Wednesday 3 June 2020

Stoma Differences


There are lots of differences between the types of stoma’s people have.  They also have them for lots of different medical reasons and each has its own specific purpose and philosophy of how to live and work with them. There is a lot of confusion on the differences and the terminology is just crazy. So I want to go through and maybe clear up a few things about the placement of Stoma and what that means for the person who has it.


The first stoma we will talk about is a Colostomy. A colostomy is an operation that creates an opening for the colon, or large intestine, through the abdomen. A colostomy may be temporary or permanent If you have a colostomy and irrigate your bowels, you might not need to empty your bag for a day or two! Now it does depend on the size of the bag and I like the variety that ostomy supplies carries.  That’s pretty convenient! But if you aren’t irrigating your bowel then you may be emptying 1-3 times a day or however often you would have been going to the bathroom before your surgery. Now this is different from having an ileostomy.


Wickipedea describes this as this: “Ileostomy is a stoma constructed by bringing the end or loop of the small intestine out onto the surface of the skin, or the surgical procedure which creates this opening. Intestinal waste passes out of the ileostomy and is collected in an artificial external pouching system which is adhered to the skin” Most ileostomates will empty their bag 4-10 times per day, but some may need to empty more often if they have liquid output. I find myself emptying around seven or more times per day, but I also let my bag fill up past the 1/3 mark.   Then there is also a urostomy.

A urostomy is a surgical procedure that creates a stoma (artificial opening) for the urinary system.  There are specialty bags for each of these ostomy situations and I still would say to check out ostomy supplies to see which ones work best for your situation. A urostomy bag may need to be drained several times a day depending on the capacity. The volume of urine collected throughout the day should be closely matted with the volume of liquids you consume. 

A urostomate who drinks several liters of water should expect several liters of output in a 24h span. So now you hopefully are a little more informed about what is out there and the differences between stomas and placements!