Hip Replacement Concerns for Ostomy Patients

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189
peter francis
Oct 28, 2024 9:25 pm

I have had my ileostomy since around 2007 and have managed it well over the years.  However, this is not a perfect world and I still have those dreaded middle of the nights blow-outs which frequently result in 3 am showers!  I set my alarm to go off every 2 1/2 hours or so to avoid them but . . . 

In December I am scheduled to get my right hip replacement surgery and I'm really concerned about middle of the night blow-outs.  Does anyone have any advice and wisdom to pass on to me?  I should mention that I have had a large parastomal hernia on the right side of my stoma for several years but other than trying to disguise it with non-tucked in shirts, or sweaters it doesn't bother me too much.

Riva
Oct 28, 2024 9:33 pm

You've got this. I have had both hips done. In the early stages of recovery, I would just have an extra pouch by the side of the bed and just swap out the pouch just in case. Bathroom changes were out of the question. Good luck. 🌈💪

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warrior
Oct 28, 2024 10:00 pm

Re: middle of the night blow outs? Yeah, they suck.

However, you have time to curb your appetite. Have you tried eating earlier? Do you know your scheduled digestive tract?

Some have 4 to 6 hours before they "go". If you can figure out your "go" time, you can develop better eating habits and fewer blowouts during the night.

It works for me. Schedule and no dairy products. Took time but... it's time well spent.

Justbreathe
Oct 29, 2024 11:40 am

Not sure about the "blowout" thing... does this mean a major leak - as in, "What the heck was that, and now what? I am trying to get some sleep here!"? I am guessing the 3 a.m. shower is what a blowout means - a complete mess.
So, this seems to me to be a product failure... I myself have only had my ileostomy for 4 years but have tried an abundance of products as there is always room for improvement. Most recently, I test drove a 2-piece system after having worn a one-piece for the last 4 years... not quite sure if I want to change yet; however, it seems to me to be a perfect product for someone in your situation - instead of showering in the middle of the night, at some point during the night simply snap on a new bag... am I missing something? Those with similar situations to your own will surely have suggestions for you. Best wishes for a successful surgery and a speedy recovery in your upcoming hip surgery. jb

vanestag
Oct 29, 2024 5:33 pm

I've had two hip surgeries, one because I fell and broke my hip. It didn't heal, so I had to have revision surgery, take out all the repair equipment, and put in a replacement. Well, now that hasn't healed. I have osteoporosis, 69 years old. But back to your concerns, I also have to get up in the middle of the night to empty my pouch. I even use a large ileostomy pouch. What the hospital did was give me a male urinal container; it would hang by my bedside. I would empty my pouch myself in the middle of the night if needed, but I always insisted they take me to the bathroom for privacy. After hip surgery, they want you up and walking usually a few hours after surgery. Not too bad. I'm pretty independent, so I took care of my colostomy myself; I didn't want to take the chance of anyone messing with it because 9 times out of 10, the aides have never seen or dealt with one before! I was mostly worried about the awful smell; the best I've found by accident is by Bath and Body Works. It comes in a small aerosol bottle, fits easily in a purse or pocket. The bottle is small, but you only need one or two sprays. The bottle lasts a long time. It is expensive, but they usually have good sales, and you can get them on sale. It's best not to get perfume fragrances, something along the line of that has cinnamon, balsam fragrance. Sorry for being so lengthy! Best of luck, so many of my friends have had hip surgery with no problems. I know it's going to be a worry for you, but before you know it, you'll be home!

 

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GraceFalls
Nov 04, 2024 4:42 am

I have an ostomy and a really bad hip.

Could have my ostomy reversed, still an option after 1 year.

Hip? O h my, the ostomy surgery was so difficult to recover from, I am afraid of any more surgeries.

66 years old. So scared of any surgery.

Always in pain from my hip.

Colostomy works fine. Would love a reversal but my surgeon told me it has to be open. As in from here to there, again.

Don't know what to do. Depressed. Pain in hip constantly. Anal discharge is friggin horrible.

 

 

Riva
Nov 04, 2024 10:11 am
Reply to GraceFalls

Hi.  As I wrote above, I had both hips done at separate times.   No need to be in the pain you’ve described.   Ask away with any questions you may have.  Best of luck. 🌈

vanestag
Nov 07, 2024 11:39 pm
Reply to Riva

Finally got the MRI report concerning my hip; it's hard to make sense of it, but it seems as though I may have a tear in one of the major muscles. I'll see the surgeon next week. The pain is terrible at night, waking up my husband in the next bedroom. I certainly don't sleep on that side; I try to sleep on my back. I'm so limited in my activities; I just mainly stay home. I never would have thought that I would be in this condition at this age!

Riva
Nov 08, 2024 12:46 am
Reply to vanestag

I just saw this. No need to be in pain. Have the right surgeon do the replacement. Ask if there is a class or film you can watch beforehand explaining what you should expect from the surgery, from medications, anesthesia, etc., post-op, outpatient physical therapy. This will be behind you before you know it. Good luck.

jayne_waldridge
Nov 08, 2024 1:34 am

Hi, I don't kayak or fish, but I do enjoy nature walks and gardening. Also, I love the sea. I've been living with a colostomy for 2 years, and although a candidate for reversal, I have decided against it. I'm a good conversationalist and a huge history fan. I retired 2 years ago and am starting to enjoy it, I think. I'm available if you want a new friend.