Talk to your doctor or ostomy nurse about irrigation. The procedure may be a little different from what we describe here, depending on the experience of the person teaching you. Your doctor or ostomy nurse will teach you how to irrigate your colostomy. Whether to irrigate is up to each person, but you should fully discuss it with your doctor or ostomy nurse before a decision is made. This is probably because pouch systems have improved. If you have a descending or sigmoid colostomy, you may choose to manage your colostomy with irrigation. Irrigation is simply putting water into the colon through the stoma to help regulate bowel movements.Ĭolostomy irrigation has been used for many years, but it's not used as much now as years ago. You may have to test different products to see how your skin reacts to them.Ĭolostomy irrigation (for descending and sigmoid colostomies only)Ĭolostomy irrigation is something that can be done with certain types of colostomies to help move stool through the colon. Pouch covers are available from supply manufacturers, or you can make your own.
If your skin is irritated only where the plastic pouch touches it, you might try a pouch cover or a different brand of pouch. They can develop after weeks, months, or even years of using a product because you can become sensitized over time. Watch for sensitivities and allergies to the adhesive, skin barrier, paste, tape, or pouch material. Dry the skin completely before putting on the skin barrier or pouch. Remove the skin barrier gently by pushing your skin away from the sticky barrier rather than pulling the barrier away from the skin.Ĭlean the skin around the stoma with water. Don't wait for leaks or other signs of problems, such as itching and burning.īe careful when pulling the pouching system away from the skin and don't remove it more than once a day unless there’s a problem. It's important to have a regular schedule for changing your pouch. In both cases, change the pouch or skin barrier and replace it with one that fits well.Ĭhange the pouching system regularly to avoid leaks and skin irritation. If the opening is too large, output could get to and irritate the skin. An opening that’s too small can cut or injure the stoma and may cause it to swell.
Use the right size pouch and skin barrier opening. Here are some ways to help keep your skin healthy:
But ostomy output can make this skin tender or sore. The skin around your stoma should always look the same as skin anywhere else on your abdomen.
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