Ostomy: Adapting to life after colostomy, ileostomy or urostomy

It takes time to become comfortable with an ostomy — a surgically created opening in your abdomen that allows waste or urine to leave your body.

Many questions may run through your mind as you practice good ostomy care and live your life. It can help to talk to others who have been there. Perhaps you'd like to ask others questions like: What can I eat? What about leaks? Can I go back to work after colostomy? Can I ride a bike with an ileostomy? Will everyone figure out I've had urostomy surgery just by looking at me? What about intimacy?

Welcome ostomates. Let's talk frankly about living with an ostomy. Why not start by introducing yourself? What type of ostomy do you have? How's it going?

Interested in more discussions like this? Go to the Ostomy Support Group.

Thank you Kanaaz. This is my 21st year as a family caregiver.

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@harriethodgson1

I learned some techniques from stoma nurses and others from my husband, a retired Mayo physician. Together, we're a caregiving team. One problem I haven't quite solved is getting enough sleep.

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Welcome to the  club!mlmcg

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I love your phrase, "Together, we’re a caregiving team." Kudos!

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I learned some techniques from stoma nurses and others from my husband, a retired Mayo physician. Together, we're a caregiving team. One problem I haven't quite solved is getting enough sleep.

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Hi @harriethodgson1

I noticed your insightful participation in the Caregivers group, and want to sincerely thank you for sharing about your husband. Having an ostomy can change one's own physical perceptions, and it is encouraging to know that you are supporting him in his care. May I ask how your husband coped with this lifestyle change? Did you learn the necessary techniques while in the hospital?

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In 2013 my husband's aorta dissected and he had three emergency operations. During the third one he suffered a spinal cord injury that paralyzed his legs, making ordinary elimination impossible. My husband self-caths (I help him) and has an ostomy. To help him with his ostomy I had to learn sterile technique, about wafers and bags and brava strips. We have a routine now, and this makes daily life easier.

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@mpy952

Glad I got some ostomy training before surgery and before I left hospital.
Home health came yesterday for the first time. She wanted to see stoma. Came unprepared without any supplies. She was not up to date on any techniques like crusting, using that ring and didn’t measure to cut the wafer. I called the head of the home health and told them I want a more experienced Home health nurse. Are medicaire supplies the same for every state? She also told me I was allowed only 4 bags and wafers a month. I live in rural Mississippi and had been told different number by the ostomy Clinic . Really I just want their supplies and as an old nurse I can do better than them. IMO

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I lost quite a bit of weight after my surgery, but I was in rehab and had other issues. The food was not the best and then I was sent to another rehab. This new place worked with me to see what I was able to eat and even went to the grocery store to get food for me, so I could gain weight. When I left there I had gained back most of the weight I had lost at the other place. I still do not weigh what I once did, but my clothes fit and no one says I look thin, just I look healthy, so I must be doing something right. The average person, if there is such thing, depending on the surgery, how sick you were before the surgery, or how long it takes to find out what foods the body can tolerate, it may be months or years to gain your weight back, if you ever do or want to. I feel that if I am healthy and the doctor is happy, then I am happy.Good luck, mlmcg

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@mpy952

Glad I got some ostomy training before surgery and before I left hospital.
Home health came yesterday for the first time. She wanted to see stoma. Came unprepared without any supplies. She was not up to date on any techniques like crusting, using that ring and didn’t measure to cut the wafer. I called the head of the home health and told them I want a more experienced Home health nurse. Are medicaire supplies the same for every state? She also told me I was allowed only 4 bags and wafers a month. I live in rural Mississippi and had been told different number by the ostomy Clinic . Really I just want their supplies and as an old nurse I can do better than them. IMO

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I see ostomy nurse for appt on Wednesday. And I will get this straight. How much does the average person lose with a new colostomy? Madge

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@mpy952

Glad I got some ostomy training before surgery and before I left hospital.
Home health came yesterday for the first time. She wanted to see stoma. Came unprepared without any supplies. She was not up to date on any techniques like crusting, using that ring and didn’t measure to cut the wafer. I called the head of the home health and told them I want a more experienced Home health nurse. Are medicaire supplies the same for every state? She also told me I was allowed only 4 bags and wafers a month. I live in rural Mississippi and had been told different number by the ostomy Clinic . Really I just want their supplies and as an old nurse I can do better than them. IMO

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Ditto!  Medicare and Health Net allow me to receive

a 3 month supply of bags, pouches, rings, lubricants, cleaning supplies, and anything else I want to try as long as my wound care/ostomy nurse and PCP Doctor approve.

 

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@mpy952

Glad I got some ostomy training before surgery and before I left hospital.
Home health came yesterday for the first time. She wanted to see stoma. Came unprepared without any supplies. She was not up to date on any techniques like crusting, using that ring and didn’t measure to cut the wafer. I called the head of the home health and told them I want a more experienced Home health nurse. Are medicaire supplies the same for every state? She also told me I was allowed only 4 bags and wafers a month. I live in rural Mississippi and had been told different number by the ostomy Clinic . Really I just want their supplies and as an old nurse I can do better than them. IMO

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4 bags! That means you get to clean your stoma only once a week, and never leave your house or have visitors 4 days a week. Hopefully, you don't have diarrhea. There is nothing worst than having a doctor or nurse who have no idea what to do. I receive a three month supply of bags, rings, lubricants, cleaning supplies, and just about anything else I, or my wound/ostomy nurse, want to try. It does not matter where you live or the insurance you have, you should have the supplies you need and/or want to try. I was assigned a "new" wound/ostomy nurse and I feel I knew more than he did, so I asked my PCP to refer me to another hospital. I now have an experienced wound/ostomy nurse and if she has to put in a request to get me more supplies she does. Keep detailed notes on what you ate, how many times you emptied your bag, etc. You will have enough information so you should get more supplies. Unfortunately you may have to fight for every single bag you can get. The bags I use come 10 to a box.Good luck, mlmcg

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