Ifyou’ve recently had ostomy surgery or are exploring ostomy care for the first time, understanding your ostomy output is an essential part of managing your health and well-being. The consistency of your output can vary based on several factors, including the type of ostomy, your diet, and your general health. In this blog post, we’ll break down what ostomy output is, why it’s important, and how you can modify it to suit your needs.
Types of Ostomies and Their Output
An ostomy is a surgically created opening (called a stoma) on the abdomen that allows bodily waste to exit the body when the normal route is no longer functional. There are several types of ostomies, and each one has different types of output based on the location of the stoma and the segment of the digestive tract that remains connected to the body.
Colostomy: This type of ostomy involves the colon, or large intestine. The output from a colostomy is typically solid or semi-solid, depending on the location of the stoma within the colon. A stoma located on the left side of the abdomen may result in firmer stool, while one on the right may have a softer consistency.
Ileostomy: An ileostomy involves the small intestine, specifically the ileum. The output here is usually more liquid or pasty. This is because its primary responsibility is the digestion and absorption of nutrients from the food we eat. By the time waste reaches the ileum, it hasn't been fully dehydrated like it would be in the colon.
Urostomy: A urostomy is a type of ostomy used to divert urine from the kidneys to an external collection bag. Unlike colostomies and ileostomies, urostomies do not produce solid or semi-solid output but are instead concerned with the constant flow of urine.
Why Does Ostomy Output Have a Specific Consistency?
The consistency of ostomy output is primarily influenced by where in the digestive system the ostomy is located. Here’s how biology plays a role:
The Small Intestine: The small intestine is designed to absorb the nutrients and water from food. When an ileostomy is performed, the output from the small intestine remains liquid or semi-solid much like diarrhea because less water is reabsorbed before it exits the body.
The Large Intestine (Colon): The colon’s job is to absorb water and electrolytes from waste material, transforming it into a more solid form before it is excreted. For those with a colostomy, the output’s consistency varies based on how much of the colon remains intact and functional. If the stoma is located in the ascending or transverse colon, the stool may still be more liquid; if the stoma is located in the descending colon, the stool tends to be more solid.
Absorption & Digestion: The body's ability to absorb water and nutrients also plays a role in the consistency. Any disruptions in this absorption process, caused by diet, illness, or the location of the ostomy, can affect the consistency.
How to Change the Consistency of Ostomy Output
In some cases, you may need to adjust the consistency of your ostomy output to ensure comfort, minimize odor, and prevent leaks. Fortunately, there are several ways you can do this.
1. Dietary Adjustments
For Colostomy Patients: If you find your output too loose or watery, try adjusting your fiber intake. Foods high in soluble fiber, like oats, bananas, and rice, help absorb liquid and make the output more solid. These are the best foods to eat to stop diarrhea. Conversely, if you need softer stool, eating foods like prunes, bran, and vegetables can help.
For Ileostomy Patients: The output from an ileostomy tends to be liquid, but if you want to thicken it, eating more starchy foods like pasta, white rice, or potatoes can help. In contrast, limiting high-fiber foods or avoiding very greasy meals can slow digestion and reduce liquid output.
Hydration: Staying hydrated is essential, particularly for ileostomy patients, as you lose water and electrolytes through the output. Drink plenty of fluids and consider electrolyte replacements if needed to maintain your health.
2. Medications and Supplements
Anti-Diarrheal Medications: If you have a more liquid output than you'd like, your doctor may suggest using over-the-counter medications like loperamide (Imodium) to slow digestion and make the stool more solid. Always consult with your healthcare provider before starting any new medication.
Fiber Supplements: Some people with an ileostomy may benefit from fiber supplements, such as psyllium, to thicken their output. However, it’s important to introduce fiber gradually and monitor its effect on your output.
3. Use of Ostomy Filters and Deodorizers
Pouch System Selection: There are various types of ostomy pouches designed for different levels of output. If your output is more liquid, a drainable pouch with a larger capacity may be more comfortable and better suited for the frequency of emptying. For those with solid output, a closed pouch might work well.
Use of Ostomy Filters: Some ostomy bags have built-in filters that help release gas while maintaining odor control. These filters can be particularly helpful for individuals with more solid or semi-solid output, as they allow the pouch to expand without creating excess pressure.
Odor Eliminators: Many ostomy pouch systems come with built-in deodorizing features, but you may also choose to use an odor eliminator. Liquid deodorizers are specially formulated to neutralize odors and keep your pouch smelling fresh. These deodorizing liquids can be added to your ostomy pouch before or after emptying to mask unpleasant smells. Some ostomy users opt to use internal deodorants, like Devrom, that neutralize odor from within.
4. Professional Guidance
If you are experiencing extreme changes in your output that you cannot manage through diet or lifestyle adjustments, it's important to consult with a healthcare professional. They can assess your situation and help you find the best solution tailored to your needs.
Conclusion
Understanding your ostomy output and how to adjust it is an important part of managing your condition and maintaining comfort. By recognizing the type of ostomy you have and the factors that affect the consistency of your output, you can make informed decisions about diet, medications, and other tools to help maintain a healthy and manageable life with your ostomy. Whether you’re looking to thicken your output or manage loose stool, there are several ways to regain control over your ostomy care.
*Always consult your healthcare provider for personalized advice tailored to your specific needs.
