In our previous discussion, we explored the challenges and solutions related to stoma retraction. This time, we will focus on stoma prolapse and provide you with practical care advice.
What is Stoma Prolapse?
First, let’s understand what stoma prolapse is. Stoma prolapse occurs when the bowel extends out through the stoma, with the length ranging from 3cm to 20cm. This condition may cause complications such as edema, bleeding, ulceration, bowel torsion, obstruction, or ischemic necrosis. Prolapse can occur in both single-lumen and loop stomas, with the latter being more common. Approximately 12% of transverse colostomies and 11% of ileostomies may experience prolapse. We understand the challenges this can bring to your life, but with proper management, you can effectively control this condition.
Causes and Risks of Stoma Prolapse
Prolapse typically occurs at the distal bowel loop of the stoma, impacting the patient’s daily life and psychological well-being. As the prolapse worsens, it may significantly hinder the wearing and care of the ostomy bag. However, with appropriate care and preventive measures, these issues can be effectively alleviated.
How to Manage Stoma Prolapse
-
Management of Mild Prolapse: For mild prolapse, special treatment is usually not required. Patients are advised to avoid increasing abdominal pressure, such as not lifting heavy objects or doing abdominal exercises. When coughing or sneezing, gently press on the stoma area to reduce discomfort.
-
Choosing the Right Osotmy Care Products:
- One-Piece Ostomy Bags: Use one-piece ostomy bags, especially those with large bases, as they can better protect the prolapsed bowel. Avoid using two-piece ostomy bags, as the rigid base ring may injure the prolapsed bowel.
- Proper Osotmy Bag Application: Ensure that the opening of the ostomy bag matches the maximum diameter of the prolapsed bowel to prevent compression or injury to the bowel.
-
Using an Osotmy Support Belt:
- When using a ostomy belt, it is recommended to lie down and wait for the prolapsed stoma to retract before wearing the belt. This can help reduce the frequency of prolapse. When you feel the need to defecate, make sure to loosen the belt and put it back on after finishing. Patients who do not have the sensation of defecation should regularly check the ostomy bag for gas and stool, emptying and replacing the bag promptly to prevent overfilling and leakage.
The Necessity of Surgical Intervention
Please observe the color of the stoma mucosa daily. If you notice any abnormal color changes, such as purplish-red or black, seek medical attention promptly and do not delay. Your doctor will provide professional advice to help alleviate discomfort and prevent further complications.
Daily Care Considerations
In daily life, try to avoid activities that increase abdominal pressure, such as lifting heavy objects or engaging in strenuous exercise. Selecting appropriate ostomy care products and learning relevant care knowledge will help you manage stoma prolapse more confidently. We also encourage you to observe your stoma regularly and identify any changes early. With proper management and attentive care, you can better adapt to your new life and maintain a positive outlook.
We understand that every step of stoma care is challenging, but please believe that you are not alone on this journey. Follow us on social media, join our community, and learn more about stoma care. Together, we can embrace a healthier, more vibrant life.
Instagram: heagi.colostomy
Facebook: Heagi.Care
TikTok: heagiostomycare
YouTube: Heagi Ostomy Care
Related Posts:Stoma Retraction: Challenges and Solutions
