WHAT EXACTLY IS AN OSTOMY?

An ostomy is a surgically created hole that enables feces or pee to exit your body via your stomach. If you can’t poop or pee normally, this is a new technique to get rid of waste. The specific location of your ostomy on your abdomen will be determined by the cause of your operation. A tiny open end of your ureter or small or big bowel protrudes from your skin at the hole. This is known as a stoma, and it appears red or pink. It doesn’t have any nerve endings, therefore it shouldn’t hurt. Your stoma will be connected to a bag that gathers urine or feces.

Causes of Ostomy

An ostomy may be recommended by your doctor to address significant bowel issues or to allow a bodily component to recover after surgery. If some organs are sick or have to be eliminated, you may need an ostomy.

The following are some of the causes:

  • Cancer of the colon, rectal, or bladder.
  • Injuries to the intestines or bladder.
  • Crohn’s disease and ulcerative colitis are severe intestinal diseases.
  • A bowel obstruction.
  • Diverticulitis.
  • An infection, to be precise.
  • Incontinence of the feces.

Types

Two types of ostomies are used to remove feces, and one type is used to redirect urine:

Ileostomy: The ileum (the base of your small intestine) is pulled up through your abdominal wall to create a stoma. When someone is having inflammatory bowel disease or a rectal cancer, this is considered as a common procedure.

Colostomy: A colostomy can connect the remaining colon around the outside of your body if some of your colon has been eliminated.

Urostomy: Your stoma receives the tubes that bring urine to your bladder. You might acquire this when you have cancer or other problems that make significant bladder issues.

Aside from the traditional ostomy, you have other alternatives. One method is to insert a bag within your body to gather feces, which then leave through the anus. Then, a partial ostomy can be eliminated. Even a permanent ostomy can be reversed in rare cases.

Surgery

You’ll be admitted to the hospital and put in general anesthesia, which indicates you won’t be able to feel pain or be conscious. Your surgeon or professionally trained doctor will choose the optimum location for your stoma before the procedure, which is generally the plain front section of your belly.

The operation will vary depending on the treatment you require. In most cases, your doctor attaches a section of an internal organ, such as the intestine, to a hole in your abdominal wall.

A nurse or therapist will teach you how to manage your stoma and how to eliminate your waste bag. After several months, you must be ready to resume your normal routine. For the next two or three weeks, you should avoid heavy lifting or driving . Except for contact sports like karate or football, you should be ready to start normal activities once you’ve healed. Gas, diarrhea, and constipation are common problems that arise later. If your symptoms are severe or do not improve, consult your doctor.

Difficulties:

Following ostomy surgery, you may experience complications. It may include the following:

  • The skin surrounding your stoma that is itchy, red, or inflamed.
  • Your body is bleeding from inside.
  • Infection.
  • Your small or big intestine is blocked.
  • Issues with your stoma, including a hernia (abdominal wall weakness) or prolapse (when the bowel pushes through the stoma).
  • Insufficiency of vitamin B12.
  • Discharge from the bottom of your body.
  • Absorption issues with vitamins, other nutrients and water. 

If you experience any of these complaints or any other concerns, see your doctor.

Living with an Ostomy

It will take some time to adjust to using the washroom in a new method. Your feces will pass through the stoma and into a disposable bag just after the treatment. What you consume, the sort of surgery you got, and your toilet habits before the treatment will all influence how often you defecate or pee.

For a short time following surgery, you will need to modify your meals to manage your bowel activities. However, after you’ve fully recovered, you should be free to eat whatever you desire. You could be concerned about how your friends, family, or sexual partner will respond. When you’re out, your clothes will hide your ostomy, and most individuals won’t notice.

Consult a doctor, relatives, and companions if you’re having trouble adjusting to the social, emotional, and physical changes in your life. You may engage in counseling service or interact with an enterostomal therapist, who is experienced in the difficulties of dealing with a stoma. When you have the assistance of others, it might be simpler to accept.

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