OSTOMY POUCHES

A pouch (also called an ostomy bag) is put over the ostomy stoma to catch what comes out. The stool is usually looser than what you would have when going to the bathroom. That's because one of the intestine's jobs is to absorb water. With less intestine to do the work, the stool is looser. The stool may also contain mucus. The intestine will also pass gas into the pouch, which can balloon out if there's a large amount of gas (see below). The pouch can also contain a rubber ducky, as I found out when a patient put one inside as a practical joke.   

The pouches are sealed onto the skin with an adhesive that prevents leaks. They also have an opening that is clamped shut while it is worn, but that can be easily opened to empty the bag. 

Emptying and Changing the Pouch

The pouch needs to be emptied when it is full of gas or ½ full with stool. It's easy. The clamp is opened and can drain into a plastic container or directly into a toilet. The opening is then wiped off and reclosed. 

The pouch should be changed every few days unless the adhesive wafer holding it to the skin starts to loosen sooner. The pouch is lifted away from the skin and it gradually comes off like a bandaid or piece of tape. The skin and your hands are cleaned off. 

• The skin around the stoma should be inspected for any irritation or rashes. An ostomy nurse or your doctors may be able to suggest a powder, paste that will keep the are dry and protected, allowing the rash to heal. 
• The stoma should be checked to make sure it's in its normal condition. Let your doctor know if there are any changes. 
• A new pouch and skin barrier can then be applied. And you will want to wash your hands thoroughly once again. 

Clothing Over the Ostomy

Some people with ostomies prefer to wear loose clothing, But pants, skirts and belts can go over the ostomy and stoma without discomfort. Ostomies are rarely noticeable or in the way.  

Next