Daily Living with a Colostomy Bag
Colostomy surgery is a procedure where the end of the colon is re-routed to the outside of the body through an opening created in the abdomen. A colostomy bag is a device used to collect stool after a person undergoes a colostomy procedure. A colostomy is typically performed when stool cannot pass naturally through the rectum.
Follow the instructions of the doctor or ostomy specialist for care of your ostomy. General instructions for changing a colostomy bag are:
- Wash your hands with antibacterial soap and warm water to ensure cleanliness.
- Gently peel the old bag from the stoma, which is the opening in your abdomen.
- Remove or cut the bottom of the bag and empty its contents into the toilet or a disposal bag.
- Clean the stoma using warm water and gentle soap, ensuring it is free from any residue.
- Thoroughly dry the stoma to prevent irritation.
- If you are using a two-piece system, prepare the next bag and flange.
- Attach the bag with adhesive to the outside of the stoma, ensuring it is properly secured.
It's important to note that everyone's care routine may vary, so it's best to consult with your healthcare provider for personalized instructions.
People with colostomy bags can generally continue many of their usual daily activities. They may need to make some adjustments. The doctor or an ostomy nurse can provide advice and support for living with a colostomy bag.
- Diet: The healthcare provider can provide guidance about resuming a normal diet and foods to potentially avoid. Such foods may be associated with gas, incomplete digestion, increased odor of stool, or cause watery stool. People may tolerate food differently. It is important to try different foods to see how they affect you.
- Physical activity: Check with a doctor before reinitiating physical activity after colostomy surgery. They can provide guidance regarding activities that are safe to start with. There may be special equipment available to use for certain activities to help keep the colostomy bag in place.
Here are some tips to minimize the impact of having a colostomy bag during daily activities:
- Carry extra bags and spare supplies such as stomal deodorants when traveling to ensure you have everything you need in case of emergencies.
- Take care when using a seat belt, making sure it does not lie across the stoma to avoid discomfort or pressure on the area.
- Consider avoiding foods that cause flatulence, as they can lead to gas build-up in the colostomy bag.
- Be mindful of heavy lifting, as it may put strain on your abdominal muscles and affect your pouching system.
- Visit the bathroom more frequently to manage your pouching system effectively.
- Engage in regular physical activities such as running or swimming, but be cautious during contact sports and consider wearing protective gear for added safety.
Remember, these tips are general guidelines, and it's crucial to discuss any concerns or specific questions with your healthcare team for personalized advice.