Colostomy and ileostomy care

Be sure to tell your doctor

• If the skin around the stoma is red, weeping or sore
• If the bag leaks often
• If the stoma has changed color or size, or sticks out
• If the stool is very watery, or there is none for more than a day

How to prepare

• Supplies. Keep a stock of bags, plates and skin products. They are chosen with a stoma nurse.
• Size. The hole in the plate is cut to the size of the stoma. In the first weeks the stoma shrinks, so measure again.
• Timing. It is easier to change in the morning before eating, when the bowel is less active.
• Place. Lay out everything you need in the bathroom on a clean towel.

What to bring

• A stock of bags and plates
• Scissors and a size template
• Wipes and a trash bag
• Discharge papers and the nurse's contact

How it goes

1. Wash your hands and get a new bag ready
2. Gently remove the old bag from top to bottom, holding the skin
3. Wash the skin around the stoma with warm water and pat dry
4. Look at the stoma and the skin around it
5. Cut the hole in the plate to the size of the stoma
6. Stick the plate on from the bottom up and hold it with your hand for 1 to 2 minutes
7. Put the used bag into a bag and throw it away

What you'll feel

• The stoma itself does not hurt. It has no nerves, but it bleeds easily when touched
• At first it feels strange and worrying. This is normal and gets easier

Afterwards

• Empty the bag when it is one third to half full
• Drink enough water, especially with an ileostomy
• You can usually eat and wear almost anything. Ask your doctor about your own case
• Do not lift heavy things. It protects against a hernia