Ileostomy

What is a Ileostomy?

An ileostomy is a surgical procedure that creates an opening (stoma) in the abdominal wall from the ileum, which is the last part of the small intestine. This allows waste to bypass the colon and exit the body through the stoma, where it is collected in an external pouch or ileostomy bag. This is also known as a type of ostomy.

Reasons for an Ileostomy

Ileostomies are often performed due to:

Inflammatory Bowel Disease (IBD): Conditions like Crohn’s disease and ulcerative colitis.
Cancer: Colorectal cancer may necessitate an ileostomy if parts of the colon are removed.
Trauma: Injury to the intestines.
Congenital Conditions: Birth defects like imperforate anus or Hirschsprung’s disease.
Diverticulitis: Severe cases with complications

Types of Ileostomies

Temporary Ileostomy: Created to allow the intestines to heal after surgery or injury. It can often be reversed.
Permanent Ileostomy: Necessary when a section of the intestines is removed and cannot be reconnected.

Living with an Ileostomy

Ileostomy Care

Stoma Care: The stoma should be pink and moist. Keeping the surrounding skin clean and dry is essential to prevent irritation and infection.
Changing the Ileostomy Bag: Typically done every 3-5 days, or as needed. Proper hygiene and careful handling are crucial to avoid leaks and skin problems.
Diet and Nutrition: Initially, a low-fiber diet is recommended to reduce the risk of blockage. Gradually, you can reintroduce fiber and other foods. It’s important to stay hydrated and avoid foods that cause gas or odor.

Lifestyle Adjustments

Clothing: Choose comfortable, loose-fitting clothes. Specialized ileostomy-friendly clothing is available.
Physical Activity: Most activities are safe. Consult your doctor before starting new or strenuous activities.
Traveling: Plan ahead with extra supplies. Be aware of restroom facilities and carry a medical alert card.

Emotional and Psychological Support

Living with an ileostomy can be emotionally challenging. It’s normal to feel anxious or depressed. Support groups, counseling, and talking to others with ileostomies can provide comfort and practical advice.

Frequently Asked Questions

1. Will I be able to have a normal life with an ileostomy?

Yes, many people with ileostomies lead full, active lives. It may take time to adjust, but with proper care and support, you can continue to enjoy your usual activities.

2. How do I prevent skin irritation around the stoma?

Keep the skin clean and dry, use barrier creams if necessary, and ensure the ileostomy bag fits well. If irritation occurs, consult a healthcare professional.

3. Can I eat my favorite foods?

You can enjoy a varied diet, but it may be helpful to monitor how your body reacts to different foods. Some foods may cause gas, odor, or blockages.

An ileostomy can significantly improve the quality of life for individuals with severe digestive tract issues.

Understanding the procedure, learning proper care techniques, and finding emotional support are key to adapting and thriving with an ileostomy.

For personalized medical advice and care, always consult your local Nurse Specialized in Wound, Ostomy, and Continence (NSWOC).

Personalized Support

Explore the different types of ostomies, including colostomy, ileostomy, and urostomy. Understanding these different types helps in effectively managing care and adjusting to life with an ostomy.

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