In some cases, a support device a rod or bridge may be used to hold the loop of colon in place while it heals. It's usually removed after a few days. With an end colostomy, 1 end of the colon is pulled out through a cut in your tummy and stitched to the skin to create a stoma. An end colostomy is often permanent. Temporary end colostomies are sometimes used in emergencies. The position of the stoma will depend on the section of your colon that's diverted, but it's usually on the left-hand side of your tummy, below your waist.
If the operation is planned in advance, you'll meet a specialist stoma nurse to discuss the positioning of the stoma. The stoma will be red and moist and may bleed slightly, particularly in the beginning — this is normal. It should not be painful as it does not have a nerve supply. A clear colostomy bag will be placed over the stoma so it can be easily monitored and drained.
The first bag is often quite large — it'll usually be replaced with a smaller bag before you go home. While you recover in hospital, a stoma nurse will show you how to care for your stoma, including how to empty and change the bag.
The nurse will teach you how to keep your stoma and surrounding skin clean and free from irritation, and give you advice about preventing infection.
They'll also explain the different types of equipment available and how to get new supplies. Living with a colostomy is a major change. But knowing what to expect and how to deal with it can help you adjust. The colon is the part of the large intestine that goes from the small intestine to the rectum. Food enters the colon from the small intestine.
The nutrients and water are absorbed by the colon as the food passes through it. Then the waste is stored as stool in the rectum until it can be passed out of the body. Ascending colon. This part goes up the right side of your belly. Transverse colon. This part runs across the upper part of your belly. Descending colon.
This part runs down the left side of your belly and ends at the sigmoid colon. The sigmoid colon connects to your rectum. As waste moves through the large intestine, water is absorbed and stool becomes more formed. An ostomy is an opening created with surgery. It may be needed when a person has lost normal function of the bladder or bowel. Function can be lost due to birth defects, disease, injury, or other disorders. Types of ostomy include:.
The opening is made with part of the colon. Stool the comes out is soft to firm. The opening is made with the part of the small intestine called the ileum. It's on the lower right side of the belly. Stool is liquid to semi-soft and looks green. The opening is made to drain urine, not stool from the body. Ostomy surgery lets body wastes leave through a new opening stoma on the abdominal wall.
An ostomy may be either temporary or permanent. When you have an ostomy, you need to wear a special pouch over the stoma to collect the waste. A colostomy may be created at any point along the colon. The type of stool that comes out depends on where the ostomy is. For example:. If the ostomy is toward the lower end of the colon, more liquid is absorbed and the stool will be more solid.
If the ostomy is very low along the descending colon, near the rectum, stools are well-formed. They are a lot like stools from a normal colon. Learn more about vaccine availability. Advertising Policy.
You have successfully subscribed to our newsletter. Related Articles. Confused About Breast Implants? Trending Topics. Getting a colostomy marks a big change in your life, but the surgery itself is uncomplicated. It will be performed under general anesthesia, so you will be unconscious and feel no pain. A colostomy may be done as open surgery, or laparoscopically, via several tiny cuts.
As with any surgery, the main risks for anesthesia are breathing problems and poor reactions to medications. A colostomy carries other surgical risks:. If possible, be sure to discuss your surgical and postsurgical options with a doctor and an ostomy nurse a nurse who is specially trained to help colostomy patients before surgery. It may also help to meet with an ostomy visitor.
This is a volunteer who has had a colostomy and can help you understand how to live with one. And, before or after your surgery, you may wish to attend an ostomy support group. Depending on why you need a colostomy, it will be made in one of 4 parts of the colon: ascending, transverse, descending, or sigmoid. A transverse colostomy is performed on the middle section of the colon, and the stoma will be somewhere across the upper abdomen.
This type of surgery--often temporary--is typically performed for diverticulitis, inflammatory bowel disease, cancer, blockage, injury or a birth defect. In a transverse colostomy, the stool leaves the colon through the stoma before reaching the descending colon. Your stoma may have one or two openings. One opening is for stool. The second possible stoma is for the mucus that the resting part of your colon normally keeps producing.
If you have only one stoma, this mucus will pass through your rectum and anus. An ascending colostomy goes on the right side of your abdomen, leaving only a short part of the colon active. It is generally performed only when blockage or severe disease prevents a colostomy further along the colon. A descending colostomy goes on the lower left side of the abdomen, while a sigmoid colostomy-- the most common type--is placed a few inches lower. You may be able to suck on ice chips on the same day as your surgery.
You'll probably be given clear fluids the next day. Some people eat normally within two days after a colostomy. A normal stoma is moist and pink or red colored. When you first see your colostomy, it may appear dark red and swollen, with bruises. Don't worry.
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