Daily Colostomy Care (2024)

• Understanding Colostomy

• Understanding Colostomy Surgery

• Colostomy Types: Locations and Care Needs

• Managing Stoma Complications: Selecting the Best Colostomy Bags for Prolapse and Retraction

• Colostomy Reversal: Is it Possible?

• Surgery Care for Colostomy Patients

Effective daily care is essential for colostomy patients to maintain stoma health, prevent discomfort, and improve overall quality of life. This guide combines essential steps with practical daily considerations, offering comprehensive support for colostomy management.

Colostomy Bag Change and Stoma Care Routine

1. Optimal Timing: Change the colostomy bag about two hours after meals to avoid periods of high output, or consider replacing it after a bath for a clean start.

2. Gather Supplies: Have all necessary items nearby: a new colostomy bag, disposal bag, cleaning wipes, adhesive remover, and optional items such as stoma powder, barrier rings, or support belts for added protection.

3. Removing the Bag: Gently remove the adhesive flange from top to bottom. Avoid excessive pulling, as this could damage the skin around the stoma. Use an adhesive remover if needed to make the process smoother.

4. Clean and Dry the Stoma Area:

   • Start by wiping the stoma and surrounding skin with a damp, soft cloth to remove any residue.
   • For thorough cleaning, use a cotton swab dipped in an antiseptic (such as iodine) to clean around any sutures on the stoma's edge.
   • Pat the area dry completely, as moisture can interfere with the adhesive’s effectiveness.
   • Optionally, sprinkle stoma powder to protect sensitive skin, followed by a skin barrier wipe applied in a clockwise motion around the stoma for even coverage.

5. Measure and Cut the Base Plate:

   • Use a measuring guide to determine the stoma's size, leaving an additional 0.2 cm to prevent irritation.
   • Trim the base plate to fit, smoothing any rough edges to avoid chafing the skin.

6. Applying a Barrier and Securing the Bag:

   • For added protection, place a thin layer of hydrocolloid dressing over any uneven skin near the stoma.
   • Start attaching the bag from the bottom up, pressing gently for a snug fit and ensuring an airtight seal.
   • After positioning, press around the adhesive area for about 10 minutes to secure the fit and prevent leaks.

7. Closing and Finishing: Ensure the bottom of the bag is tightly closed and sealed. This minimizes the risk of leaks and maintains cleanliness.

Tips for Common Colostomy Care Concerns

• Managing Leaks and Skin Irritation: Regularly inspect the adhesive seal, especially after physical activity, and keep the surrounding skin dry to prevent irritation.
• Odor and Gas Control: To reduce odor, use colostomy bags with built-in filters or deodorizing drops. For managing gas buildup and ballooning, consider using an Exhaust Hole ostomy bag, which has a venting system to release trapped air more comfortably. Alternatively, manually release air by “burping” the bag when needed.
• Adjusting Diet and Hydration:
  • A low-fiber, soft diet can reduce output variability and make digestion smoother. Avoid foods that produce gas, like beans, milk, and carbonated beverages.
  • Ileostomy patients should aim to stay hydrated, while those with colostomies may benefit from adding fiber to promote regular output.

Everyday Tips for Colostomy Care

• Regularly Empty the Bag: Empty the colostomy bag when it’s about half full to prevent overflow and ballooning.
• Wear Comfortable Clothing: Opt for loose, breathable cotton garments and avoid tight waistbands, which can irritate the stoma area.
• Plan Ahead When Going Out: Always bring backup supplies and check for secure bag placement before leaving the house.
• Engage in Suitable Activities: Avoid exercises that increase abdominal pressure; low-impact activities can help maintain fitness without straining the stoma area.

With proper, consistent care, these daily practices make colostomy management more manageable, allowing for a healthier, more comfortable experience. Our next article will cover Colostomy Care Challenges and Solutions, including effective ways to manage common issues like leaks, odors, and skin irritation. Stay tuned!