If your doctor has suggested an ostomy, the medical team will need to reroute a piece of your intestine through your abdomen so that waste can exit. Here is what you need to know about caring for your ostomy.
Types of Ostomies
All ostomies involve an opening in your belly called a stoma, but there are several types based on which part of your intestine is connected. Here are a few common ostomy types:
- Ileostomy: Here, the stoma is connected to the small intestine or ileum
- Colostomy: Connects the ascending, descending, or sigmoid colon to a stoma
- Urostomy: Directs urine away from the bladder
How to Take Care of Your Stoma
Your healthcare team will teach you the basics of stoma care and how to inspect and change your ostomy bag. They will also provide you with a list of supplies you will need to properly care for your ostomy. Here are some standard tools required to maintain an ostomy.
Pouching systems: You will need to wear a pouching system or ostomy bag over your stoma after surgery. You’ll find most pouching systems are water- and odor-proof and come in various color and size options.
Mainly, you can choose between 1-piece systems, where the pouch is attached to the skin barrier, versus 2-piece systems, where you can remove the pouch separately from the skin barrier. Your healthcare provider will tell you what will work best with your stoma.
Waterproof Mattress Cover and Bed Sheets: If you are worried about leaks during the night, consider a waterproof mattress cover or bed sheet. You can also use underpads for extra protection. Underpads sit between the body and the sheets.
Ostomy Deodorants / Odor Eliminating Products: Almost all pouching systems control odor. If you’re very self-conscious or worried about leaks, consider ostomy deodorant or odor-eliminating products.
There are several different types of ostomy deodorant products out there. McKesson lubricating deodorant, for example, goes directly into the ostomy pouch. Not only does it deodorize, but it lubricates the inside of the pouch to make emptying easier.
Lubricants are available in multi-use bottles or single-use packets. Ostomy deodorant and odor-eliminating products come in squeeze bottles, dropper-style bottles, sprays, and individual packets.
When Do I Empty My Ostomy Pouch?
You should empty your ostomy pouch when it is less than half full. The ideal amount is between one-third and one half. A full bag is difficult to open and might cause leakage. You will also need to pay attention to the type of stool in your pouch for optimized emptying. If you have a liquid stool, you can let it drain. If, however, you have a thick stool, you will need to squeeze the sides of your pouch or use a lubricant that allows the stool to slide out more easily.
You apply the lubricant inside the pouch after you empty it. It lubricates the inside of the pouch to make the subsequent emptying easier.
When Should I Change My Ostomy Pouch?
Most people change their pouch every 3 to 5 days. However, you should always follow your doctor’s and ostomy product manufacturer’s instructions. Your healthcare team can help you better understand your individual needs.
Can I Shower and Swim with My Ostomy Pouch?
You can shower and swim with an ostomy pouch. However, you will need to use waterproof tape to keep the pouch secure. In some cases, you may be able to remove the pouch while you shower. When in doubt, ask your healthcare provider.
If you’re preparing for an ostomy, Simply Medical has a great variety of ileostomy and colostomy care supplies. Check out our ostomy selection today!