Life After A Colostomy: Practical Considerations For Those With A Colostomy Appliance

Living with a colostomy bag requires certain crucial lifestyle modifications. However, with proper guidance and support, it is quite possible to lead a fully functioning life.

Maintaining Hygiene

Your doctor and heath-care nurse will provide instructions to aid the healing of the stoma and maintain the appliance. These usually involve cleaning the wound and changing the appliance regularly. Focusing on issues such as showering, preventing infections, and thoroughly rinsing the skin is important.

Good Adherence

Making sure the flange can adhere to the skin effectively is very important. Changes in humidity and temperature significantly affect wear-time. Increased physical activity and perspiration can decrease wear-time. Thus, the skin must be clean and dry before attaching the flange.

Dietary Precautions

Foods affect the digestive system of each individual differently. There are no specific dietary regulations. However, try to avoid foods that cause flatulence or diarrhea, since this could lead to problems of leakage and odor.

Managing Stool Production

The frequency and consistency of stools depends on the type of colostomy you have. Keeping track of bowel movements is vital. A major concern is constipation. Drink plenty of fluids and consume an adequate amount of fiber and juices to keep the stools from becoming too hard or too soft. If the constipation becomes persistent, the doctor may prescribe a timely dose of mild laxatives. 

Precautions at Work

People who have a physically demanding job that involves activities such as lifting and walking can wear a support belt or girdle.

Controlling Odor

Products to control odor are available as liquids and solids. Some are taken internally, and others are placed within the pouch. Emptying the bag periodically will limit the production of off smells as well.

Precautions during Sexual Intercourse

A colostomy can create various practical issues during sexual intercourse. Women, after removal of their rectum, may find sex in the traditional position extremely distressful, since there is no vaginal support. Vaginal dryness is another common issue. For men, surgery might damage the blood vessels and nerve endings innervating the penis, causing temporary erectile dysfunction and premature ejaculation. 

Nevertheless, there are many tips for managing these problems, a few of which include:

• using a lubricant for managing vaginal dryness.
• protecting and supporting the stoma with a soft pillow or cushion.
• trying to have sex in a more comfortable position.
• not putting any weight or pressure on the stoma while having intercourse.
• avoiding anal sex – can lead to extreme pain and rupturing of the stoma.
• changing the colostomy appliance before having sex.

Some General Precautions

When traveling, always carry an emergency kit with back-up supplies. This should include things such as an extra bag, a precut flange, tape, mirror, Q-tips and protective skin wipes. Try to wear loose clothing to facilitate your skin to breathe. Loose fitting clothes also help conceal the colostomy bag and make you feel more self-assured and comfortable in public. Avoid any strenuous physical activities, and caution your children about taking care when they play with you or sit in your lap. While driving, make sure that the seatbelt does not press the stoma or exert pressure on the flange. In case of any psychological issues, talk to your loved ones and confide in your doctor for assistance.