Ostomy: Adapting to life after colostomy, ileostomy or urostomy

Ostomy: Adapting to life after colostomy, ileostomy or urostomy

Learn all you can about life with an ostomy. Use this information to boost your self-esteem and help you adapt to your ostomy .By Mayo Clinic Staff

Colostomy

Colostomy surgery for colon cancer

Colostomy

In some cases, after the surgeon removes a assign of the colon, it may be necessary to attach the remaining colon to the outside of the torso in a operation called colostomy. Creating a trap ( stoma ) in the abdominal wall allows godforsaken to leave the body. A colostomy cup of tea attaches to the stoma to collect the waste.

It takes time to become comfortable with an ostomy — a surgically created unfold in your abdomen that allows waste or urine to leave your body .
many questions may run through your mind as you plan your first ventures outside of your home plate. Can you go spinal column to function after colostomy ? Can you ride your bicycle if you have an ileostomy ? Will everyone figure out you ‘ve had urostomy operating room merely by looking at you ?
You can do many of the same activities you enjoyed before your colostomy or other ostomy operation .

You can eat whatever you want if you have an ostomy

Have a favorite dish ? If you ‘ve been given the OK from your doctor to resume your unconstipated diet, eat what you like. If you have a colostomy or ileostomy, you ‘ll find that versatile foods affect your digestive nerve pathway differently .
just as some foods gave you gas before your operating room, you ‘ll probable experience accelerator with certain foods now that you have an ostomy. While you may choose to eat gas-causing foods meagerly or only at times when the gas wo n’t make you self-conscious — such as when you ‘re at family, rather than at oeuvre — it does n’t mean you should n’t always eat gas-causing foods .
Certain foods are more likely to cause flatulence, diarrhea, stultification, incomplete digestion or urine smell. But which ones have these effects will depend on your soundbox .
If you ‘re uncertain how foods will affect you, consider trying them at home, one at a time, before eating them in public. Knowing how each food affects your digestion means you ‘ll spend less time worrying about the food ‘s effects and more time having fun with friends .
It may help to chew your food thoroughly and drink batch of water system .

Common intestinal reactions to certain foods

Gas
Asparagus, beans, beer, broccoli, Brussels sprouts, cabbage, carbonated beverages, cauliflower, onions, peas

Incomplete digestion
Apple peels, cabbage, celery, coconut, corn, dried fruit, mushrooms, nuts, pineapple, popcorn, seeds, skins from fruits, skins from vegetables

Thickened stool
Applesauce, bananas, cheese, pasta, rice, peanut butter (creamy), potato (without skin), tapioca

Thinned stool
Fried foods, grape juice, high-sugar foods, prune juice, spicy foods

Increased odor
Alcohol, asparagus, broccoli, dried beans, eggs, fish, garlic, onions, peas

Reduced odor
Buttermilk, cranberry juice, parsley, yogurt

Source: Academy of Nutrition and Dietetics, United Ostomy Associations of America

If you have a urostomy, you might be concerned about urine smell. Certain foods can cause a stronger urine olfactory property, but you can minimize that by drinking water or cranberry juice .

Controlling urine odor

Increases odor
Asparagus, fish, garlic, onions

Decreases odor
Eight to 10 glasses of water, cranberry juice or other noncaffeinated beverages daily

Source: United Ostomy Associations of America

You can participate in sports if you have an ostomy

Unless your favorite hobby is a contact sport with lots of electric potential for injury, you ‘ll be spare to go second to the activities you enjoy after you heal from ostomy surgery. The chief danger is injury to the orifice where waste or urine leaves your body ( stoma ), which means rough sports may be out .
If you want to continue these pursuits, ask your doctor or ostomy harbor about extra products you can use and precautions you can take to protect your stoma during these activities .
Check with your doctor before you begin lifting weights after your surgery. You may need to wait for your surgical incision to heal before lifting weights, to reduce your gamble of complications. once you ‘re amply healed, your doctor or an ostomy nurse might recommend a device to support your abdomen when lifting weights .
If you ‘re aflutter that running, swim or early acrobatic activity will loosen your ostomy bag and cause a leak, use a particular swath or binder to hold your ostomy base in set. Check with your local medical supply memory or look on-line for peculiarity products for active people with ostomies .

You can go back to work if you have an ostomy

You ‘ll need time after your surgery to heal and recover, but you can finally go back to work. You might choose to ease back into work or talk with your employer about a limited schedule until you feel more confident with your ostomy .
If your occupation of make involves manual labor or lots of lifting, your sophisticate may recommend ways to protect your stoma on the job .
once your doctor of the church says you ‘re ready, consider going back to work. If you ‘re anxious about caring for your ostomy at oeuvre, talk to your doctor or an ostomy nurse .
Do n’t let worrying get the best of you. Returning to work is a good way to transition second to a normal routine, and working again can make you feel good about yourself .

You can tell — or not tell — whomever you want about your ostomy

It ‘s up to you to decide who to tell about your ostomy surgery. It may make sense to tell the people closest to you. These people may be worried about your recovery, and explaining your ostomy may ease their fears. Talking with love ones is besides a healthy way to cope with your emotions .
Acquaintances may be curious about why you ‘ve been away from work or know that you were in the hospital and ask about your illness. Think ahead about what to say when questions arise. You could say you ‘ve had abdominal surgery or use another basic description without going into details if you ‘re uncomfortable discussing your ostomy with people you do n’t know well .
other people will need to know about your ostomy for practical purposes. If you do n’t have a desk or locker at work to store excess ostomy supplies, for exemplify, you might need to reveal some details of your ostomy to person at work so that such arrangements can be made .
Some people keep their ostomy surgery secret, and others prefer to tell anyone who asks. Who you tell is up to you, but you may find you ‘re more will to discuss the details as you become more comfortable caring for your ostomy .

You can hide your ostomy

To you, the ostomy bulge attached to you is very obvious. When you look in the mirror, you notice the bag under your clothes. You might think every ripple and make noise coming from your stoma is forte and heard by everyone in the room.

Most people wo n’t notice your ostomy unless you tell them about it. As you get used to your ostomy, you ‘ll figure out tips and ways to keep the bulge concealed and the noises to a minimal. here are some ideas to get you started :

  • Empty your ostomy bag when it gets to be one-third full. That way it won’t bulge under your clothes.
  • Work with your ostomy nurse to find the ostomy pouching system that works best for you.
  • If you’re worried about the odor when emptying your ostomy bag, ask your ostomy nurse or visit your medical supply store for pouch deodorants or air sprays to minimize odor.

Ask a close supporter or loved one whose public opinion you trust whether your ostomy pocket is visible under your clothes or if the sounds your ostomy makes are vitamin a loudly as you think they are. Everyone ‘s torso makes noises and produces odors from time to time. While it can be embarrassing, do n’t let a fear of what could go wrong keep you from going about your sidereal day .

You can wear whatever you want if you have an ostomy

No invest is off-limits if you have an ostomy. however, your individual body contour and your stoma ‘s location may make some clothes less comfortable. For case, close waistbands or belts might feel restrictive over your stoma. Be open to experimenting with different styles of clothes .
But do n’t let your ostomy keep you from wearing tightfitting clothes or even your bathing suit. Look into ostomy swimsuits and trunks, which can be found through specialization retailers .

You can go wherever you want if you have an ostomy

It will take some pre-trip plan, but having an ostomy should n’t prevent you from traveling. If you ‘ll be traveling by airplane, bring extra ostomy supplies and pack them in both your carry-on and checked bags .
Consider carrying a statement from your sophisticate about your ostomy. This note might explain why you have an ostomy and ask airport security screeners to respect your privacy during searches .

You can have sex and intimate relationships if you have an ostomy

You ‘ll need fourth dimension to recover after operation. And depending on what type of ostomy operating room you have, you may experience some irregular sexual side effects, such as erectile dysfunction or vaginal dispassion. But sexual familiarity can continue after you have an ostomy .
If you feel less attractive with your ostomy, take your reappearance to intimacy lento. possibly you are n’t fix to have sexual activity right away. Discuss this with your spouse. Suggest starting with touching and kissing. Your partner can help make you feel more comfortable and reassure you that you are just as attractive with an ostomy .
Take steps ahead intimacy to feel more convinced. Empty and clean your ostomy pouch. Check the cachet to make sure it ‘s mean. Use an opaque pouch or try a pouch cover. Lingerie and cummerbunds made to conceal a pouch or hold it in place are available from specialization retailers. Ask your ostomy nurse about companies that sell these products .
Certain aspects of sex may change with an ostomy. You might find that some sexual positions put atmospheric pressure on your ostomy and are uncomfortable. experiment with modern positions, such as lying on your side .
People with ostomies who are dating frequently worry about when to tell new companions about their ostomies. That ‘s up to you. Some people feel more comfortable getting it out in the open correct off, while others want to get to know and trust a likely spouse inaugural. Do what feels justly for you. Know that rejection is possible, and give a new spouse clock time to consider what an ostomy means to your kinship. Answer questions openly and honestly .

Talk to others with ostomies

Get in equal with other people with ostomies — they sometimes refer to themselves as ostomates. Whether it ‘s a support group in your community or on-line, getting advice from people who ‘ve been there is a big way to boost your confidence. You can ask questions that you might be embarrassed to ask your doctor or harbor. And you can get tips to help you adapt to life with an ostomy .

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  1. Living with an ostomy: FAQs. United Ostomy Associations of America. https://www.ostomy.org/living-with-an-ostomy. Accessed Sept. 21, 2020.
  2. Colostomy nutrition therapy. Nutrition Care Manual. Academy of Nutrition and Dietetics. https://www.nutritioncaremanual.org. Accessed Sept. 21, 2020.
  3. Burgess-Stocks J. Eating with an ostomy. United Ostomy Associations of America. https://www.ostomy.org/diet-nutrition. Accessed Sept. 21, 2020.
  4. Ileostomy nutrition therapy. Nutrition Care Manual. Academy of Nutrition and Dietetics. https://www.nutritioncaremanual.org. Accessed Sept. 21, 2020.
  5. Landmann RG, et al. Ileostomy or colostomy care and complications. https://www.uptodate.com/contents/search. Accessed Sept. 21, 2020.

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