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How to use a colostomy bag 

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The colostomy bag is designed to stick onto your abdomen where it collects the faeces and flatus from your stoma. It’s waterproof so you can wear it while showering or bathing.

A colostomy bag has several special features including a filter. This filter works by releasing wind so your bag doesn’t inflate (which is called ‘ballooning’). The filter also has a deodorising action to make sure that there is no smell, which is one of the things that people worry about the most.

Emptying and changing your bag
It’s a good idea to begin by establishing a routine for changing your bag. Try to keep this routine as simple as possible. As you get used to your stoma, you’ll find that it’s more active at certain times of the day, for example shortly after a meal. Don’t choose this time to change the bag but select a time when it’s relatively inactive – perhaps first thing in the morning.

The stoma bag needs to be changed regularly – usually between one and three times a day depending on the amount of faeces. If you are using a drainable bag, it’s recommended that you empty the bag before you remove it. Then seal the bag inside a disposal bag and place in the dustbin. DO NOT flush it down the toilet, as it will cause a blockage.

Taking care of your skin
One of the most important things to remember is to take good care of the skin around your stoma. Here are some tips that you may find helpful:

  • Adhesive plate
    The adhesive plate must fit snugly around your stoma If the hole in the adhesive plate is larger than your stoma, your skin will become exposed to the harmful effects of the faeces and become sore. Also, if the adhesive plate is cut too small, it may cause damage to your stoma. So check regularly to ensure the adhesive plate has a snug fit around your stoma.
  • Watch out for irritants
    Leakage on to the skin, excessive removal of the adhesive plate and harsh skin cleansers can all cause irritation of the skin.
  •  Bleeding
    It’s usual to experience a small amount of bleeding around your stoma when cleaning. This is not a cause for alarm. However, if bleeding comes from inside the stoma you should see your doctor urgently.

Your guide to healthy skin will give you more information on taking care of the skin around your stoma. 

See advice for before and after your colostomy operation for more information, or watch the animated film.

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