Struggling with Colostomy Complications and Seeking Advice

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272
Auntnini
Sep 20, 2024 2:43 pm

I am new to this site; I just signed up today. I had my colostomy done in March because 6 feet of large bowel was necrotic. I had emergency surgery and am stuck with a colostomy bag and stoma. Before surgery, the surgeon said based on a CAT scan, over half my bowel was dead and I needed a permanent colostomy. The pain was horrible, so I signed the consent form. But before being put under anesthesia, I told him if he didn't need to remove half the bowel and he only needed to remove a few feet, then do an end-to-end anastomosis and give me a functional bowel. I found out post-op he ended up removing about 6 feet of large bowel. I can't explain how upset I was over this. Now I have problems with the bags leaking, so I switched to a convex one-piece bag, which helped a bit, but the surgeon put the stoma so close to my navel the flange can't stick to my skin. So, I got a wide arc flange extender to cover that, but the stoma has sunk into my skin, and the waste sticks to the stoma; it won't drop down. I have put air in the bag, pleated it, and used lubricant in it, but nothing helps. The bowel changes have been dreadful; the stool is thick, mushy, and sticky. I try rinsing the bag, but that leads to skin breakdown, and my insurance only covers 20 bags a month. Any suggestions? I am chronically dehydrated and have reduced meals to once per day. I am in kidney and heart failure, so drinking more fluids isn't possible. Open to all suggestions. Thank you.

 

CrappyColon
Sep 20, 2024 3:56 pm

Hi, did you have your surgery at UPMC?

Are the heart & kidney failure related to what went wrong with your large intestine? 
With the heart and kidney issues I’m assuming you have to monitor your sodium? 

The average colon/large intestine is 5ft long… but yours was 6ft? Do you mean the surgeon took your entire colon?

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AlexT
Sep 20, 2024 3:58 pm

If you’re rinsing your bag out each time you empty, you shouldn’t be having skin issues cause your output isn’t sitting on your skin long enough. Are you upright or laying down all the time? All the tricks, air, lube, etc. to get output to fall down in your bag are pretty reliant on gravity to some extent. I have the same issue quite often with output just sitting on my stoma. I just rinse with warm water when I need to, but I never have skin irritation. Maybe your irritation is coming from something else like a reaction to the sticky stuff on your setup or you’re cutting the hole for your bag too tight. Have you had anyone look at your stoma about it retracting into your skin? If it’s truly retracting and not just doing normal stoma movements, you may need to get it fixed. 

Auntnini
Sep 20, 2024 10:19 pm
Reply to CrappyColon

I did not. I had mine at the medical center in Beaver.

Auntnini
Sep 20, 2024 10:23 pm

I am mostly in a reclining position due to the heart issues but I try to remain on my side

 

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CrappyColon
Sep 20, 2024 10:26 pm
Reply to Auntnini

I know the place… did they have an ostomy nurse in the hospital there? 
Any chance you might have an ileostomy not a colostomy? 

CrappyColon
Sep 20, 2024 10:48 pm
Reply to Auntnini

Do you have to stay mostly reclined all the time with the heart issue(s)?