process kept repeating itself - presumably just like it would if it was trying to expel faeces. Knowing what was happening has allowed me to time the insertion of the cone so that it gets past these muscle bockages and I make sure I apply enough pressure so that the cone doesn't get pushed out again when the next peristalsis pressure gets underway.

Back to the irrigation process:  

First of all, because of all the spillage,  I needed much more water than was possible in the kits provided. Secondly, I needed a bit more water pressure so that it could help the cone insertion past the blockage.  My solution was to adapt a 5 litre pressurised container ( the first one was a garden sprayer but I found a better one later) Pumping the water in, gave enough water pressure to allow the cone into the stoma without causing any damage. I keep my eye on how much water was lost in that process and then I know how much is actually getting into the stoma and I can judge when to stop. Any spare water is quite useful for cleaning around the stoma when the process is finished. 

If you are rich, there is a water pressure gadget on the market that I did a review on a few years back that works quite well, but still did not contain enough water for my requirements. If you are interested, the review is still listed as one of my blogs. ( I'll see if I can find the date for you)

Best wishes



PS: 08/17/12 Review of Braun Irrimatic 

Reply by CH, on Mon Sep 12, 2016 3:20 pm

Hi BettyJoe...I'm so sorry you had a bad experience irrigating the first time. I agree with the other post that you might try making sure you're very hydrated before you try again. I typically use 1.5 liters but it's true that amount is different for everyone. I can't explain where the water went (?) but I'm wondering if there is something blocking the flow?? I'm also curious what type of supplies you may have said this but I don't have your post in front of me but was the bag empty of the water? I actually talked to another ostimate on the phone prior to starting and he gave me a lot of good information...I know he would be willing to help you too as would I if that is something you're comfortable with. If you want I would be glad to give you a call...sometimes things can be clarified easier that way. I don't want to be intrusive but if this is something that you think would help send me a number to reach you and I or my friend on here that helped me will give you a call! I also have access to private messaging ( free for a month) if you're more comfortable with that I can send you a private message and you can give me number to reach you. Don't give up..I feel sure this is just a glitch! Smile CH

Reply by Bettyjoe, on Mon Sep 12, 2016 3:45 pm

yeah i would love to speak to you.  I really hope to get this going.   i can see how sappealing this is. This morning I tried it again.  I did get some output but, I am certain thst it wasnt enough.  I did better with the amount of water that wen tinto my stoma.  I was able to insert the cone more this time.  I was also wondering if I should be lying down.  I did see on you tube that this certain guy had to lie down in order for this to work for him.  Let me know CH you are not intruding.  thanks

Reply by CH, on Mon Sep 12, 2016 4:38 pm

That sounds like you're making progress! I personally do not lie down but I would never rule it out if it concern with that would be that sometimes the initial output will come quite rapidly and it seems a bit awkward in terms of allowing it to flow into the toilet. If you want me to send a private message to get your number I could give you a call tomorrow or whenever it's convenient for's much easier to ask questions and voice concerns with a personal call...the other friend I referred to on here is Mild Mannered Super Hero and he messaged me saying he too was willing to help...he will walk you through the entire process..without him I would never have even tried it! There may be something I'm not sure about and if so we can loop him in...he's been irriigating for many years and has experienced almost every issue that can come up! Just let me will get there! Smile CH

Reply by WAB, on Mon Sep 12, 2016 5:14 pm

Gravity..think about gravity............bag has to be high.......water has to flow in easily.....if it does not find will not damage stoma.......there is no feeling not lie down.......sit........even standing will force gravity to take time your intestines wiull get used to this procedure and it will happens easily.......also....when it does will flush with strength.....with will works.......keep at it.............

Maybe you should explain what you are doing and we can comment

Reply by Bettyjoe, on Mon Sep 12, 2016 6:17 pm

ok guys got it.  CH you can message me OK.

Reply by CH, on Mon Sep 12, 2016 9:03 pm

Reading WAB's post I have to agree...probably not a great idea to lie down...he's absolutely correct that the bag that contains the water must be relatively high for the water to flow.

Reply by CH, on Tue Sep 13, 2016 1:30 pm

Hey BettyJoe...I sent you a private message..if you get a chance check your's in your inbox...hoping you're having better luck! Smile CH

Reply by Bettyjoe, on Tue Sep 13, 2016 6:08 pm

hey guys its a bit better but not fully irrigated.  I am puzzled but I am not giving up.  I am wondering if a pasty output compremisis the water floor.  CH I sent you the number.  I am sad really sad,  I can see how this is so appealing.  I will not give up.  I did not lie down LOL.  After not seeing results I stoped.  I do appreciate your support

Reply by mild_mannered_super_hero, on Wed Sep 14, 2016 5:40 am
Bettyjoe wrote:

 I will not give up.  

you will master it takes a few trys sometimes to get your routine worked out. hang in there laughing

Reply by WAB, on Wed Sep 14, 2016 6:26 am not give the way .How warm is your water ?.................What you are doing is new to your system and your body will adapt................once it gets used to it...your body will wait for the irrigation...............I am not sure if others have done this ....but when I do not pass any stool..............I take a stool softner.................I do not need it depends what I have eaten........

Good will get there

Reply by Bettyjoe, on Wed Sep 14, 2016 9:50 pm

hello there today was much better.  the water temperature a bit warm.  I was able to insert more water therefore output flowed.  some cramping during the day.  not totally unusual for me however.   I am going to do it again tomorrow.  I am wearing a small pouch and no output.  Here in jersey its about 9:45 PM and I irrigated at about 7:30 this morninh some gas not much. CH I will contact you tomorrow. 

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