Daily stoma care

Instructions for Managing a Colostomy/Ileostomy

A colostomy or ileostomy may seem challenging at first, but with proper knowledge and practices, you can manage it effectively and maintain a normal life. Below are guidelines on care, diet, and addressing common problems.

---

Understanding and Adapting to the New Situation

A colostomy or ileostomy is often a life-saving procedure and may happen unexpectedly during surgery. It’s natural to feel uncertain about this lifestyle change.

• Surgeon's Role: Your surgeon will help you adjust psychologically and choose the optimal stoma location for easier care.
• Independence: Over time, you will gain confidence in caring for your stoma.

---

Stoma Care and Hygiene

Proper skin care around the stoma is essential to avoid irritation and leakage.

Steps for Care:

1. Removing Adhesive Materials

   • Gently press the skin while removing the adhesive to prevent injury.

2. Cleaning the Skin Around the Stoma

   • Use specialized products to remove adhesive residue.

3. Bathing and Hygiene

   • Shower or bathe as you did before surgery.
   • Choose soaps that leave no greasy residue and dry the skin gently.

4. Applying a New Pouch

   • Place the pouch or base according to the specialist’s instructions.
   • For two-piece systems, you can bathe with the base attached and replace the pouch afterward.

---

Diet and Digestive System Regulation

Nutrition is crucial for proper stoma function.

• After Surgery: Follow your doctor’s dietary plan.
• Reducing Gas and Odors: Avoid foods like legumes, broccoli, eggs, and fish. Use pouches with charcoal filters to combat odors.

Tips:

• Eat slowly and chew your food well.
• Drink 2-3 liters of water daily for better bowel function.

---

Managing Common Problems

Constipation

• Often caused by painkillers or low fiber and fluid intake.
• Increase fiber and fluids as directed by your doctor.

Diarrhea

• May be caused by certain foods, medications, or medical conditions.
• Helpful Foods: Bananas, applesauce, white rice, yogurt.
• Consult your doctor if diarrhea persists.

Dehydration

• Symptoms: Dry lips, fatigue, dark urine, cramps.
• Increase fluid intake and contact your doctor immediately.

---

Daily Life Tips

• Maintain a balanced diet.
• Follow a regular care routine.
• Inform your doctor about any issues or changes.

With proper care, your stoma will not be an obstacle to your daily life. Live confidently and adapt your life to your new needs.