Colostomy smell

Replies
15
Views
145
Lisa.H.G.
Dec 20, 2024 5:59 pm

Hi there, I had a colostomy at the end of October and have been okay (as you can be) but I'm utterly disturbed by the smell of today's output and it's really worrying me. I can only describe it as rotten eggs to start followed by a vomit smell. Have any other colostomates experienced this? It seems to be frequent with ileostomy but I can't find any info with colostomies! The only thing I can think of that I ate yesterday was a couple of slices of garlic bread, but I've been putting garlic into my cooking for a few weeks now and I have NEVER experienced a smell like it. Just looking for a bit of reassurance that it's not just me as I had a really bad infection when I was in hospital and don't want to be back there over Christmas. Thanks for reading 😊

aTraveler
Dec 20, 2024 6:16 pm

You'll have to see what your next output smells like. The big concern is internal bleeding — it has an unforgettably bad smell. Garlic does lead to bad smells — I quit eating garlic due to the smells it caused and the odor just hangs in the air.

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Bill
Dec 20, 2024 6:44 pm

Hello Lisa.
Yep! been there, done that.
Sorry I cannot be of much help because whenever it happens I have yet to figure out the precursor's. 
A Traveller's suggestion to 'wait and see' seems reasonable to me, but if you are particularly worried about anything in these early days, then a phone call to your stoma nurse could be reassuring.
Let us know how you get on.
Best wishes

Bill

warrior
Dec 20, 2024 7:30 pm

Great detailed description. I'm abt to loose my lunch . Thanks! Just kidding. Too soon? Ha ha.

Yea.  Garlic  could be an issue. Agree with men above.  There will be changes in yur diet. 

Loved garlic bread. It didn't love me tho . Think of it as treat sometimes. See what yur next few out puts smell like. 

Are u aware of deodorants that kill these god awful odors u put in yur pouch. ?

Shamrock
Dec 20, 2024 7:47 pm

I don't know if this list applies to colonoscopy or not but the ingredients are the same so...

 

Eating Guide

 

Partially copied from my nutritionists guide. Ileostomy Nutrition Therapy from the Academy of Nutrition and Dietetics. (This handout may be duplicated for client education.)

 

My recommendation is to see a nutritionist for the full guide as not all can be pasted here

 

I've added my own observations to further clarify 

 

Chew all foods well to the consistency of paste. Spit out any hard stuff or can't chew. Important!

 

Foods That May Cause Blockage (very bad avoid!)

 

Apples, unpeeled (peeled and applesauce are excellent thickeners, don't eat the skins or the core, chew well)

 

Bean sprouts, Cabbage

 

Casing on sausage (inside fine if no tough parts, avoid swallowing if a chunk is felt) Also sausage like meats like pepperoni and salami contain indigestible bits.

 

Chinese vegetables (stir fried crunchy, too hard, need very soft veggies with no skins)

 

Coconut, Coleslaw, Celery (avoid)

 

Corn (grits also, corn anything doesn't seem to dissolve in stomach)

 

Cucumbers (skins bad, inside chewed up good seems okay, no seeds)

 

Dried fruit, raisins

 

Grapes, blueberries etc. (skins and seeds the problem.)

 

Green peppers (red, yellow also) pureed or very very small and soft seems okay in small amounts 

 

Mushrooms (doesn't dissolve in stomach) pureed or very very small seems okay in small amounts 

 

Nuts (totally avoid)

 

Peas (mushy interior okay, like pea soup, skins a problem)

 

Pickles (skins a problem, inside if chewed up good seems okay, seeds not)

 

Pineapple (liquid okay, mushy parts fine, hard parts not, rather risky as parts of mushy may not digest)

 

Popcorn (totally avoid)

 

Potato skins, inside (no hard parts) fine.

Relishes and olives

 

Salad greens (diarrhea nightmare too)

 

Seeds and nuts (avoid) Watermelon seeds bad 

 

Spinach (doesn't digest, pureed perhaps)

 

Tough, fibrous meats (for example, steak on grill, well done, tough parts especially, over grilled chicken or dry pork chops. Juicy grilled or pan fried chicken, shredded pork in juices, medium rare steaks, hamburger better. Nothing deep fried ever, dirrarea city.

 

Vegetable and fruit skins, (any avoid)

 

Whole grains (no grits, rolled oats oatmeal seems to be okay, oat cereal is an excellent thickener)

 

 

Foods That May Cause Gas or Odor

 

Alcohol, Apples, Asparagus (stink), Bananas, Beer, Broccoli (clog hazard)

Brussels sprouts (clog hazard)

Cabbage (clog hazard)

Carbonated beverages

Cauliflower, Cheese, some types like any cheese food is bad. Real cheese may be okay. Provolone, Swiss, Cheddar, not American white or yellow 

Corn (clog hazard), Cucumber skins and seeds bad.

Dairy products (toot city, small amounts okay)

Dried beans and peas (clog hazard)

Eggs (some don't digest in stomach like scrambled or omelets, but over easy seems fine for some reason)

Fatty foods, Grapes

Fish (cooked unseasoned salmon in small portions may not, nor stink, same for raw tuna seems fine)

Green pepper (red and yellow also, clog hazzard unless very small and very soft in small quantities)

Melons, Onions (clog hazard)

Peanuts (clog hazard) Prunes

Radishes, Turnips

Soda and sipping using straws, (drink from glass instead)

Seafood (smell rotten stink!)

 

If your having vacuum caused pancaking issue a small amount of something above (like having a soda during a meal) could introduce some air into your diet and thus into the bag. Also by avoiding too much thickening foods by themselves which often contribute to pancaking of the output.

 

Foods That May Help Relieve Gas and Odor

 

Buttermilk, Cranberry juice, Parsley

Yogurt with active cultures (Greek yogurt)

 

Foods That May Cause Diarrhea (looser or more frequent stool)

 

Alcohol (including beer)

Apricots (and stone fruits)

Beans, baked or legumes (clog hazard)

Bran, Broccoli, Brussels sprouts

Cabbage, Caffeinated drinks

Chocolate

Corn (in my experience corn anything doesn't digest in stomach, just passed through and out, kernels/popcorn will clog)

Deep Fried meats, fish, poultry (KFC, supermarket rotisserie chicken very bad, and anything soaked in brine)

Fruit juice: apple, grape, orange (small amount okay)

Fruit: fresh, canned, or dried (small amount skinless okay)

Glucose-free foods containing mannitol or, sorbitol

Gum, sugar free, Licorice

High-fat foods, High-sugar foods

High salt foods (KFC, supermarket rotisserie chicken)

High seasoned foods (like blackened)

Milk and dairy foods (small amounts okay)

Nuts or seeds (bad, clog hazard)

Peaches (stone fruit, one skinless a day okay)

Peas, Plums (stone fruit).

Pork (chops, fatty)

Prune juice or prunes

Soup, Spicy foods

Sugar-free substitutes

Tomatoes, doesn't digest (soup okay) Turnip greens/green leafy

Vegetables, raw

Wheat/whole grains, Wine

Rice (very soft 1/4 cup in mixed in food okay, like in soup), refried beans (1/4 cup okay) pasta (one cup max).

Any foods soaked in brine or deep fried (rotisserie chicken, Kentucky fried chicken etc)

Solent nutritional meals 

 

Foods That May Help Thicken Stool

 

Applesauce (peeled apples, no cores)

Bananas, Barley (when OK to have fiber)

Cheese (processed cheese food a clog problem, use real cheese)

Dried Chinese Crispy Noodles (severe thickening, mix with other food that causes diarrhea)

Marshmallows

Oatmeal (when OK to have fiber)

Pasta (sauces may increases symptoms) (in my experience more than a cup of pasta causes diarrhea)

Peanut butter, creamy only, nuts clog (may make skin greasy)

Potatoes, no skin (skin clogs, more than a cup may cause diarrhea)

Pretzels (salty may cause more flow water consumption)

Metamucil, mix or crackers (mix in cup of water and drink before it gells up)

 

 

Eating Guide


Partially copied from my nutritionists guide. Ileostomy Nutrition Therapy from the Academy of Nutrition and Dietetics. (This handout may be duplicated for client education.)


My recommendation is to see a nutritionist for the full guide as not all can be pasted here


I've added my own observations to further clarify 


Chew all foods well to the consistency of paste. Spit out any hard stuff or can't chew.  Important!


Foods That May Cause Blockage (very bad avoid!)


Apples, unpeeled (peeled and applesauce are excellent thickeners, don't eat the skins or the core, chew well)


Bean sprouts, Cabbage


Casing on sausage (inside fine if no tough parts, avoid swallowing if a chunk is felt) Also sausage like meats like pepperoni and salami contain indigestible bits.


Chinese vegetables (stir fried crunchy, too hard, need very soft veggies with no skins)


Coconut, Coleslaw, Celery (avoid)


Corn (grits also, corn anything doesn't seem to dissolve in stomach)


Cucumbers (skins bad, inside chewed up good seems okay, no seeds)


Dried fruit, raisins


Grapes, blueberries etc. (skins and seeds the problem.)


Green peppers (red, yellow also) pureed or very very small and soft seems okay in small amounts 


Mushrooms (doesn't dissolve in stomach) pureed or very very small seems okay in small amounts 


Nuts (totally avoid)


Peas (mushy interior okay, like pea soup, skins a problem)


Pickles (skins a problem, inside if chewed up good seems okay, seeds not)


Pineapple (liquid okay, mushy parts fine, hard parts not, rather risky as parts of mushy may not digest)


Popcorn (totally avoid)


Potato skins, inside (no hard parts) fine.

Relishes and olives


Salad greens (diarrhea nightmare too)


Seeds and nuts (avoid) Watermelon seeds bad 


Spinach (doesn't digest, pureed perhaps)


Tough, fibrous meats (for example, steak on grill, well done, tough parts especially, over grilled chicken or dry pork chops. Juicy grilled or pan fried chicken, shredded pork in juices, medium rare steaks, hamburger better. Nothing deep fried ever, dirrarea city.


Vegetable and fruit skins, (any avoid)


Whole grains (no grits, rolled oats oatmeal seems to be okay, oat cereal is an excellent thickener)

 


Foods That May Cause Gas or Odor


Alcohol, Apples, Asparagus (stink), Bananas, Beer, Broccoli (clog hazard)

Brussels sprouts (clog hazard)

Cabbage (clog hazard)

Carbonated beverages

Cauliflower, Cheese, some types like any cheese food is bad. Real cheese may be okay. Provolone, Swiss, Cheddar, not American white or yellow 

Corn (clog hazard), Cucumber skins and seeds bad.

Dairy products (toot city, small amounts okay)

Dried beans and peas (clog hazard)

Eggs (some don't digest in stomach like scrambled or omelets, but over easy seems fine for some reason)

Fatty foods, Grapes

Fish (cooked unseasoned salmon in small portions may not, nor stink, same for raw tuna seems fine)

Green pepper (red and yellow also, clog hazzard unless very small and very soft in small quantities)

Melons, Onions (clog hazard)

Peanuts (clog hazard) Prunes

Radishes, Turnips

Soda and sipping using straws, (drink from glass instead)

Seafood (smell rotten stink!)

 

If your having vacuum caused pancaking issue a small amount of something above (like having a soda during a meal) could introduce some air into your diet and thus into the bag. Also by avoiding too much thickening foods by themselves which often contribute to pancaking of the output.

 

Foods That May Help Relieve Gas and Odor


Buttermilk, Cranberry juice, Parsley

Yogurt with active cultures (Greek yogurt)

 

Foods That May Cause Diarrhea (looser or more frequent stool)


Alcohol (including beer)

Apricots (and stone fruits)

Beans, baked or legumes (clog hazard)

Bran, Broccoli, Brussels sprouts

Cabbage, Caffeinated drinks

Chocolate

Corn (in my experience corn anything doesn't digest in stomach, just passed through and out, kernels/popcorn will clog)

Deep Fried meats, fish, poultry (KFC, supermarket rotisserie chicken very bad, and anything soaked in brine)

Fruit juice: apple, grape, orange (small amount okay)

Fruit: fresh, canned, or dried (small amount skinless okay)

Glucose-free foods containing mannitol or, sorbitol

Gum, sugar free, Licorice

High-fat foods, High-sugar foods

High salt foods (KFC, supermarket rotisserie chicken)

High seasoned foods (like blackened)

Milk and dairy foods (small amounts okay)

Nuts or seeds (bad, clog hazard)

Peaches (stone fruit, one skinless a day okay)

Peas, Plums (stone fruit).

Pork (chops, fatty)

Prune juice or prunes

Soup, Spicy foods

Sugar-free substitutes

Tomatoes, doesn't digest (soup okay) Turnip greens/green leafy

Vegetables, raw

Wheat/whole grains, Wine

Rice (very soft 1/4 cup in mixed in food okay, like in soup), refried beans (1/4 cup okay) pasta (one cup max).

Any foods soaked in brine or deep fried (rotisserie chicken, Kentucky fried chicken etc)

Solent nutritional meals 

 

Foods That May Help Thicken Stool


Applesauce (peeled apples, no cores)

Bananas, Barley (when OK to have fiber)

Cheese (processed cheese food a clog problem, use real cheese)

Dried Chinese Crispy Noodles (severe thickening, mix with other food that causes diarrhea)

Marshmallows

Oatmeal (when OK to have fiber)

Pasta (sauces may increases symptoms) (in my experience more than a cup of pasta causes diarrhea)

Peanut butter, creamy only, nuts clog (may make skin greasy)

Potatoes, no skin (skin clogs, more than a cup may cause diarrhea)

Pretzels (salty may cause more flow water consumption)

Metamucil, mix or crackers (mix in cup of water and drink before it gells up)

 

 

 

Living with Your Ostomy | Hollister

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Lisa.H.G.
Dec 20, 2024 8:43 pm
Reply to aTraveler

Would there not be more severe symptoms with internal bleeding? I only have the bad smell and nothing else.. Will definitely keep this in mind though in case any other symptoms do crop up. Hopefully not! 

SusanT
Dec 20, 2024 8:49 pm

I've noticed my colostomy output to be variable. A couple times I've eaten something that causes a bad smell in my output. I wouldn't be too concerned about that. 

Look for other signs of infection, fever chills etc. If you see any if those head to a Dr pronto, otherwise I think you are safe to wait and see. 

A rotten egg smell is sulfur. Garlic contains sulfur as does eggs, dairy, meats, etc... it's a long list. You can google it if interested. Personally, I eat what I want, use deodorizer drops and just put up with the smell if it comes. But that's a personal choice. 

I've found nothing that reliably produces a strong odor. It seems to depend on quantity, what else I eat with it and quite possibly variation in my digestive system itself.

Lisa.H.G.
Dec 20, 2024 8:52 pm
Reply to SusanT

I am starting to think it may just be something I need to deal with. Such an adjustment. Hoping I don't get any other symptoms and so far so good. I'll definitely be looking into deodoriser drops too. You would think my stoma nurse would have mentioned these were a thing I could get! 

warrior
Dec 20, 2024 8:57 pm
Reply to Lisa.H.G.

Smart thinking. I agree with you. 

Lisa.H.G.
Dec 20, 2024 9:41 pm

To update, still stinks and is now a bit looser. I am starting to panic there might be a blockage but will hope not and try and call the nurse in the morning 🤞

Shamrock
Dec 20, 2024 9:42 pm

You can wash your bag with a couple of drops of antibacterial dish soap and some water followed by a couple of rinses after each dump. 

That should keep the smell down also.

I leave a little dish soap and water to mix with future output to kill the digestive enzymes bacteria causing the smell, but I have an Ileostomy so output is usually more fluid. Worth a try though.  😊

SusanT
Dec 20, 2024 10:13 pm
Reply to Lisa.H.G.

Definitely call your nurse if it's bothering you. You've been thru a lot and it's natural to be anxious. 

My output is frequently very loose and this is not a cause for concern. Your colon is probably still adjusting to its new normal so some changes are to be expected. 

I have only had my colostomy since Aug, so about 2 months longer than you. My system still hasn't completely settled down. 

Lisa.H.G.
Dec 20, 2024 10:32 pm
Reply to SusanT

Thank you - this is quite reassuring to hear so appreciate the response. Hopefully it will settle down over the next couple of days 🙏 

Maried
Dec 21, 2024 4:55 am

Could be diarrhea..from a virus or something you ate..I have colostomy the regular smell is bad..diarrhea..is worse..monster smell...so I use M9..it is a life saver.

SusanT
Dec 21, 2024 5:39 am
Reply to Maried

Very true about the smell of diarrhea. However, the fluid from my drain is by far the worst smell I deal with on a daily basis. Sadly, there's no way to add deodorizer to the drain bag (sealed system). I've taken to calling the drain my ileostomy. 🤣🤣🤣

aTraveler
Dec 21, 2024 8:29 pm
Reply to Lisa.H.G.

When I experienced the internal bleeding, In addition to the smell I mentioned, I began to see red blood in my pouch. There was no pain associated with it. I was in rehab at the time and my surgeon directed the rehab facility to send me to the emergency room for a CT. The results led to my re-admission to the hospital. If you are on an iron supplement you will not see the blood but the unforgettable smell will be there. I did began to feel slightly lightheaded but I had experienced worst while in the hospital.