Checking a stoma
At each pouch change, check your stoma for color, shape and function.
Watch for stenosis, prolapse or swelling. Urostomates should be on the
lookout for crystal formation. Be conscious of any stoma complication.
Bleeding stoma
A bleeding can occur with rubbing of the stoma because the mucous
membrane, out of which the stoma is formed, is highly vascular. The
bleeding usually stops quickly otherwise, see a doctor.
Can a stoma get cut?
Cuts or lacerations of the stoma can occur and some can be quite
serious. Since a stoma has no sensory nerves, it can get without causing
no pain. Causes of stoma laceration can include
1) shifting of wafer or pouch
2) too small an opening of the pouch
3) incorrect pouch application etc
How should a stoma be protected?
Protect stoma's from direct physical blows, tight clothing and belt buckles.
Thursday, December 12, 2013
Monday, November 25, 2013
Antibiotic Side Effects
Antibiotic Side Effects
Many times ostomates who must take powerful antibiotics suddenly find they have itching and
burning under their pouches and have poor pouch adhesion. A side effect of antibiotic therapy can be
a yeast infection on the skin around the stoma. You may hear health professionals call this monilia.
At first it may appear as tiny white pimples, but in a few days it is a red rash. This is caused by the
antibiotic killing some normal bacteria in the body as well as the bacteria causing infection or illness.
At the same time you may also notice sores in your mouth, diarrhea, and a similar rash on the perineal area.
Contact your doctor for a prescription of mycostatin or nystatin powder. Put the powder directly on the irritated area. Apply a coat of silicone skin barrier such as Skin Prep or Bard Pro- tective Skin Barrier,
Let this dry!!! Apply your pouching system as usual. Eating foods such as yogurt or drinking
buttermilk helps to replace some of the normal bacteria in the gastrointestinal tract.
(Edited by B. Brewer, 12/2011 UOAA Update)
Many times ostomates who must take powerful antibiotics suddenly find they have itching and
burning under their pouches and have poor pouch adhesion. A side effect of antibiotic therapy can be
a yeast infection on the skin around the stoma. You may hear health professionals call this monilia.
At first it may appear as tiny white pimples, but in a few days it is a red rash. This is caused by the
antibiotic killing some normal bacteria in the body as well as the bacteria causing infection or illness.
At the same time you may also notice sores in your mouth, diarrhea, and a similar rash on the perineal area.
Contact your doctor for a prescription of mycostatin or nystatin powder. Put the powder directly on the irritated area. Apply a coat of silicone skin barrier such as Skin Prep or Bard Pro- tective Skin Barrier,
Let this dry!!! Apply your pouching system as usual. Eating foods such as yogurt or drinking
buttermilk helps to replace some of the normal bacteria in the gastrointestinal tract.
(Edited by B. Brewer, 12/2011 UOAA Update)
Sunday, November 3, 2013
Tips on How to Avoid Leakages #2
Too Infrequent Emptying:
Pouches should be emptied before they become half full. If they are allowed to overfill, the weight of
the affluent may break the seal and cause leakage.
Extremely High Temperatures:
Wafer melt-out may cause leakage in warm weather. More frequent changes will prevent this.
Pouch Wear and Tear:
Disposable wafers do wear out. If you are stretching your wear time, leakage may be due to the wafer
wearing out. Change your appliance more frequently.
Improperly Stored Appliance and Ageing Materials:
Store your ostomy supplies in a cool dry place, humidity may affect your pouch adhesive. Appliances don’t last forever. However, you can use expired appliances without damage to the peristomal skin.
Pouches should be emptied before they become half full. If they are allowed to overfill, the weight of
the affluent may break the seal and cause leakage.
Extremely High Temperatures:
Wafer melt-out may cause leakage in warm weather. More frequent changes will prevent this.
Pouch Wear and Tear:
Disposable wafers do wear out. If you are stretching your wear time, leakage may be due to the wafer
wearing out. Change your appliance more frequently.
Improperly Stored Appliance and Ageing Materials:
Store your ostomy supplies in a cool dry place, humidity may affect your pouch adhesive. Appliances don’t last forever. However, you can use expired appliances without damage to the peristomal skin.
Thursday, October 31, 2013
Tips on How to Avoid Leakages
How to Avoid Leakage:
Folds or Creases:
If folds or creases develop in the skin, and leakage occurs along the crease, wafer pieces or ostomy paste can be used to build up the area in order to avoid leakage.
Peristomal Skin Irritation:
Pouches will not stick well to irritated skin.
Improper Pouch Angle:
If the pouch does not hang vertically, the weight of its contents can exert an uneven twisting pull on the wafer and cause leakage. Find the best angle based on individual body configuration.
Folds or Creases:
If folds or creases develop in the skin, and leakage occurs along the crease, wafer pieces or ostomy paste can be used to build up the area in order to avoid leakage.
Peristomal Skin Irritation:
Pouches will not stick well to irritated skin.
Improper Pouch Angle:
If the pouch does not hang vertically, the weight of its contents can exert an uneven twisting pull on the wafer and cause leakage. Find the best angle based on individual body configuration.
Thursday, September 12, 2013
Urostomy Bag
Para sa may urinary diversion at gumagamit ng urostomy bag, maari kayo makahingi ng urostomy bags through colostomy friends. first come first serve na lang po at konti lang po ang available. Salamat po.
Friday, July 26, 2013
More Ostomy Tips and Tricks
Tips and Tricks—Ostomy Tips from Ostomates...
Reviewed By Our Local WOCNs, 2012
Courtesy of the Metro Maryland Ostomy Association’s Thrive
Stoma Care:
1. If your car seat belt rides over the stoma, use a small cushion/pillow between you and the belt, or try placing a clothespin at the top of the belt in order to wear the seat belt more loosely
without losing the safety of the belt.
2. Sometimes the stoma moves in and out—this is called peristalsis and is the natural movement of the intestine.
3. Almost impossible for a stoma to get infected. The natural coating of mucus keeps bacteria from sticking.
4. Don’t be afraid to take a shower without your pouch. Soap cannot hurt the stoma. Rinse your skin well. Hold a cold compress over the peristomal skin for a few seconds (closes the pores), then apply your appliance.
Skin Care:
1. Common causes of skin irritation are: leakage from effluent onto the skin, allergic reactions to the adhesive material in a wafer or tape, or improper hygiene.
2. Cleanse, rinse, and pat skin dry between pouch changes
3. Avoid oily or fatty soaps (e.g., Dove) that can leave a film interfering with proper adhesion of the skin barrier. Also, Ivory soap is too dry for the skin.
4. If correctly applied, a wafer will usually prevent leakage.
5. If your skin is uneven due to scarring or indentations, use paste, barrier rings, or strip paste to fill in
the depressions to make a smooth pouching surface.
6. If the skin under the wafer becomes red, open, or blistered—remove the wafer, clean the skin and
apply skin barrier powder followed by a non-alcohol skin sealant until the redness/open areas clear up.
7. A pinpoint red rash under the wafer is usually a yeast infection (quite common) and must be treated with antifungal powder.
8. Use a hair dryer on cool setting to dry a rash/open skin—never use a heat lamp which might burn the stoma and the surrounding skin.
9. Avoid skin creams and ointments under your wafer as this will interfere with the adhesion.
10. When removing the wafer, do not peel it away from your skin. Push the skin away from the adhesive.
11. For itching under the wafer or tape, mix 1 part white vinegar and 3 parts water; apply gauze sponges, soak the skin for 5-10 minutes or use the solution in a spray bottle. Dry the
skin well before applying the wafer.
Reviewed By Our Local WOCNs, 2012
Courtesy of the Metro Maryland Ostomy Association’s Thrive
Stoma Care:
1. If your car seat belt rides over the stoma, use a small cushion/pillow between you and the belt, or try placing a clothespin at the top of the belt in order to wear the seat belt more loosely
without losing the safety of the belt.
2. Sometimes the stoma moves in and out—this is called peristalsis and is the natural movement of the intestine.
3. Almost impossible for a stoma to get infected. The natural coating of mucus keeps bacteria from sticking.
4. Don’t be afraid to take a shower without your pouch. Soap cannot hurt the stoma. Rinse your skin well. Hold a cold compress over the peristomal skin for a few seconds (closes the pores), then apply your appliance.
Skin Care:
1. Common causes of skin irritation are: leakage from effluent onto the skin, allergic reactions to the adhesive material in a wafer or tape, or improper hygiene.
2. Cleanse, rinse, and pat skin dry between pouch changes
3. Avoid oily or fatty soaps (e.g., Dove) that can leave a film interfering with proper adhesion of the skin barrier. Also, Ivory soap is too dry for the skin.
4. If correctly applied, a wafer will usually prevent leakage.
5. If your skin is uneven due to scarring or indentations, use paste, barrier rings, or strip paste to fill in
the depressions to make a smooth pouching surface.
6. If the skin under the wafer becomes red, open, or blistered—remove the wafer, clean the skin and
apply skin barrier powder followed by a non-alcohol skin sealant until the redness/open areas clear up.
7. A pinpoint red rash under the wafer is usually a yeast infection (quite common) and must be treated with antifungal powder.
8. Use a hair dryer on cool setting to dry a rash/open skin—never use a heat lamp which might burn the stoma and the surrounding skin.
9. Avoid skin creams and ointments under your wafer as this will interfere with the adhesion.
10. When removing the wafer, do not peel it away from your skin. Push the skin away from the adhesive.
11. For itching under the wafer or tape, mix 1 part white vinegar and 3 parts water; apply gauze sponges, soak the skin for 5-10 minutes or use the solution in a spray bottle. Dry the
skin well before applying the wafer.
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