Category: Ostomy Resources

Looking for ostomy pouches, skin barriers, adhesive removers, or ostomy deodorants? Browse our large selection of ostomy products and supplies!

We carry ostomy supplies from manufacturers like ConvaTec, Coloplast, Hollister, and more!

Our blogs contain a wealth of ostomy resources on ostomy products and supplies as well as a variety of medical conditions that require the use of ostomy products. You can learn about ostomy skin barriers, drainable pouches, one-piece ostomy systems, and so much more!

If you need assistance finding the ostomy products and supplies for your unique needs, our Personally Delivered Product Experts are just a phone call away and here to help. We hope that all of the ostomy resources you read about in our blogs are helpful.

Steps for Changing Your Ostomy Pouch

Posted on
by Michelle Stepp

Changing your ostomy pouch after surgery is one of the first things you will learn from your surgeon or nurse before being discharged from the hospital. You will likely be given a starter kit that will include all the ostomy supplies necessary and instructions on when to drain and change your ostomy system.

Changing your ostomy pouch includes several supplies and steps. We will go over those steps for this process, hoping to make it easier for you.

Gather your ostomy supplies

Shop Ostomy Supplies

ESENTA Sting-Free Adhesive Remover Sprays and WipesRemove the used ostomy pouch

  • First, wash your hands. It is essential to eliminate as much possibility of cross-contamination when changing your ostomy appliance.
  • If you use a drainable pouch, empty it first into the toilet.
  • Using an adhesive remover, start wiping at the upper edge of the skin barrier. Gently and slowly push the skin away from the skin barrier with one hand. Continue wiping the skin around the border with the adhesive remover and slowly peel back the skin barrier with the other hand. ESENTA Sting-Free Adhesive Remover Spray or Wipes is an excellent choice.
  • Continue to peel around the skin barrier until the pouching system comes off.
  • Seal the used pouch in a plastic bag and discard it in a trash receptacle.
Shop Adhesive Removers

Clean the peristomal skin

  • The next step in changing your ostomy pouch is using toilet paper and wiping any stool off the skin around the stoma.
  • Clean the peristomal skin with warm water and a washcloth. Pat the area with a clean towel and allow it to air-dry for 1 to 2 minutes.
  • As an alternative, barrier wipes and sprays can also be used to clean the area. Choosing a non-alcoholic barrier wipe can help prevent any stinging or burning to this sensitive skin.
Shop Barrier Wipes & Sprays

ConveTec moldable one-piece pouchMeasure your stoma

  • If you are using a cut-to-fit skin barrier, the next step in changing your ostomy pouch is to measure your stoma. Use a measuring guide and leave only 1/8″ to 1/16″ between the measuring guide and the stoma.
  • Using a pencil, trace the correct size onto the back of the wafer with the starter hole in the middle. Cut out the hole with scissors, ensuring the edges are smooth.
  • Alternatively, you can use moldable products that eliminate the need for measuring and cutting. ConvaTec Moldable Technology products are available as one and two-piece systems. Many ostomates find moldable products more comfortable, convenient, and secure.
Shop Skin Barriers
Shop Moldable Products

Brava Ostomy PowderApply barrier paste, powder, or film

  • Put on extra skin protectants, such as moisture barrier paste or powder if needed. Apply the skin protectant to the peristomal skin where the skin barrier will be placed. Moisture barrier pastes work to fill folds and creases in the skin to make a smooth surface for the skin barrier. These products help prevents leaks, making the ostomy system more secure.
  • When changing your ostomy pouch, stoma powders are another useful ostomy accessory. Stoma powders form a protective barrier to absorb moisture and keep the peristomal skin dry.
  • Another ostomy accessory to consider is a barrier film spray or wipe. The transparent film acts as a synthetic protective skin barrier to adhesives, bodily fluids, and friction. Many skin protectants are non-alcoholic to prevent stinging, breathable, and fast-drying. And, since they are hypoallergenic, they are a safe choice for damaged skin.
Shop Barrier Wipes & Sprays
Shop Stoma Powders
Shop Ostomy Pastes

Apply a new ostomy pouch

  • If you use a cut-to-fit, pre-cut, or moldable skin barrier, carefully place it over the stoma.
  • If you use a two-piece ostomy pouching system with a separate skin barrier and pouch, snap the pouch onto the barrier. Start at the bottom and work your fingers around until the skin barrier is fully attached.

Two-piece ostomy products like the SenSura Mio Click Closed Pouch by Coloplast feature a click coupling that locks into the matching skin barrier with an audible click, adding a greater sense of security. These products are color-coded for easy identification to ensure the pouch and the barrier correctly correspond.

  • Give the pouch a slight tug to ensure it’s securely in place.
  • Press the skin barrier against your skin and hold it for approximately one minute. This step will help mold the barrier to your skin to achieve a good seal.
  • If you use a drainable pouch, you may need to use a clip to clamp the tail. Some pouches have a lock n roll style tail with Velcro. Roll the tail upward and lock it in place using the Velcro closure. ConvaTec offers ostomy pouches that feature Invisiclose, a clipless tail closure that hides the flapping tail for security and comfort. The ConvaTec Esteem + One-Piece Drainable Pouch with Invisiclose is an excellent choice that offers this security, comfort, and discretion.
  • The last step in changing your ostomy pouch is to wash your hands thoroughly.

When to call your doctor

It is essential to keep an eye on your stoma and the peristomal skin to ensure that it stays dry and healthy. These are some signs to watch out for and when you should contact your doctor.

  • You have a lot of pain in your belly or are bloated. This could be a sign that you have a blockage.
  • Your stoma smells bad, there is pus draining from it, or it is bleeding without stopping.
  • Your stoma is changing in color, is getting longer, or is pulling into your skin.
  • The skin around the stoma itches, burns, stings, or has white spots.
  • There is blood in your stool.
  • You have a fever of 100.4°F (38°C) or higher, or you have chills.
  • Your stools are looser than usual.
  • You have not produced stool or gas for over four hours.
  • You have a significant increase in stool collecting in your pouch.

Additional tips

  • Don’t eat late the night before changing your ostomy pouch. Stoma output will likely be less.
  • Some bleeding is normal when touching your stoma, but report any unusual color, size, shape, or bleeding to your doctor.
  • Try different ostomy products. You may have to shop around to find what works for your unique needs. Everyone has their differences.
  • Always follow any special instructions provided by your healthcare professional.

These steps for changing your ostomy pouch that we have offered are only guidelines. Always refer to your doctor and what instructions they have provided. For any questions about the ostomy products and supplies we offer, our Product Experts are just a phone call away and ready to help.

Popular Ostomy Products and Supplies

ConvaTec Esteem + One-Piece Drainable Pouch

Esteem + One Piece Drainable Pouch

Natura + Two-Piece Drainable Pouch InvisiClose

Natura+ 2-piece drainable pouch with invisiclosure

SUR-FIT Natura ConvaTec Moldable Technology Skin Barrier

SUR-FIT Natura Moldable Skin Barrier

Coloplast Ostomy Scissors

Coloplast Ostomy Scissors

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Ostomy Diet: Introducing Foods and Managing Output

Posted on
by Michelle Stepp

If you have just had ostomy surgery and wonder what kind of foods you can or should eat, you are not alone. It is natural to feel concerned about how the foods you eat will digest with your new ostomy. You don’t have to modify your diet much, but you do need to be aware of how the foods and beverages you consume affect your stoma output.

We have some tips that can hopefully be useful when managing the introduction of foods with an ostomy. We will also provide some post-surgery ostomy supplies that can help manage output.

Post Ostomy Surgery Foods

For the first four to six weeks after ostomy surgery, your doctor will suggest sticking to a low residue, low fiber diet. This diet will help the gastrointestinal tract rest as it recovers from the new diversion. Foods that are low in fiber are easier on the digestive system and produce less gas buildup.

Dehydration can be significantly reduced with a low residue, low fiber diet. Some examples of this type of diet include foods like:

  • Raw fruits and vegetables
  • Plain white pasta
  • White bread
  • White rice
  • Eggs
  • Fish
  • Poultry
  • Non-dairy milk like almond and coconut milk

While on a low residue diet, it is recommended to avoid foods like:

  • Fruit juice, like prune juice
  • Corn
  • Cheese
  • Leafy vegetables
  • Legumes
  • Bran cereals
  • Nuts and seeds
  • Popcorn

Stay Hydrated

water bottle with markings and fresh fruits that are essential for managing an ostomy dietIf you have had ileostomy surgery, you are more likely to become dehydrated. No matter the type of ostomy surgery you had, it is critical to stay well hydrated. However, this is imperative for ileostomy patients since the output will be more liquid. There may be a risk of dehydration due to the inability to absorb fluids, nutrients, and electrolytes.

Some of the recommended fluids to stay hydrated are:

  • Water
  • Broth
  • Vegetable juice
  • Gelatin
  • Diluted fruit juice

If you notice darker-colored urine, are experiencing frequent headaches, or notice that you are feeling thirsty more often, you may be dehydrated.

Ostomy supplies for high output can also be helpful if you are experiencing liquid stool. The Coloplast Sensura Mio Flex High Output Pouch is an excellent choice for post-operative use for those with an ileostomy.

Shop High Output Ostomy Pouches

Chew Foods Thoroughly

One of the most important tips to remember is to thoroughly chew your food until it is as close to a liquid form as possible. Food will be easier to digest and cause fewer potential blockages. The more food is broken down by chewing, the easier it is on the gastrointestinal tract. As your body adjusts to your ostomy, you will be able to chew food as you previously did.

Take It Small and Slow

As with chewing your food into a smoothie form, make sure to eat slowly and start with small portions. Make sure you take your time when eating. If you find yourself in a rush, you might risk not thoroughly chewing your food. Start with small portions, observe your output, and slowly build up to larger portions. You will better understand how certain foods cause blockages or liquid output.

Some of the signs that you may have a stoma blockage include:

  • Abdominal cramps
  • Watery stool
  • Not producing stool
  • Abdominal distention
  • Pressure at the stoma site but no output

If you feel you have a stoma blockage, it is critical to contact your doctor immediately.

Keep a Food Journal

Food Journal to help manage an ostomy dietKeeping track of how certain foods affect your output can help you remember what you eat and recognize what foods might be problematic. If you are experiencing persistent gas or liquid output, a food journal can help you see patterns related to the foods and beverages you consume. A food journal can also be helpful to share with your doctor about which foods work well and which ones do not. Your doctor may need to create a plan specific to your needs.

Download and print your FREE Food Journal.

Post-Surgery Ostomy Supplies

Some ostomy supplies can be helpful after surgery to make adjusting to your new stoma easier. Here are some of our suggestions.

Two-Piece Ostomy Systems

SUR-FIT Natura Two-Piece High Output Drainable PouchUsing a two-piece ostomy system where the skin barrier stays in place as the pouch is replaced is often a choice for convenience. If your output is liquid or very loose, a drainable, two-piece pouching system such as the SUR-FIT Natura High Output Pouch is an excellent choice.

Shop Two-Piece Ostomy Systems

Barrier Wipes & Sprays

ESENTA Barrier SprayPrepping the skin before applying a skin barrier with barrier wipes or sprays helps guard against skin irritations. Ostomy supplies like barrier wipes and sprays provide a thin barrier film layer and help reduce pain and friction related to removing tapes and films.

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Adhesive Removers

AllKare Adhesive Remover WipesOnce you are finished using your wafer or skin barrier, ostomy supplies like adhesive removers make the removal process less painful. Adhesive remover wipes and sprays are great for gently removing skin barriers. Adhesive residue left behind can irritate your skin and affect your product’s wear time.

Shop Adhesive Remover Wipes & Sprays

Ostomy Support Belt

Nu-Hope Original Flat Panel Ostomy Support Belt, 5 inches wide, beige, 3-1/4 inch center stoma opening for a 36 to 40 inch waistOstomy Support Belts are ostomy supplies for post ostomy surgery and provide support and protection for the abdominal wall. An ostomy belt can add a sense of security to an ostomy pouching system. An ostomy belt can help pull the ostomy system toward the skin, increasing the tension on the skin barrier, helping flatten skin folds, and preventing leakage.

Shop Ostomy Belts

Everyone is an individual, and experiences with food and beverages often differ from person to person after ostomy surgery. As always, follow your doctor’s instructions for diet following your surgery. You may be able to gradually return to the diet you enjoyed before surgery. However, in some cases, dietary adjustments might be needed.

For questions or assistance finding the ostomy supplies for your unique needs, our Product Experts are here to help. Just give us a call!

Some helpful resources include:

Academy of Nutrition and Dietetics: www.eatright.org

American Cancer Society: www.cancer.org

American College of Gastroenterology: www.gi.org/patients/

American Institute of Cancer Research: www.aicr.org/

Bladder Cancer Advocacy Network (BCAN): www.bcan.org/

Colorectal Cancer Alliance: www.ccalliance.org/

Crohn’s & Colitis Foundation: www.crohnscolitisfoundation.org/

International Foundation for Gastrointestinal Disorders (IFFGD): www.iffgd.org

National Association for Homecare & Hospice: www.nahc.org

National Organization for Rare Disorders: www.rarediseases.org/

National Institute of Diabetes and Digestive and Kidney Diseases: www.niddk.nih.gov/

Ostomy Associations of America: www.ostomy.org

Short Bowel Syndrome: www.shortbowelsyndrome.com

Top-Selling Ostomy Supplies

Nu-Hope Nu-Form Support Belt

Nu-Hope Nu-Form Support Belt

Hollister New Image Two-Piece Drainable Ostomy Pouch

Hollister New Image Two-Piece Drainable Ostomy Pouch

Brava Adhesive Remover Wipes

Coloplast Brava Adhesive Remover Wipe

Eakin Cohesive Seal

Eakin Cohesive Seal

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Tips for Managing Ostomy Leaks

Posted on
by Michelle Stepp

After ostomy surgery, it may take some time to adjust, and it is pretty common to experience ostomy leaks. Thankfully, many ostomy leaks can be managed or completely fixed with some adjustments. We will discuss some of the reasons ostomy leaks happen and provide helpful tips for dealing with them.

Common Causes of Ostomy Leaks

Improper Skin Barrier Fit

Esteem Synergy Flat Moldable skin BarrierThe stoma often changes shape and size after ostomy surgery. Right after ostomy surgery, your stoma may be swollen and larger. After some time, your stoma will settle, and the skin barrier you have been using may not lay as flat against your peristomal skin as before, leading to leakage.

TIPS:

If you use a pre-cut or cut-to-fit skin barrier, make sure the hole your stoma goes through has a gap of about 1/8″ around it.  If you are using a moldable skin barrier such as the ConvaTec Esteem synergy Flat Moldable Skin Barrier, make sure to choose a size that fits snuggly around your stoma, leaving no gaps. ConvaTec ostomy skin barriers that are moldable provide a personalized and custom fit around the stoma to help protect the peristomal skin. These skin barriers are easy to use since they require no cutting or guesswork.

Shop Moldable Ostomy Products

Retracted or Flush Stoma

Your stoma should stick out just enough above the skin level and have the opening right in the middle to allow the output to flow seamlessly into the ostomy pouch. Sometimes, stomas are not this ideal and can either be flush with the surrounding skin or retracted and pulled back. Ostomy leaks can happen due to an improper skin barrier fit that allows output to go underneath it instead of into the ostomy pouch. Some adjustments to the style of skin barrier can be made to help avoid these ostomy leaks.

TIPS:

If your stoma is flush with your skin or it retracts below the skin, trying a convex skin barrier might be a solution.  Convex skin barriers put pressure on the surrounding skin to help push the stoma out further and create a snug seal around the stoma. The convexity also helps fill in any gaps or irregularities of the peristomal skin, ultimately reducing ostomy leaks. Convatec ostomy skin barriers such as the SUR-FIT Natura Two-Piece Skin Barrier with CONVEX-IT Technology. This convex skin barrier is excellent for those with a flush or retracted stoma and features Moldable Technology for a snug fit.

Side Note: While a convex skin barrier can help solve ostomy leaks, it can also result in other challenges.

First, they can be more costly than traditional flat skin barriers. However, they can also save money in the long run since they can usually provide longer wear-time. The longer wear-time results in fewer appliance changes, so you may end up not needing to stock up as much.

Secondly, convex skin barriers can cause damage to peristomal skin. The constant pressure on this sensitive skin can result in pressure ulcers, causing discomfort and pain. Make sure to speak to your doctor about the level of convexity that is right for your unique stoma. There are convex skin barriers that offer low, medium, and deep-convexity, and choosing the right level is critical in preventing peristomal skin complications. Your doctor will advise on which of these convexity levels is suitable for you.

Shop Convex Ostomy Products

Parastomal Hernia

Eakin Cohesive SealA bulge or swelling on or around the stoma is a parastomal hernia and is one of the most common complications after ostomy surgery. Part of the intestines protrudes out of the stoma with a parastomal hernia. Parastomal hernias can be painful and contribute to troublesome ostomy leaks.

TIPS:

After ostomy surgery, it is essential not to do any strenuous activity or lift anything heavy for up to eight weeks. Using a flexible skin barrier, an ostomy support belt or ostomy seals are a few ostomy supplies that can help ease symptoms of a parastomal hernia.

ConvaTec ostomy supplies such as the SUR-FIT Natura Skin Barrier for a flexible yet snug fit or the moldable ConvaTec Eakin Cohesive Seal to fill any uneven skin surfaces are a couple of products to consider to help prevent ostomy leaks. The wide variety of Nu-Hope Ostomy Support Belts are excellent choices to form around bulges more naturally and are adjustable to get a perfect fit.

Shop Ostomy Seals
Shop Ostomy Support Belts

Creases, Skin Folds, and Irregularities Around the Stoma

ConvaTec Eakin Stoma PasteAs we age, we notice changes in our skin. Weight can contribute to skin folds and creases, leading to ostomy leaks from improper-fitting ostomy appliances. Scars from the ostomy surgery can leave the skin with irregularities and not be as smooth as before. Ostomy leaks can happen when there is any opportunity for openings under the skin barrier.

TIPS:

There are products such as stoma paste, barrier strips, and barrier rings that can help address ostomy leaks from various skin issues around the stoma. A ConvaTec ostomy supply such as Stomahesive Paste can help act as a filler for uneven skin surfaces to help protect the skin and help increase skin barrier wear-time. The Hollister Adapt Convex Barrier Ring is another choice that is moldable, flexible, and helps even out skin contours under the skin barrier.

Shop Ostomy Pastes
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Ballooning Ostomy Pouch

When an ostomy pouch fills with gas, it can be vented to let the air escape. If the gas builds up in the pouch without escaping, ballooning occurs. As the pressure increases inside the pouch, pressure is put on the ostomy appliance, resulting in ostomy leaks. Ballooning commonly happens at night when one is asleep and does not notice gas buildup.

TIPS:

Try using an ostomy pouch with an incorporated filter built right into the bag. One Convatec ostomy pouch that features a filter is the Esteem + One-Piece Drainable Pouch with InvisiClose. This ostomy pouch is available with a filter designed to reduce clogging, ballooning, and eliminate odors.

You can also try using an ostomy accessory like the OSTO EZ-Vent ventilating device. This ostomy product allows for faster air release, fits on any ostomy pouch, and is easy to use.

Reducing the amount of air entering your digestive system is another way to help prevent ballooning that results in ostomy leaks. Chewing food thoroughly, sipping liquids slowly, and taking a probiotic daily may help balance bacteria in the gut and reduce gas.

Shop Pouches with Filters

Not Caring for Peristomal Skin

AllKare Adhesive Remover WipesSkin care products such as lotions, moisturizers, soaps, and oils can cause a skin barrier to not stick properly to the peristomal skin. Additionally, the use of ostomy adhesives may leave residue behind, impacting the skin barrier’s ability to form a secure seal. Anything left on the skin can interfere with the adhesion of a skin barrier, so it is essential to take care of the skin and make sure that it is clean and dry to obtain a good seal.

TIPS:

If you are using an adhesive with your skin barrier, make sure to choose an effective adhesive remover to wipe away all residue that may be left behind. All adhesive removers are not created equal, so it is good to look for one that is alcohol-free and silicone-based to help protect the sensitive peristomal skin as it works to dissolve the adhesive gently. ConvaTec ostomy adhesive removers such as AllKare Adhesive Remover Wipes and Sensi-Care Adhesive Remover Spray are two excellent options.

Shop Adhesives and Adhesive Removers

Other Tips to Consider

These are just some of the most common causes and tips for managing ostomy leaks. Other things to keep in mind when taking preventive actions for ostomy leaks are:

  • Regularly monitor and change your ostomy pouch before it gets too full.
  • Empty your ostomy pouch and double-check your skin barrier seal before going to bed.
  • Try keeping a food diary to track any changes you notice with certain foods and beverages.
  • Watch when you eat. Eating later in the evening could be contributing to increased nighttime output.
  • Set an alarm at night if you find your pouch fills up quickly. Or, try using a high-output ostomy pouch.
  • Consider using gelling agents to control liquid output and help eliminate excess gas.
  • Always consult your doctor if you notice significant changes in your stoma or output.

For any questions or help finding the ConvaTec ostomy supplies or other brands of ostomy products we carry, give us a call. One of our Personally Delivered Product Experts is glad to help.

Popular Ostomy Supplies

Natura Plus Drainable Pouch

Natura + Drainable Ostomy Pouch

ESENTA Lubricating Deodorant Spray

 

ESENTA Lubricating Deodorant Spray

SUR -FIT Natura Two-Piece High Output Pouch

 

SUR-FIT Natura Two-Piece High Output Ostomy Pouch

Coloplast Brava Elastic Barrier Strip

 

Coloplast Brava Elastic Barrier Strips

Disclaimer: Important Notice Regarding Medical Advice

The information provided in this blog is intended for general informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment.

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Our Top 10 Blog Posts of 2021

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by Michelle Stepp

Now that we are wrapping up the first month of 2022, we thought we would take a moment to share our top 10 blog posts from 2021. We are looking forward to providing a wealth of new information for you this year and thought we would share the topics that our customers have been interested in and enjoyed this last year.

Our Top 10 Blog Posts of 2021

1.

Choosing a suitable catheter lubricant is one of the most critical steps in a safe, clean, and comfortable self-catheterization experience. Learn why catheter lubricant is essential and how to use it to lubricate your catheter in the most popular blog post of 2021.

How to Lubricate Your Catheter

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2.

External catheters for men and women can be an excellent alternative to indwelling catheters and help prevent catheter-associated urinary tract infections (CAUTI). In this next popular blog post, learn how male and female external catheters are less invasive and possibly a more comfortable option for managing urinary incontinence.

man and woman looking out window embracing each other

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3.

Diarrhea leads to dehydration, and for those with an ileostomy or colostomy, this can be dangerous. In this blog post, learn the possible causes of diarrhea, the dietary impact of diarrhea with a stoma, and ostomy products that might be helpful.

woman holding her stomach in discomfort for the blog cover of managing diarrhea with a stoma

Shop Ostomy Supplies

4.

Don’t miss out on this extensive list of what we feel are the most helpful incontinence products for seniors in this next popular blog post. When managing an incontinence condition, stocking up on the essential incontinence products for seniors is critical. So, if you are purchasing for yourself or someone you care for, considering these incontinence products for seniors is a great way to be prepared.

elderly man grinning at a woman on a swing

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5.

Since COVID-19, many people have lost their health insurance coverage through their employers. If you or someone you know is regaining health insurance coverage, you don’t want to miss this blog post about 180 Medical, our sister company. We are incredibly proud to be connected to them!

are you regaining health insurance coverage blog header

6.

Learn all about a Foley catheter, when it is needed, and how to use it in this popular blog post. And, if you are already a Foley catheter user, you can view all the Foley catheters we offer on our website.

Foley Catheters - What they are, why they are used, and where to purchase.

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7.

GentleCath Glide catheters have transformed the experience of intermittent catheter users. With their advanced FeelClean Technology, these catheters offer a clean and comfortable catheterization without all the mess. In this blog post, learn all the benefits of GentleCath Glide catheters and the GentleCath me+ Program that provides free support to intermittent catheter users.

A little girl putting makeup on her dad's face as he sleeps

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8.

Incontinence diapers and briefs can cause rubbing and skin irritations, including diaper rash. Thankfully, you can use products discussed in this blog post to address this uncomfortable skin condition to help prevent it from occurring and improve diaper rash.

icons of protective underwear on the blog cover of how to prevent diaper rash

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9.

Children grow quickly, and diaper sizes can change unexpectedly. In this popular blog post, you’ll learn the signs to watch for that can help determine when it might be a good time to move up in diaper sizes.

Tips to Help Determine if Your Child May Need a Larger Diaper

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10.

In this informative blog post, learn about all the incontinence pad options available to men and women and their uses for different needs. Learn about the different styles, absorbency levels, how to choose the right size, and how to dispose of incontinence pads properly. We even discuss what may be covered by Medicare.

All About Incontinence Pads featuring a brief, belted undergarment, and pads

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We hope you have enjoyed these blog posts as much as we have enjoyed writing them. Our goal with these blog posts is to provide our readers with as much helpful information as possible for various medical conditions. At Personally Delivered, our team is committed to providing the very best service as a trusted home delivery medical supply company to help change lives and make life a little easier for you and your loved ones.

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How to Sleep More Effectively with an Ostomy

Posted on
by Michelle Stepp

Are you a new ostomate and anxious about how you will manage to get a full night’s rest? The thought of experiencing leaks and having to get up in the middle of the night to empty your ostomy pouch may seem daunting. We’ve got a few tips and ostomy supplies you can use to help prepare for a more comfortable and uninterrupted night’s sleep.

Be mindful of what you eat and drink

It can be helpful to pay close attention to the foods and beverages that affect your stoma output. Our bodies need to process foods, so eating your last meal of the day earlier may allow your food to digest before bedtime. Avoiding foods and beverages that may cause issues with your stoma, like diarrhea, is a good idea.

Some of the foods and liquids to avoid that commonly loosen and increase stool output include:

  • Spices
  • Raw vegetables
  • Fresh fruits
  • Prune juice
  • Apples
  • Milk
  • Green leaves
  • Bran cereals
  • Alcoholic beverages

Empty or change your ostomy pouch before bed

Depending on the type of ostomy pouch you are using, it is a good idea to either empty it or change it out to a fresh ostomy pouch. By emptying or changing your ostomy pouch, you can help reduce any anxiety you may have about experiencing leaks or overflow throughout the night.

Shop Drainable Ostomy Pouches
Shop Closed-End Ostomy Pouches

Try using additional ostomy supplies and accessories

You can try using other ostomy supplies and accessories to help ease any anxiety and help you sleep comfortably.

Ostomy support belts

a couple of ostomy belts offered at Personally DeliveredOstomy belts and bands are ostomy supplies that fit snugly and work to hold your ostomy pouching system in place as you move around throughout the night. These ostomy supplies can add a sense of security by pulling the ostomy pouching system toward the skin, increasing tension on the skin barrier, and helping to prevent leakage.

Shop Ostomy Support Belts and Wraps

Night drainage bag

Coloplast Ileo Night Drainage Ostomy PouchThere are ostomy supplies specific for those with high stoma output that may help lessen the need to wake up in the night and empty your ostomy pouch. Those with an ileostomy tend to have more liquid and frequent output than those with a colostomy. The Assura Two-Piece Ileo Night Drainage Ostomy Pouch by Coloplast provides large-volume drainage so you can get a restful night’s sleep. It can hold up to 2-Liters of output, allowing for longer wear-time.

Shop the Assura Night Drainage Pouch
Shop High Output Ostomy Pouches

Support pillows

full-size body pillowYou can try placing extra pillows in strategic spots to help support your body and provide added comfort. Body pillows such as the Hermell Products Body Pillow fits the contours of the body and can relieve any pressure on the stoma site, helping to improve overall sleep quality.

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Make sure your ostomy pouching system is secure

Before heading to bed after changing your ostomy pouching system, ensure it is properly secure. Leaks often occur because the ostomy pouching system or additional ostomy supplies and accessories are not properly put on. By double-checking that you have a secure and snug fit of your ostomy supplies, you will lessen the chances of waking up to a leak in the night.

Shop All Ostomy Supplies

We hope these tips and suggested ostomy supplies can help you get a good night’s rest with your stoma. Every stoma is different, and you may need to try a few options before finding out what ostomy supplies or accessories work best for you. If you need assistance finding ostomy supplies we carry at Personally Delivered, our helpful Product Experts are just a phone call away. We care about helping you find the right ostomy supplies so you can get a good night’s sleep.

Best-Selling Ostomy Supplies

ConvaTec ease Strips

ConvaTec ease Strips

ConvaTec Esteem + One-Piece Drainable Pouch

Esteem + One Piece Drainable Pouch

Coloplast SenSura Mio Click Drainable Ostomy Pouch

Coloplast SenSura Mio Click 1-Piece Opaque Easiclose Wide Outlet Drainable Ostomy Pouch

Nu-Hope Nu-Form Support Belt

Nu-Hope Nu-Form Support Belt

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Coloplast: Making life easier so you can be you!

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by Michelle Stepp

Coloplast has been developing products and supplies for those with personal healthcare needs for over 60 years. Their products span from ostomy, continence care, urology, and skin and wound care. Coloplast’s mission is to produce these products to help make life easier so you can get out there and enjoy the activities you love most.

Coloplast Ostomy Products

Coloplast Sensura Mio Flip BarrierColoplast understands that life after ostomy surgery can be challenging to navigate. That’s why they work hard to develop innovative ostomy supplies based on honest customer feedback. Coloplast ostomy products and accessories are offered in various sizes, styles, and shapes to meet a broad range of needs.

We carry a wide selection of Coloplast ostomy supplies and accessories. When it comes to managing your output, controlling odors, and maintaining healthy peristomal skin, we have the Coloplast products for you.

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If you would like advice on ostomy supplies that might help solve some of the most common issues with an ostomy, Coloplast offers easy and convenient Troubleshooter and BodyCheck Tools. They genuinely care about helping you find the right solutions to your specific concerns.

Coloplast Continence Care Products

Coloplast SpeediCath Flex Coudé Pro Pocket CatheterColoplast catheters for both men and women help address bladder and urinary system problems. Using a catheter that helps manage your symptoms while allowing you to continue participating in the activities you desire is the primary goal of Coloplast continence care products.

When it comes to discreetness, Coloplast delivers. Many of their female and male catheters are not only designed to be small and discreet but also convenient, less messy, and comfortable. The all-in-one SpeediCath Compact Sets for men and women feature an attached bag small enough to carry in your pocket or purse. These catheters are ready to use right out of the packaging and are a safe and convenient option for everyday use and traveling.

The SpeediCath Flex Coude Pro catheter for men is an excellent option that features a curved tip for easy navigation into the urethra. The easy-gripper dry sleeve makes the insertion process touch-free for maximum hygiene.

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Conveen Security Plus Contoured Leg BagColoplast also offers a variety of urology supplies such as extension tubing, urinary leg and drainage bags, and leg bag straps and holders.

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Coloplast Skin Care Products

Baza Clear Moisture Barrier OintmentOur skin is the largest organ of our bodies. Coloplast knows that healthy skin reflects a healthy body. For this reason, Coloplast skin and wound care products aim to protect sensitive and wounded skin from excess damage, infection, and further irritation. Coloplast skin care products cleanse, moisturize, and protect. These skin care products help treat conditions such as skin folds, dry skin, pressure ulcers, and incontinence-related skin issues like rashes and redness. We carry Coloplast barrier sprays, antiseptics, creams, ointments, and more.

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Whether you are looking for quality ostomy supplies, continence care solutions, or premium skin care products, Coloplast has got you covered. Shop our store today. And if you need assistance finding the Coloplast products and supplies you are looking for, just ask one of our friendly and knowledgeable Product Experts today. They are glad to help!

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Top-Selling Coloplast Products

Coloplast SenSura Mio One-Piece Drainable Ostomy Pouch

Coloplast SenSura Mio One-Piece Drainable Pouch

SpeediCath Compact Set for Men

Coloplast SpeediCath Compact for Men

Coloplast Sween Moisturizing Body Cream

Sween Body Cream

Coloplast Peristeen Pediatric Anal Irrigation System

Coloplast Peristeen Pediatric Anal Irrigation System

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Tips for Common Ostomy Concerns

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by Michelle Stepp

Having an ostomy can challenge a person’s lifestyle in a variety of ways. Any time we experience changes to what we are familiar with, daily life can become frustrating. Thankfully, there are helpful tips for many of the most common ostomy concerns to make managing life with an ostomy easier. With the right ostomy supplies, most people can live a comfortable and active life.

So, here are some of the most asked questions regarding common ostomy concerns, along with tips and answers that may be helpful.

Why isn’t my ostomy pouching system staying in place?

One of the most common reasons why an ostomy pouching system is not staying in place is due to an improperly fitting skin barrier. If the ostomy pouch doesn’t conform snugly to the peristomal skin, leakage is a risk.

Here are a few tips you might try to correct this common ostomy concern.

Make sure your skin barrier is the right fit.

There are many skin barriers available today that allow for a comfortable and snug fit around the stoma. There are convex skin barriers that curve outward toward the skin to create a better seal, and there are moldable skin barriers that allow a more personalized fit, requiring no cutting. Making sure your skin barrier is the right fit can help avoid a common ostomy concern of your pouch not staying in place as you move about throughout your day.

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Make sure your skin is dry before applying your skin barrier.

When the skin is wet or moist, it can be more challenging to achieve a good seal. Without a tight seal, the risk of skin irritations and leaks increases. Ostomy supplies such as stoma powder can absorb moisture and keep the peristomal skin dry and protected.

Shop Stoma Powders

Try using an ostomy belt or wrap.

Nu-Hope Original Flat Panel Ostomy Support Belt, 5 inches wide, beige, 3-1/4 inch center stoma opening for a 36 to 40 inch waistOstomy belts and wraps help to keep an ostomy pouching system securely in place. Many ostomy pouching systems feature belt tabs for support belts that are easily adjustable to fit all sizes.

Another type of ostomy belt or support wrap offered is wide enough to cover more area of the ostomy pouching system. This type of ostomy belt typically features either a Velcro closure or hook-and-loop closure that adjusts to get the desired fit. These support belts have a circular opening in a non-stretchable area of the belt for barrier and pouch support.

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Bonus tip:

Make sure to empty your ostomy pouch before you head out, exercise, or engage in sexual activity. If the pouch is full, it can become heavy and pull away from the skin barrier, resulting in leaks, which is another common ostomy concern.

Why is my ostomy pouch filling up with gas so often?

When an ostomy pouch fills with gas or “wind,” it is usually due to the filter becoming blocked. Moisture can cause a blockage as well as stoma output. The pressure created from the ostomy pouch filling up with gas can be another reason the ostomy pouch is coming away from the body, resulting in leaks.

Here are a few tips that might help reduce the common ostomy concern of an ostomy pouch filling up with gas as often.

Consider using a ventilation accessory.

Many ostomy supplies can help control the buildup of gas in an ostomy pouch. A popular choice is the Osto-EZ-Vent device for any type of ostomy pouch. The Osto-EZ-Vent is an excellent alternative to burping or opening the bottom of an ostomy pouch to release the air. It is easy to install, works efficiently, lasts as long as the ostomy pouch is worn, and is not affected by water.

View the Osto-EZ-Vent

Try avoiding gas-inducing foods.

Spicy foods and some vegetables such as cabbage, corn, spinach, broccoli, and onions can produce more gas. Carbonated or fizzy beverages such as sodas, sparkling water, and beer are also more gaseous and should be avoided as much as possible. It is essential to include a variety of vegetables in your diet; however, taking smaller bites and chewing slowly can help reduce the amount of air ingested while eating.

Avoid chewing gum and smoking.

Chewing gum and smoking are two actions that increase the amount of air you ingest and can contribute to your ostomy pouch filling with gas more often. Avoiding these habits can help reduce gas buildup in your pouch.

How can I control embarrassing odors coming from my ostomy pouch?

Another common ostomy concern we hear a lot is that of an odor coming from the ostomy pouch. Odors coming from your ostomy pouch can be caused by burping your pouch to relieve excess gas, or they can be caused by leakage. We will discuss more about leakage later in this article and focus now on your options for controlling odors coming from a properly fitting ostomy pouching system.

Try a lubricating deodorant.

Ostomy lubricating deodorants help control smells in the ostomy pouch. This ostomy accessory can help neutralize odors as the ostomy pouch is emptied and keep output at the bottom of the ostomy pouch instead of gathering near the stoma.

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Try using an ostomy pouch that features a filter.

By using an ostomy pouch that features a filter, odors caused by gas are neutralized. It is essential to keep an eye on the filter to avoid any blockage from output or water that could allow the ostomy pouching to lift and release odors, potentially leading to leakage.

Ostomy pouch filters are also sold as separate individual ostomy supplies aside from the pouch itself. The Coloplast Filtrodor Pouch Filter is charcoal-activated and self-seals to any ostomy pouch to protect against stoma output odors.

Consider using Diamonds Gelling and Odor Control Sachets.

Diamonds Gellng and Odor Control SachetsDiamonds Odor Control Sachets are dissolvable sachets that are designed as a single ostomy pouch treatment. One sachet is inserted through the drainage outlet or the wafer hole. Once the Diamonds sachet dissolves, liquid contents are solidified, reducing or eliminating gas and ballooning. Diamonds sachets are typically used at nighttime to help aid in a restful and uninterrupted night’s sleep.

Learn more about Diamonds Gelling and Odor Control Sachets by clicking here: Diamonds FAQs.

Why do I have a rash on the skin around my stoma?

Peristomal skin should be smooth and healthy, just like the rest of the skin on the body. Redness, rash, or other irritation is another common ostomy concern that should be addressed and treated immediately to lessen the worsening of the problem. Your skin rash or irritation could be due to the peristomal skin repeatedly being exposed to feces, urine, or other bodily fluids from a poor fitting ostomy pouching system. Or, the skin irritation could result from frequent pouch changes or sensitivity to the adhesives used in some ostomy supplies.

Here are a few tips for managing rashes, redness, and other peristomal skin irritations.

Check the fit of your skin barrier and ostomy pouch.

As we have mentioned a few times in this article, the proper snug fit of the skin barrier can prevent many common ostomy concerns. At the same time, if the ostomy pouch opening is too large for the skin barrier, fluids and waste will be allowed to contact the peristomal skin and not sufficiently drain. If adjustments are needed throughout the day, the skin will only become more irritated. The more your ostomy pouching system rubs against your skin, the more risk for trauma to the area. It may be helpful to check the size and shape of your stoma regularly to assure you have the correct fitting ostomy pouching system.

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Consult with your doctor about the adhesives in the ostomy supplies you are using.

Doctor Discussing Medication with his patient as they sit next to one anotherSometimes, the adhesives used in the ostomy supplies you are using can contribute to the peristomal skin irritation you are experiencing. You might have a sensitivity to the adhesive, and your doctor may be able to confirm that by sharing what ostomy supplies you are using. A minor rash or irritation could become something of more concern if left untreated. A simple change of the ostomy supplies you are using could be the solution to maintaining healthy peristomal skin.

Assess any potential changes in your output.

Has there been a change in your output? Has your stool become more loose or watery? If so, try changing to a drainable pouch if you are using a closed-end pouch. You might be able to manage the frequency of changing your ostomy pouching system better. Fewer changes mean less skin irritation. A drainable ostomy pouch can stay in place as it is emptied. And, better yet, opting for a two-piece ostomy pouching system can allow the skin barrier to remain in place as the ostomy pouch is replaced. Your peristomal skin will stay healthier in the long run.

Help! I keep experiencing leakage with my ostomy pouching system. What can I do?

Leakages from your ostomy pouch can occur for a variety of reasons and this is one of the most common ostomy concerns. After stoma surgery, the abdominal shape changes for some time, affecting the stoma size. Checking your stoma regularly can help avoid improperly fitting skin barriers and ostomy pouches that can lead to leaks.

Here are a few tips for preventing leakage from your ostomy pouching system.

Try a convex or moldable skin barrier.

ConvaTec Natura Durahesive Moldable Ostomy BarrierAs mentioned previously in this article, a convex skin barrier can help create a better seal to prevent leaks. If there has been a change in the protrusion of your stoma or the peristomal skin is irregular, using a convex skin barrier might be beneficial. A moldable skin barrier is made of creates a secure seal around the stoma that doesn’t require the use of any scissors.

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Monitor for changes in your output.

A change in your output can also cause concerns with leakage. Stoma output that has become loose or watery can often be the precursor to leakage from your ostomy pouching system. The moisture and wetness that builds up between the peristomal skin and the barrier can lead to skin irritation and soreness.

Try applying a secondary adhesive.

Another option to keep your ostomy pouching system from leaking would be to apply a secondary adhesive. Hy-Tape is a popular choice to add as a second layer of protection from leakage. Hy-Tape is a thin, latex-free, waterproof, and conforming adhesive that makes it easier to create a seal around the skin barrier. This secondary adhesive is an excellent solution for sensitive skin or those who have irritation surrounding the stoma. Hy-Tape holds firm but releases gently without becoming stickier as body temperature rises. Peristomal skin is left intact and healthy due to the zinc-oxide-based formula.

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What pouching options do I have if discreetness is my concern?

As we have learned, when an ostomy pouch fills with gas or wind, it will become more apparent underneath clothing as it starts to balloon. Using a pouch that features a filter or an ostomy accessory such as a ventilation device, this gas can be released, and the ostomy pouch will deflate.

There are a few tips when discreetness is of concern.

Try emptying your pouch more often.

Securi-T Two-Piece Drainable Pouch with FilterAn ostomy pouch full of output will bulge more and be less discreet. By keeping an eye on the ostomy pouch contents, you can drain the output and keep a flatter pouch. There are transparent drainable ostomy pouches such as the Hollister Securi-T Two-Piece Drainable Pouch. Not only is this ostomy pouch transparent for viewing contents, it is drainable, features a filter to deodorize gas, but it is part of a two-piece system that offers stoma protection by reducing pouch changes.

Consider the color of the ostomy pouch film.

Nowadays, ostomy pouches are made in a variety of pouch film options. You might consider a beige or opaque film that can offer more discreetness than a transparent or clear ostomy pouch. The beige color matches the skin more closely and can help conceal the contents of the pouch more easily. However, it is essential to note that monitoring the output in a beige or opaque ostomy pouch is more difficult than a transparent or clear one.

Consider a stoma cap if you have mastered managing your output.

If you have predictable and relatively infrequent bowel movements, a stoma cap may be an option for you. A stoma cap is the smallest of all ostomy pouch options. It is approximately 3-4 inches across and the most discreet pouching option available. Stoma caps are a popular choice when participating in activities such as swimming, working out, playing sports, intimacy, or irrigation. These ostomy supplies are not recommended for those with ileostomies or unpredictable output as they are not ideal for more significant amounts of liquid or formed stool.

You can learn more about stoma caps, their uses, and if they might be the right choice for you in our A Stoma Cap and its Many Uses blog post.

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These are only a handful of the common ostomy concerns that ostomates experience. Hopefully, we have provided some valuable tips for some of the most common concerns we have heard. If you are experiencing these or other problems with your ostomy, first consult with your doctor. Then, we can help you find the products recommended or provide additional suggestions based on your doctor’s findings. Our Product Experts are here to assist and help make your life a little easier.

Some of Our Most Popular Ostomy Supplies

Coloplast SenSura Mio Click Convex Flip Ostomy Skin Barrier

Coloplast SenSura Mio Click Convex Barrier

Securi-T USA Ostomy Deodorant

Securi-T USA Ostomy Deodorant

SUR-FIT Natura ConvaTec Moldable Technology Skin Barrier

SUR-FIT Natura Moldable Skin Barrier

ConvaTec ease™ Strips

ConvaTec ease Strips

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Ostomy Resources: Ostomy Podcasts & Apps

Posted on
by Michelle Stepp

Ostomy surgery is lifesaving, and many people who have an ileostomy or colostomy surgery due to ulcerative colitis or Crohn’s disease experience improved quality of life. There is a wide range of resources available in a variety of media formats. Information may be specific to the care and management of your ostomy, or it may be about the underlying disease or condition that resulted in your ostomy.

We have compiled a couple of lists of some popular ostomy podcasts and apps to help those with an ostomy and their families stay informed, help resolve needs, and listen to real stories and experiences from other ostomates.

Ostomy Podcasts

two women talking on a podcast

The Beautiful Bag

The Beautiful Bag is an ostomy podcast for anyone that might be having an ostomy in the future, those that have one, or anyone looking to learn more about what life with an ostomy is like. Each week, new guests on this podcast educate the listeners and share their stories about living life with an ostomy.

Listen to The Beautiful Bag Podcast

The Real Life Ostomy Podcast

This ostomy podcast is all about living life with an ostomy or those with bowel disease that may be having an ostomy in the future. A wealth of information is shared in each episode that includes tips and personal stories from real ostomates and their lives with an ostomy.

Listen to The Real Life Ostomy Podcast

About IBD

The About IBD podcast includes input, opinions, and advice from patients, caregivers, and physicians on various topics related to inflammatory bowel disease (IBS). People living with Crohn’s disease and ulcerative colitis (collectively known as inflammatory bowel disease) can listen to topics discussed, including nutrition, treatments, mental health, family dynamics, and sexuality, related to living with IBD.

Listen to About IBD Podcast

Bowel and Bladder Matters Podcast

This ostomy podcast is by Coloplast delivers education about bowel and bladder issues related to ostomies and continence. This podcast includes conversations with thought leaders to gain insights about ostomies, continence, and clinicians’ professional growth and development.

Listen to Bowel and Bladder Matters Podcast

Butts & Guts

This Cleveland Clinic ostomy podcast explores digestive and surgical health issues. It is hosted by Colorectal Surgery Chairman Scott Steele, MD. He discusses how to have to best digestive health possible from your gall bladder to your liver and beyond. Listen to hundreds of podcasts from medical doctors on topics that range from bariatric surgery, pelvic floor disorders, pediatric colorectal surgery, celiac disease, and more.

Listen to Butts & Guts Podcast

me+ Talk

ConvaTec launched an ostomy podcast called me+™ for people living with an ostomy. This podcast features “real talk” from nurses, product specialists, and community members covering all-things ostomy. There’s advice on post-surgery changes, tips for day-to-day living, mental wellness, intimacy, and more.

Listen to me+ Talk Podcast

The Bottom End

The Bottom End podcast series discusses all things related to living with inflammatory bowel disease. This ostomy podcast features Crohn’s and Colitis ambassadors from Australia who share deeply personal stories about their journeys with IBD and living with an ostomy.

Listen to The Bottom End Podcast

The Ostomy Guy Podcast

This inspiring ostomy podcast is hosted by Austin Powers, an ostomate that addresses issues people face living with a chronic illness. He has dozens of interviews with guests about living with a chronic illness and how they wake up each day and live useful lives within their communities. The goal of Austin’s podcast is to bring people together and learn from one another.

Listen to The Ostomy Guy Podcast

Ostomy Apps

person holding mobile phone with apps

Me+ Ostomy Care

The Me+ Ostomy Care App is a convenient way to be a part of a community of other ostomates while staying informed about new and inventive ways of living with an ostomy. This digital platform helps those with an ostomy find solutions to unmet needs and improve the experience of living with an ostomy. Through Me+™app, ConvaTec provides support to clinicians and caregivers, as well as comprehensive solutions for ostomates.

Download Me+ Ostomy Care for Apple
Download Me+ Ostomy Care for Android

OstoBuddy

The OstoBuddy ostomy app allows ostomates to keep track of their ostomy supply inventory, set reminders for ostomy system changes, and keep track of output and consistency. This app for ostomates saves time and is a great advantage when keeping track of ostomy supplies so you won’t run into emergencies.

Download OstoBuddy for Apple
Download OstoBuddy for Android

Ostomy 101

The Ostomy 101 app is free on Apple IOS & Android devices and provides all the tools and resources necessary for living a successful life with an ostomy. This non-profit app includes:

  • Ostomy surgeries explained
  • Clinician led ostomy education videos offered in both English & Spanish
  • Telemedicine appointments with a Certified Ostomy Nurse (WOCN)
  • Ostomy lifestyle videos, blogs, & podcasts
  • Free manufacturer samples & coupons
  • Ostomy pouches & accessories
  • Free recovery programs
  • Free virtual support groups, classes, & events
  • And more!
Download Ostomy 101 for Apple
Download Ostomy 101 for Android

Ozzi Ostomy

The Ozzi Ostomy app helps ostomates take control of their lives while living with an ostomy. This app makes it easy to track ostomy and urine output and set up personalized notifications to manage hydration. The app will send notifications based on the previous day’s entries by entering the amount of stool and urine you void throughout the day. The personalized messages may include increasing your fluids, taking stool thickening medications, or suggest medical attention if your entries are concerning. The Oxxi Ostomy app can replace a bladder or bowel diary and help you simplify your life with an ostomy.

Download Ozzi Ostomy for Apple
Download Ozzi Ostomy for Android

Stoma Steps

The Stoma Steps app is designed to help support and guide you through your ostomy journey. This app provides encouragement and advice as it helps assist you in preparing for and adjusting to life with a stoma. Stoma steps takes the process one step at a time to make it easy and less stressful for those going through or recovering from recent stoma surgery. The Stoma Steps app will guide you through the weeks to come at a comfortable pace for you.

Stoma Steps provides articles relevant to your journey stage, tips on managing your stoma, and tools to enable you to video a pouch change with your nurse.  You can make notes such as fluid intake, sleep patterns, and how you are feeling. There is also access to a community chat where ostomates can share experiences and information. This safe space helps provide the support you may need when adjusting to life with an ostomy.

Download Stoma Steps for Apple
Download Stoma Steps for Android

While this does not represent a complete list of resources available to those with ostomies and their families, the ones listed may provide a starting point for your exploration for help and information.

Adjusting to life with a stoma can be a scary and overwhelming time, and you may feel like you need more support and guidance than ever. Being well informed on what to expect at each stage of your journey will help you to make any necessary adjustments and progress confidently with your recovery. Hopefully, some of these resources will help you find your ‘new normal’ and live well after ostomy surgery.

Popular Ostomy Products

Coloplast Sensura Mio Flex Two-Piece High Output Drainable Urostomy Pouch

Coloplast Sensura Mio Flex Two-Piece High Output Drainable Urostomy Pouch

Coloplast SenSura Mio Click Closed 2-Piece Pouch

Sensura mio click closed-end 2-piece ostomy pouch

Natura + Two-Piece Drainable Pouch InvisiClose

Natura+ 2-piece drainable pouch with invisiclosure

ConvaTec Esteem + One-Piece Drainable Pouch

ConvaTec Esteem one-piece ostomy pouch with barrier

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How Ostomy Supplies Have Improved Over the Years

Posted on
by Michelle Stepp

Experiencing challenges with ostomy supplies is quite common among those with an ostomy. Some of those challenges can include skin irritations, leakage, and odors. Over the years, ostomy supplies have been invented in an attempt to address these complications. Today, ostomy supplies are better quality, safer, and most importantly, help improve quality of life.

What is an Ostomy Pouching System?

The ostomy pouching system is offered as either a one-piece or a two-piece flexible system consisting of an ostomy pouch and a skin barrier, sometimes referred to as a flange, wafer, device, or appliance. The skin barrier sits against the skin that surrounds the stoma and may be flat or convex (curved). A one-piece system combines both the barrier and pouch into one convenient unit. The entire one-piece system requires replacement when changing out since the skin barrier and pouch are attached. The two-piece system, however, is made up of a separate skin barrier and ostomy pouch. The two pieces are connected using a coupling ring, and when changing out, the existing pouch is removed, and a new one is attached while the skin barrier remains in place.

The Beginnings of Ostomy Systems

Hollister Karaya PowderIt is recorded as the year 1706 that the first stoma was created on a patient that resulted in a prolapsed colostomy from a battlefield wound. Later in 1776, a French physician formed a stoma on a patient that suffered from an intestinal blockage. An elastic band held a sponge over the stoma site on the abdomen to collect output. Then, for many years, stoma output was managed by ostomy supplies made of leather pouches with drawstrings or rubber pouches and plastic skin barriers held in place using adhesives and belts.

Over the next 60 years, ostomy supplies, surgical techniques, and patient care evolved.  There were approximately 25 manufacturers of ostomy supplies by 1960 in the United States. Ostomy pouch materials were being tested to take away the bulk and heaviness of the rubber pouches being used. The result was a thinner plastic film that was more simple and functional. There are many ostomy pouches today that are constructed of quieter, water-repellent materials and help control odors.

When it came to ostomy, skin barriers, glass, and porcelain were used first. Then in the 1950s, zinc-based skin barriers were used to help protect the stoma and promote peristomal skin health. Later in the 1960s, a laboratory accident led to the discovery of Karaya powder, a natural hydrocolloid that absorbs moisture and protects peristomal skin under the barrier. Nowadays, skin barriers made of hydrocolloid material have become popular and used in most ostomy systems. Hydrocolloid skin barriers can help reduce skin irritation, offer a better seal for fewer leaks, and allow for a longer wear time.

Manufacturer's Focus Today

Today, many manufacturers focus more on the patient’s needs and create ostomy supplies with features that can help improve the fit and performance as well as the user’s quality of life.

Ostomy supplies today address various stoma types, such as retracted or recessed, protruding, or flush. Ostomy supplies such as deodorants, belts and wraps, filters, and seals have come a long way to help prevent leaks, odors, and security. And, the wide range of ostomy pouches that are now available address nearly every type of body type and lifestyle.

Ostomy Pouches Today

Fast-forward to the present, and you will find ostomy supplies that cover almost every concern those with an ostomy might encounter. There are ostomy pouches made of water-repellent, noise-reducing materials, films that help control odors, and many that feature filters to reduce ballooning from gas.

One-Piece Ostomy Systems

A one-piece ostomy system is a pouch and skin barrier combined into one single system. The skin barrier and the ostomy pouch cannot be separated. Manufacturers like Hollister, Coloplast, and ConvaTec, to name a few, carry a wide range of one-piece ostomy systems that cover a variety of user needs.

Shop One-Piece Ostomy Systems

Two-Piece Ostomy Systems

Unlike the one-piece ostomy system, the two-piece ostomy system offers more flexibility when choosing a pouch and separate barrier since they are not permanently connected. When emptying or changing out the pouch, the skin barrier can remain in place, offering a quick and easy replacement. The two-piece ostomy system also puts less stress on the peristomal skin since the barrier is not being removed as frequently, causing skin friction and irritations.

Shop Two-Piece Ostomy Systems

ConvaTec Esteem one-piece ostomy pouch with barrierDrainable Ostomy Pouches

A drainable ostomy pouch allows the user to drain or clean and reattach to the skin barrier. Drainable pouches typically feature an EasiClose or InvisiClose style closure that uses Velcro to re-close the end. They can also feature other types of seals, such as a clamp or press and seal style. The drainable and reusable ostomy pouches can help cut down on costs since they can be reused.

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ConvaTec Esteem one-piece moldable pouchClosed-End Ostomy Pouches

A closed-end ostomy pouch requires it to be discarded after it is full from output. The closed-end pouch might be a good choice for someone that doesn’t want to clean out their pouch. Offered in various shapes and sizes, a closed-end pouch can minimize the time and effort required for change-outs.

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activelife stoma capStoma Caps

A stoma cap is the smallest ostomy pouch offered and is another type of closed-end system. The stoma cap is usually the choice for those with very active lifestyles, when being intimate, or for someone that has mastered irrigating their ostomy and has predictable output. Stoma caps are not meant to be worn for long periods since they do not have the capacity of a standard ostomy pouch.

Shop Stoma Caps

Skin Barriers Today

Today, skin barriers are thinner and much more flexible than those of the past. Many skin barriers are designed to stick to the skin, have integrated closures, are more comfortable, and prevent leaks. Skin barriers are also designed for specific stoma types.

Flat Skin Barriers

If your stoma protrudes, you have deep abdominal creases, or a hernia, a flat skin barrier may be a good fit for you. A flat skin barrier is flexible and accommodates the body’s natural contours. An ostomy paste can fill any creases and create a smooth surface for the flat barrier to adhere nicely.

ConvaTec Natura Durahesive Accordion Trim-to-Fit Skin Barrier with ConvexityConvex Skin Barriers

If your stoma does not protrude, is flush with the abdomen, or is retracted slightly below the skin’s surface, a convex skin barrier may be the right choice for you. Flush and recessed or retracted stomas achieve a more significant protrusion using a convex skin barrier that applies gentle pressure around the stoma to increase protrusion.

Extended Wear Skin Barriers

Generally speaking, standard skin barriers have a shorter wear-time due to less resistance to liquid stool and urine. Standard wear skin barriers do not hold up to lengthy exposure to stool and urine and cause skin irritations because of frequent changes. An extended wear skin barrier, on the other hand, is formulated with substances that have a greater resistance to feces and urine. These substances absorb moisture causing the barrier to swell up around the stoma. Peristomal skin is protected with an extended wear skin barrier and helps reduce skin irritations.

Pre-cut Skin Barriers

If your stoma is round and the size is not changing, a pre-cut skin barrier may suit you. Pre-cut skin barriers offer a consistent stoma opening that doesn’t require cutting with ostomy scissors for an exact fit.

Cut-to-Fit Skin Barriers

If the size of your stoma is oval or changing dimensions, using a cut-to-fit style skin barrier might be a good choice. Since your stoma is an irregular shape and size, a pre-but skin barrier will not provide the tight seal needed to prevent leaks and potential skin irritations.

Moldable Skin Barriers

Moldable skin barriers offer the same benefit as a cut-to-fit skin barrier, but with some added features. Moldable skin barriers don’t require any scissors, resulting in an elastic seal that fits any stoma shape and size for a secure and snug fit. This technology helps prevent leakage issues, but it has also been an excellent skin barrier option to promote skin health.

Shop All Skin Barriers

Ostomy Accessories Today

Many ostomy accessories are available today that help make ostomy systems more comfortable depending on various needs.

Coloplast Brava Lubricating DeodorantOstomy Deodorants

To keep an ostomy pouch smelling fresh and help kill odor-producing bacteria, ostomy deodorants can be used. The deodorants come in liquid drops, gels, sachets, or sprays and can be unscented or scented. When adding ostomy deodorants to a closed-end ostomy pouch, odors can be reduced when changing out the system. Some gel ostomy deodorants can also help make cleaning a drainable pouch easier by lubricating the pouch and eliminating odors left behind.

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Adhesives & Adhesive Removers

One type of popular adhesive used for ostomy skin barriers is ostomy paste. This type of adhesive is used to fill in cracks and even out the skin’s contour so the skin barrier can have a better seal. The skin barrier will not stay in place when the skin’s surface is not smooth and flat. By using stoma paste, a reliable and strong seal is created that helps prevent leakage. Other adhesives are offered in the form of sprays, liquids, and roller ball applicators.

Once using an ostomy adhesive, an adhesive remover can gently break down the adhesive on the skin and the barrier. Many ostomy removers are sting-free and help to preserve the health of the delicate peristomal skin. Adhesive removers are available in the form of wipes and sprays to help remove rubber-based, acrylic-based, and hydrocolloid-based residues.

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Hollister Adapt Stoma PowderOstomy Powders

Ostomy powders work by absorbing moisture around the stoma to better seal a skin barrier. The powder will turn into a gel when wet but does not contain any adhesive. Ostomy powders are meant to be used only on raw or weepy peristomal skin to help protect the skin from further irritations and extend the wear time of an ostomy skin barrier.

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Barrier Wipes & Sprays

Barrier wipes and sprays help reduce skin irritation from adhesives and friction by creating a protective chemical film on the peristomal skin. Barrier wipes and sprays are easy to use and can be combined with stoma powder to better seal the skin barrier. Simply apply the stoma powder and then top with a barrier spray and allow to dry.

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a couple of ostomy belts offered at Personally DeliveredOstomy Belts & Wraps

An ostomy belt is useful for securing an ostomy system to the body, protecting the seal, and preventing leaks. Ostomy belts and wraps are available in various styles and sizes to match any situation and can be an alternative to adhesives for sensitive skin. Those who lead active lifestyles can benefit from an ostomy belt since it can provide a sense of security when moving, twisting, and turning.

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Ostomy Strips

The use of ostomy strips prevents the skin barrier from lifting and rolling, causing an insecure seal and leakage. Ostomy strips follow the body’s contours and move with the skin, creating a better sense of security and peace of mind that your barrier will stay in place during various activities. ConvaTec easeStrips are a popular ostomy strip that are flexible, thin, and made of hydrocolloid material to be skin-friendly and water-resistant.

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Ostomy supplies offered today have made the ostomy system lighter weight, lower profile for comfort, and more discreet for confidence. At the end of the day, the goal is for those with an ostomy to get back to doing the things they enjoy most in life.

If you have any questions about the many ostomy supplies we offer at Personally Delivered, give us a call. Our Ostomy Product Experts are available to help you narrow down and choose what ostomy supplies are suitable for your specific needs or the person you are caring for. We are helping change people’s lives, one person at a time.

Popular Ostomy Supplies

ConvaTec ease™ Strips

ConvaTec ease Strips

Esteem + One-Piece Convex Drainable Pouch

Esteem + One-Piece Convex Drainable Pouch

ConvaTec Eakin Stoma Paste Cohesive

Convatec eakin stoma paste cohesive

M9 Odor Eliminator Spray, Apple Scented

M9 Odor Eliminator Apple Scented Spray

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Neurogenic Bladder Explained: Causes and Management

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by Michelle Stepp

The central nervous system consists of the brain, the spinal cord, and many nerves in between. It is responsible for many of the functions within our bodies. When the brain and the nervous system are not properly communicating, or there is damage to these nerves, messages that are supposed to be sent to and from the brain are disrupted. In neurogenic bladder, the nerves do not work the way that they should. Find out more about this condition, including symptoms, risk factors, and potential treatment options.

What is neurogenic bladder?

Neurogenic Bladder (NGB) happens when conditions related to the brain, spinal cord, or central nervous system affect the bladder. Under normal conditions, the bladder communicates with the brain to hold or release urine. When the nerves that control this communication are disrupted, the bladder becomes either overactive or underactive, depending on the nature of the damage. This condition occurs when neurological issues interrupt these critical messages, causing the bladder to malfunction.

The two different types of neurogenic bladder are:

Overactive bladder

Overactive bladder (OAB) causes you to have little or no control over your urination. It can also cause you to feel a sudden urge or frequent need to urinate.

Underactive bladder

Underactive bladder (UAB) occurs when your bladder muscles are unable to hold urine. The brain fails to send the proper nerve signals, and the ability to sense when your bladder is full or when to empty it is lost, leading to urine leakage.

What are the symptoms of neurogenic bladder?

woman holding her hands on her stomach in painThe symptoms of neurogenic bladder depend on what is causing the condition. The most common symptom of NGB is the inability to control urination. You can either lose control over your ability to urinate (overactive bladder or OAB) or are unable to empty the bladder fully, or have slow bladder emptying (underactive bladder or UAB).

Other symptoms of NGB may include:

Urinary Tract Infection

A urinary tract infection (UTI) is often one of the first signs. Those with overactive and underactive bladder often experience repeated urinary tract infections. UTIs are caused by harmful bacteria, viruses, or yeast growing in the urinary tract.

Urine Leakage

Urinary incontinence happens when the bladder muscles may be overactive and squeeze more often than regular, leading to urine leaks. You may leak just a few drops of urine, or you may expel a large amount of urine. This urine leakage can happen at any time of the day or night.

Urine Dribbles

With underactive bladder symptoms, you may only dribble a little bit of urine. You may not be able to empty your bladder fully or may not be able to empty your bladder at all. Urine dribbles are most common in those with diabetes, MS, or who have had major pelvic or bladder surgery. The sphincter muscles around the urethra may not work correctly, or they may stay constricted when trying to empty your bladder.

Frequent Urination

Feeling the sudden urge to pass urine often may happen to those with overactive bladder. Frequent urination is passing urine more than eight times in 24 hours. After feeling the sudden urge to urinate, some experience urine leaks, which can be a few drops or a more significant amount.

It is critical to contact your doctor if you have these symptoms or others that are related to urinating. More harm to the urinary system may happen by leaving signs and symptoms to progress without proper medical treatment.

Who is at risk for neurogenic bladder?

Neurogenic bladder can be from a congenital disability or caused by a brain disorder or bladder nerve damage. Whatever the cause may be, the nerves that communicate between the brain and the bladder are not working correctly.

Congenital disabilities that can cause neurogenic bladder include:

Spina bifida

When a fetus’ spine does not fully develop during the first month of pregnancy, Spina bifida occurs. After birth, babies often have weakness or paralysis that affects the bladder and how it works.

Sacral agenesis

Sacral agenesis is a congenital condition in which parts or all of the sacrum and lower spine are missing.

Cerebral palsy

Cerebral palsy is a group of chronic disorders that affect a person’s ability to control body movement and posture. These disorders result from injury to the motor areas of the brain. Cerebral refers to the brain, and palsy refers to weakened muscles. Cerebral palsy may occur in the womb or after birth and is not always diagnosed in the first year of life.

Various other medical conditions and brain disorders that can cause neurogenic bladder include the following:

  • Stroke
  • Parkinson’s disease
  • Alzheimer’s disease
  • Multiple sclerosis
  • Spinal cord injuries
  • Erectile dysfunction
  • Trauma/accidents
  • Central nervous system tumors
  • Heavy metal poisoning

If your doctor thinks you might have a neurogenic bladder, they will perform or order nervous system and bladder muscles tests. By treating the underlying condition, symptoms can often be reduced.

How is Neurogenic Bladder Diagnosed?

Various tests can help determine the health of the central nervous system and the bladder for a doctor to determine if neurogenic bladder is the diagnosis.

Some of the typical testing a doctor may perform or order includes:

Medical history

Your health care provider may ask you several questions to understand your medical history. These questions may include:

  • Symptoms you are having, how long you have had them, and how they are changing your life
  • Information about your past and current health problems
  • A list of the over-the-counter and prescription drugs you are taking
  • How your diet is and about how many liquids you drink during an average day

Physical exam

A physical exam may help your doctor better understand what might be causing your symptoms. The physical exam will likely include your abdomen, pelvis or prostate, and rectum.

Urine culture

A sample of your urine is tested for blood or infection when asked for a urine culture.

Bladder scan

A bladder scan is an ultrasound that shows the amount of urine remaining in the bladder after using the restroom.

Bladder Diary Page 1Bladder diary

You may be asked to keep a bladder diary to track how often you are using the restroom or leaking each day. By keeping a bladder diary for a couple of weeks, your doctor and you can sit down to discuss and learn more about your daily symptoms.

You can download and print your bladder diary here: Bladder Diary

Cystoscopy

A catheter with a tiny camera is inserted into the urethra during a cystoscopy to look into the bladder. This procedure can help the doctor diagnose urinary problems and determine what treatment is necessary. The test can tell how much the bladder can hold, how elastic it is, and when you feel the need to release urine. Bladder cancer, an enlarged prostate, and UTIs can all be found during a cystoscopy.

Other imaging

Your doctor may need to do additional imaging tests such as x-rays and CT scans to help diagnose your condition. Your doctor may also refer you to a specialist for imaging of the spine and brain.

How is Neurogenic Bladder Treated?

Treatment for neurogenic bladder is dependent on what is causing your symptoms and how serious they are. Manufacturers in the medical industry continue to release new inventions to help improve bladder control. The most popular surgery for both men and women is bladder sling surgery. Your doctor may consider these procedures when helping you determine what may work best for you. The goal of the treatment chosen by you and your doctor is to control the symptoms and prevent damage to the kidneys.

Currently, there is no cure for neurogenic bladder, but these are some options your doctor may recommend as treatments to help manage your symptoms:

Portrait of happy young Caucasian woman wearing sportswear doing pelvic muscle exercise lying on mat and smiling in gymBladder training

Kegel exercises can help strengthen your pelvic floor muscles. Since these muscles support your bowel and bladder, practicing these exercises can help prevent urinary leakage. To learn more about Kegel exercises for pelvic floor health, visit our blog post, Take Control of Your Pelvic Floor Disorder.

Delay urination

By waiting a few minutes after you feel the urge to urinate, you are practicing delayed voiding. The goal of delaying urination is to extend this time to a few hours in another attempt to train your bladder.

Urinate on a schedule

By urinating at certain times throughout the day, you might avoid, which can help prevent your bladder from becoming too full. Your doctor may also ask you to keep a bladder diary or journal to record any leakage incidents. A bladder diary can help you determine the best intervals for urinating.

Incontinence products

Incontinence products such as protective underwear, pads, panty shields, panty liners, and adult diapers can help prevent wetness and odors while protecting skin and clothing. The use of underpads, bed pads, chux, and mattress protectors can protect mattresses.

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Intermittent catheterization

Your doctor may recommend intermittent catheterization to ensure complete bladder emptying. You may need to self-catheterize a few times a day; however, the catheter may need to stay in long-term in some instances. A variety of intermittent catheters are available to ensure the experience is as smooth and comfortable as possible.

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Medication

Your doctor can prescribe medications to help improve bladder function. Specific medicines for neurogenic bladder depend on if your bladder is overactive, underactive, or both.

collage of coffee mug, brownies, tomatoes, and alcoholic beveragesChange of lifestyle and diet

Making a few lifestyle changes might be a good first step for those with minor nerve damage. Maintaining a healthy weight can reduce pressure on the bladder and help relieve symptoms of overactive bladder. Avoiding foods and beverages such as the following can also help reduce or prevent irritating your system:

  • Caffeine
  • Alcohol
  • Spicy foods
  • Dairy
  • Chocolate
  • Artificial sweeteners
  • Citrus fruits
  • Fruit juices

Electrical stimulation

Another treatment option is electrical stimulation therapy. This therapy involves placing small electrodes on the bladder. When stimulated, the electrodes can send impulses to the brain, telling it you need to urinate.

Botox for OAB

Botox works by stopping the nerve signals to the bladder muscles that trigger OAB. The entire procedure is outpatient and typically done in a doctor’s office. Your doctor will fill your bladder with a numbing agent. Once the bladder is numb, a cystoscope is inserted through the urethra, and Botox is injected into multiple strategic points of the bladder muscle. Your doctor will discuss Botox as a treatment for neurogenic bladder if you are intolerant to all other medications and treatment options.

Surgery

If other treatments fail, you could require a procedure or device to help you urinate. Your doctor can insert an artificial sphincter into your body that compresses the urethra to prevent urinary leakage, which can be manually released to allow emptying of the bladder. Other surgical options include bladder reconstruction surgery which may help with bladder control, or undergoing urostomy surgery. With a urostomy, the ureters are attached to a small portion of the ilium that is then used to create a stoma. A urostomy pouch is then be used to collect and discard urine from the body.

At Personally Delivered, we carry a wide range of incontinence products, catheters, ostomy supplies, and more to manage various symptoms from medical conditions. For help choosing the products, you need for your unique situation, give us a call. One of our compassionate, knowledgeable, and friendly Product Experts is ready to assist.

Popular Medical Supplies at Personally Delivered

ABENA Sane Premium Bladder Control Pads

ABENA San Premium Bladder Control Pads

 

GentleCath Intermittent Catheters for Men and Women

GentleCath Female Catheter

Hollister Premier One-Piece Urostomy Pouch With Flextend Barrier

Hollister Premier One-Piece Urostomy Pouch With Flextend Barrier

CompactCath Lite Urethral Catheter

CompactCath Lite Urethral Catheter

Disclaimer: Important Notice Regarding Medical Advice

The information provided in this blog is intended for general informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment.

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