Case sharing after ostomy

A colostomy is a common medical procedure, but there are many complications that can occur with a colostomy, one of which is mucus in the colostomy. In this article, we will discuss the clinical manifestations, treatment, and prevention of mucus in colostomy sites.

It can help people with colon disease and bowel cancer to have a bowel movement easier.

Clinical manifestations of colostomy mucus :

The main symptom of colostomy mucus is the sensation of mucus coming out of the patient's body, often creating a wet sensation. Stoma mucus generally has two normal situations:

1. Normal secretion: if it is an enterostomy, gallbladder stoma, or nephrostomy, feces, bile, and urine are usually discharged through the stoma, so a large number of viscous secretions secreted from the end of the rectum, as well as bile, urine It will be discharged through the stoma, resulting in the phenomenon of mucus flowing out of the stoma. This phenomenon is a normal physiological phenomenon, and no special treatment is required, as long as the local skin is kept hygienic, clean, and dry.

2. Abnormal secretion: After stoma surgery, if you do not pay attention to the hygiene, cleaning, and care of the local wound, bacteria can easily invade and cause infection, and stimulate the wound to secrete secretions. Bacteria and white blood cells that swallow bacteria can be mixed in the secretions. Substances can also cause mucus to flow out of the stoma, and can also be accompanied by symptoms such as fever, itching, and pain.

3. The glue on the bottom of the ostomy bag is mistaken for intestinal mucus: the bottom of the general ostomy bag is made of hydrocolloids. Gels are usually slippery, whitish, or yellowish. If there is a lot of water, the hydrocolloid will be thinner and softer, like snot. This is a sign of a leak, not mucus coming out of the gut. At this time, the chassis of the ostomy bag needs to be replaced in time, but there is no need to worry about the ostomy problem, and there is no need to go to the hospital. Therefore, it is necessary to distinguish whether it is the intestinal mucus flowing out of the intestine, or the gel formed after the chassis colloid meets water.

How to take care of it?

Suggestion 1: If pus is caused by wound infection after ostomy, you can use Silver Ion Dressing, which will release a stable amount of silver into the wound and provide an antibacterial effect, which can reduce the bacterial load and inhibit exudate, and then use it together Hydrocolloid dressing, which can provide a closed space for wounds that is conducive to wound healing. If there is a large amount of mucus at the stoma for a long time, and the mucus contains obvious blood streaks and pus accompanied by gastrointestinal symptoms, it is recommended to see a doctor and check-in time.

Recommendation 2: The skin around the stoma also needs to be protected, and dry to do this well. You can protect your skin with Skin Protective Spray and Skin Protective Powder, which will help add a barrier so that when mucus comes out it doesn't do any harm to your skin.

How to prevent it?

After the operation, you should seek the help of a stoma nurse to learn relevant stoma nursing knowledge. At the same time, you should pay attention to the cleaning of the stoma wound after the stoma operation to reduce the occurrence of infection. The choice of stoma products can be comprehensively considered according to your comfort level and your own situation. If you feel unwell, please replace it in time. Paying attention to early detection and early treatment is the key to avoiding concurrent diseases and improving recovery speed.

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Editor: kiki Jia

Date: March 17, 2023