When you wake up after the operation, you may be attached to a drip placed directly into your vein that provides fluids an intravenous drip and have an oxygen mask or nasal tubes cannula to help you breathe. It usually shrinks during the weeks after the operation, reaching its final size after about 8 weeks. While you're recovering in hospital, a stoma nurse will teach you how to care for your stoma, including how to empty and change the bag.
They'll also teach you how to keep your stoma and the surrounding skin clean and free from irritation. After the operation, waste material comes out of the opening in the abdomen into a bag that goes over the stoma. This section of intestine is then opened up and stitched to the skin to form a stoma. The colon and rectum are left in place. In these cases, the stoma will have 2 openings, although they'll be close together and you may not be able to see both.
One of the openings is connected to the functioning part of your bowel. This is where waste products leave your body after the operation. The other opening is connected to the "inactive" part of your bowel that leads down to your rectum. It can take a few days for your stoma to start producing any output. Your bowel will have gone into a shock like state following surgery. You can aid this process by being mobile and eating small regular amounts of food.
This can be quite uncomfortable but will pass. Pain relief can be given for these and some people find that peppermint tea can help with these pains. Once your stoma does start working, the output may be a little erratic.
You may experience either loose stools or constipation. This is all completely normal and your bowel should settle into a normal pattern over the next few weeks. You may feel quite tired and weak following your bowel surgery and your abdomen may still feel quite tender.
It is important that you rest following your surgery. You do not need to remain in bed though and it is also important to remain mobile to aid your recovery. It takes around 8 weeks to feel fully recovered from stoma surgery. You may also feel quite emotional and maybe a little bit overwhelmed. Having stoma surgery is a big change physically and emotionally.
According to research , around one quarter of stoma patients experience clinically significant psychological symptoms post-operatively. It is perfectly natural to feel like this after surgery and it can be helpful to talk to others in your situation. The Bladder and Bowel Community Support Group is a closed facebook group, which can help you connect with people in a similar situation, and offers an opportunity to get peer support with any questions you may have.
Short, regular walks will help you to increase your strength and give you the confidence to get back out and about again. You can resume driving once you feel that you can perform an emergency stop safely, a rough guide would be around weeks. Your doctor may suggest that you avoid certain foods for a while. Enzymes in the discharge from your ileostomy can irritate your skin. If you have an ileostomy, you may find that you need to make big adjustments to your lifestyle.
Some people seek help from an ostomy support group. You can also find nurses who are specially trained in ileostomy management.
You may have trouble with your stoma. This can result in a leakage. Your doctor can prescribe a medicated topical spray or powder to heal this irritated skin. Some people hold their external pouch in place with a belt.
If you wear the belt too tightly, it can lead to pressure ulcers. However, if this continues for more than four to six hours and you feel nauseous or have cramps, call your doctor. You might have an intestinal blockage. This happens when you lack the correct amount of important substances in your blood, especially sodium and potassium.
This risk increases if you lose a lot of fluids through vomiting, perspiration, or diarrhea. Be sure to replenish lost water, potassium, and sodium.
People with ileostomies:. Heavy lifting can be a problem because it can aggravate your ileostomy. Talk to your doctor if your job requires heavy lifting. It might require you to educate your sexual partners, who might be unfamiliar with ileostomies.
You should discuss your ostomy with your partner before progressing to intimacy. Read this article in Spanish. Your doctor may recommend ulcerative colitis surgery if other treatments are ineffective.
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