What Occurs To Your Anus After Colostomy? After a colostomy, the anus should still perform usually, or it might not. This depends upon the kind of colostomy that was carried out and the explanation for the surgical procedure.
In a brief colostomy, the anus is often left intact and can proceed to perform usually. Because of this you’ll nonetheless have the ability to go stool and fuel by way of your anus. Nevertheless, you might also have some discharge out of your anus, which is normally mucus or useless cells from the liner of the bowel.
In a everlasting colostomy, the anus could also be closed off or eliminated. Because of this you’ll not have the ability to go stool or fuel by way of your anus. You’ll as an alternative need to put on a colostomy bag to gather stool and fuel that exits by way of the stoma.
Here’s a desk summarizing the attainable results of a colostomy on the anus:
Listed here are some particular adjustments that will happen to the anus after a colostomy:
- Mucus manufacturing: The anus might proceed to supply mucus, though it’s not serving its authentic objective. This mucus might leak out of the anus or chances are you’ll really feel the urge to go to the bathroom. The mucus is generally clear or white and appears like egg white or glue.
- Sensation: The anus should still have some sensation, even after a colostomy. This implies that you could be nonetheless have the ability to really feel the urge to have a bowel motion, though you’ll not have the ability to management it.
- Management of fuel: In some circumstances, you should still have the ability to management fuel to some extent after a colostomy. Nevertheless, chances are you’ll not have full management, and chances are you’ll expertise some leakage of fuel.
Colostomies could be carried out in numerous elements of the colon:
- Ascending colostomy: This kind of colostomy is completed on the fitting aspect of the stomach, close to the hipbone.
- Transverse colostomy: This kind of colostomy is completed on the higher stomach, throughout the waist.
- Descending colostomy: This kind of colostomy is completed on the left aspect of the stomach, close to the decrease ribs.
- Sigmoid colostomy: This kind of colostomy is completed on the decrease left stomach, close to the pelvic bone.
The kind of colostomy that’s best for you will depend upon the precise cause to your surgical procedure and the situation of the issue in your colon.
After a colostomy, you will have to learn to care to your stoma and put on a colostomy bag. Additionally, you will have to make some adjustments to your food plan and way of life. Nevertheless, with correct care and assist, you may dwell a full and lively life with a colostomy.
Colostomy problems
Stoma problems:
These problems can have an effect on the stoma itself and the encircling pores and skin. They embody:
- Stoma prolapse: This happens when the stoma protrudes by way of the opening within the stomach.
- Stoma retraction: This happens when the stoma sinks again into the stomach.
- Stoma stricture: This happens when the stoma narrows, making it troublesome for stool to go by way of.
- Stoma ischemia: This happens when the stoma doesn’t obtain sufficient blood circulation, which may result in tissue loss of life.
- Parastomal hernia: This happens when a portion of the gut protrudes by way of a weakened space within the stomach wall close to the stoma.
Pores and skin problems
These problems can have an effect on the pores and skin across the stoma. They embody:
- Pores and skin irritation: That is attributable to the adhesive used to connect the colostomy bag to the pores and skin.
- Pores and skin an infection: This may be attributable to micro organism that enter the pores and skin by way of a reduce or sore.
- Fungal an infection: This may be attributable to fungus that grows within the heat, moist atmosphere across the stoma.
Different problems:
These problems can have an effect on different elements of the physique. They embody:
- Dehydration: This could happen should you lose an excessive amount of fluid by way of the stoma.
- Electrolyte imbalance: This could happen should you lose too many electrolytes, reminiscent of sodium, potassium, or chloride, by way of the stoma.
- Intestinal obstruction: This could happen if the gut turns into blocked, stopping stool from passing by way of.
- Stoma fistula: This can be a gap that develops between the stoma and one other a part of the gut.
Stopping problems
There are a variety of issues you are able to do to assist forestall problems from a colostomy. These embody:
- Following your physician’s directions fastidiously: This contains taking your medicines as prescribed and caring to your stoma correctly.
- Consuming a nutritious diet: It will assist to maintain your stools shaped and straightforward to go.
- Getting common train: It will assist to maintain your bowels common and forestall constipation.
- Keep away from lifting heavy objects: This could put a pressure on the stomach wall and improve the danger of a hernia.
- Seeing your physician for normal checkups: It will assist to determine and deal with any problems early on.
Further ideas that will assist to stop particular problems:
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To forestall pores and skin irritation:
- Use a barrier cream or wipe across the stoma to guard the pores and skin.
- Change your colostomy bag as usually as beneficial by your physician.
- Gently pat the pores and skin across the stoma dry after showering or bathing.
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To forestall stoma blockage:
- Eat a high-fiber food plan.
- Drink loads of fluids.
- Keep away from meals which can be excessive in insoluble fiber, reminiscent of nuts, seeds, and popcorn.
- For those who expertise constipation, speak to your physician about stool softeners or laxatives.
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To forestall parastomal hernia:
- Keep away from lifting heavy objects.
- Keep a wholesome weight.
- Put on a assist garment, reminiscent of a hernia belt, if beneficial by your physician.
Colostomy signs
Listed here are among the frequent signs of a colostomy:
- Stoma blockage:
- Not passing stool or fuel
- Bloating and swelling within the stomach
- Belly cramps
- Nausea and vomiting
- Pores and skin irritation:
- Redness, swelling, and ache across the stoma
- Itching or burning across the stoma
- A rash across the stoma
- Wound an infection:
- Redness, swelling, and ache across the incision
- Pus or drainage from the incision
- Fever
- Stoma prolapse:
- A bulge within the stomach across the stoma
- Ache or discomfort when lifting or straining
- Parastomal hernia:
- A bulge within the stomach across the stoma
- Ache or discomfort when lifting or straining
- Fistula:
- Leakage of stool or fuel from the fistula
- Ache or discomfort within the stomach
Colostomy causes
There are a lot of completely different causes of a colostomy, together with:
- Bowel most cancers: That is the commonest cause for a colostomy. When bowel most cancers is recognized early, it may usually be handled efficiently with surgical procedure. Nevertheless, if the most cancers has unfold to different elements of the physique, a colostomy could also be mandatory to alleviate the signs of the most cancers and enhance high quality of life.
- Inflammatory bowel illness (IBD): IBD is a gaggle of power situations that trigger irritation of the digestive tract. The 2 most typical kinds of IBD are Crohn’s illness and ulcerative colitis. A colostomy could also be mandatory if IBD causes extreme irritation or blockage of the colon.
- Diverticulitis: Diverticulitis is an irritation of small pouches (diverticula) that kind within the partitions of the colon. Diverticulitis may cause extreme ache, bleeding, and an infection. A colostomy could also be mandatory if diverticulitis causes a perforation or abscess within the colon.
- Colorectal polyps: Colorectal polyps are growths that kind on the internal lining of the colon. Most colorectal polyps are innocent, however some can become most cancers. A colostomy could also be mandatory if a polyp is giant or has a excessive threat of creating into most cancers.
- Rectal prolapse: Rectal prolapse is a situation wherein the rectum protrudes by way of the anus. This may be attributable to weakened muscle mass and ligaments within the pelvic ground. A colostomy could also be mandatory if rectal prolapse is extreme and can’t be handled with different strategies.
Much less frequent causes for a colostomy.
- Accidents to the colon or rectum: Accidents to the colon or rectum could be attributable to accidents, trauma, or surgical procedure. A colostomy could also be mandatory if an damage has brought about a perforation or blockage of the colon.
- Beginning defects: Some start defects can have an effect on the event of the colon or rectum. A colostomy could also be mandatory if a start defect prevents stool from passing usually.
- Different medical situations: Different medical situations, reminiscent of Hirschsprung’s illness and fecal incontinence, may additionally require a colostomy.
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Sources:
1. Dealing with a colostomy after anal most cancers: Most cancers Analysis UK
2. Colostomy: Mayoclinic
3. Colostomy overview: Sciencedirect