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Debunking the most common stoma myths

18th March 2021

There are many misconceptions about having a stoma which can be extremely confusing and frightening when you are facing surgery or recovering from recent stoma surgery. Bowels are not a subject that is discussed freely and therefore many questions are left unanswered and myths have developed. Having stoma surgery can be a scary and life changing event, but the key to living a healthy and happy life is to be equipped with the correct knowledge and be able to dismiss any fallacies you may have heard.

Speak to your stoma nurse to gain all the correct facts about living with a stoma. Join a support group where other ostomates can give you first-hand experience of how a stoma affects their life on a daily basis. Read online blogs and forums where ostomates discuss issues that many people with a stoma may face. Get the truth, not a misconception and you will feel much more in control of everything stoma related!

Debunking the myths around living with a stoma is so important to give clear information to those who need it. Here are some of the most common myths surrounding stomas:

Myth:

Your stoma will keep changing shape

Fact:

In the first six weeks following your surgery, your stoma will reduce in size and change shape and appearance. This is due to the swelling reducing internally and externally. Your stoma can also change shape or size if you put on or lose weight and your abdomen changes.

Myth:

Having sore skin is something you need to put up with when you have a stoma

Fact:

Sore skin and irritation can cause damage to the skin around the stoma. It can often be caused by the leaking of faeces/urine onto the skin. It is good to check your stoma appliance fits correctly and if you are unsure, contact your stoma care nurse for guidance. Occasionally skin irritation can be due to mild skin allergies or infection, again it is wise to speak with your stoma team or GP if you suspect this is happening.

Myth:

Odour is part of having a stoma

Fact:

It takes time to become confident with your stoma pouch and its ability to retain odours. Most pouches have a charcoal filter which will help any gas slowly escape your pouch, whilst the charcoal element helps with odour control. Odour is contained within the pouch, so people with you will not be able to smell anything. If you are concerned about the odour whilst changing the pouch, keep a room freshener spray with you. Pocket size ones are available.

Myth:

You need to follow a strict diet with a stoma

Fact:

Following surgery, you may find you are more sensitive to certain types of foods. Slowly re-introducing different types of foods into your diet and monitoring how you feel, will help identify what agrees with you and what doesn’t. There is plenty of literature about diet with a colostomy or ileostomy and what foods to avoid with regards to blockages.

Myth:

You cannot shower with the pouch off

Fact:

You can shower with your pouch on or off….the choice is entirely yours.

Myth:

You shouldn’t swim or bathe with your pouch on

Fact:

There is no reason why you cannot do either. The stoma pouches are waterproof and therefore can be left in place when bathing or swimming. Just don’t forget to cover the filter with a filter cover.  You may even prefer to remove your pouch during showers and baths, this is a personal choice. There are some smaller types of pouches that can be used during swimming if you are conscious of the size of your pouch. Swimming costumes and trunks can now be designed to help disguise your pouch with ruching to the material.

Myth:

I have to buy all my stoma products

Fact:

In the UK your stoma equipment is available via prescription from your GP and therefore will cost you the usual prescription costs. A pre-payment certificate is an economical way of paying  if you are not exempt from charges. People with a permanent stoma or those undergoing treatment for cancer are exempt from paying prescription charges, as are people with certain other medical conditions. Your stoma products will arrive at your door via a delivery company that will arrange your monthly prescription with approval from your GP. They supply pre-cut pouches/flanges, complementary dry wipes and black bags to dispose of your pouches.

Myth:

A two-piece system is better than a one-piece system

Fact:

There is a choice between a one-piece system where the pouch and flange are attached together and are applied/removed as one piece. Or the two-piece system where the flange and pouch are separate allowing you to apply the flange first and then the pouch on top, you can then leave the flange in place for a few days but change the pouch more often. It is personal choice as to which one you use, they are both excellent systems.

 Myth:

Ostomates cannot fly on a plane

Fact:

People with a stoma can fly in a plane. They can use any mode of transport! What can happen on the flight is that due to the change in pressure, you may experience a little more gas than usual, so be prepared!

Myth:

Your stoma nurse will change your pouch every day for you

Fact:

Your stoma nurse will show you how to change your pouch whilst you are in hospital. You will be expected to change your pouch yourself or with help from a relative/carer once you are home. You may be visited at home by a community stoma care nurse in the weeks following your discharge from the hospital, to monitor how you are getting on and if there are any issues.

Myth:

Now that I have an ileostomy or colostomy I shouldn’t be passing anything from my rectum

Fact:

The colon will still produce mucus after your ostomy surgery. Depending on the type of surgery you have had, it can be normal to pass clear mucus from your rectum for the first few weeks, this usually slows down and reduces in the amount and frequency.

If you have any concerns please contact your stoma care nurse.

Myth:

I won’t be able to have sex now that I have a stoma

Fact:

Prior to your operation, your surgeon and stoma nurse will explain any risks to your sexual function that your surgery may cause. For many people, there is no reason why you cannot continue a fulfilling sex life once you have recovered from surgery. You may want to look at some precautions such as emptying your pouch first or wearing a less bulky pouch. There are other accessories available to help secure your pouch during intimate moments.

Myth:

I will not be able to exercise

Fact:

Once you have got the all clear from your Surgeon and have recovered from surgery, there is no reason to avoid exercise. Start gently,  try to avoid heavy lifting to prevent a parastomal hernia and slowly build up your unique exercise regime.

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