How to use anti-ulcer colostomy medicine?

The colostomy is an opening in the small intestine or large intestine on the abdominal wall to bring all feces and waste out to replace the real anus into a bag attached to the abdominal wall.
Depending on the patient's condition, the doctor may appoint a temporary anal bag or a permanent anal bag. Patients are often indicated for colostomy in the following cases: Inflammatory bowel disease, colorectal cancer, ulcerative colitis, colon diverticulum, fecal incontinence, trauma, sphincter sutures... This patient is indicated for colostomy for the purpose of limiting the risk of obstruction and disabling the colon when dealing with damage to the bladder or colon.
The colostomy requires complicated techniques, so it requires a specialist who has experience in this field. The process of placing the colostomy should be precise and minimize errors so as not to cause any complications such as intestinal obstruction, wound infection, peritonitis, serocolitis, colon perforation, and drainage. Abdominal wall, colostomy stricture, fecal incontinence, colostomy fistula...

2.1. Skin ulcers around the ostomy hole How to care for the skin around the stoma are ulcerated as follows:
Clean the skin around the stoma (preferably using 0.9% physiological saline) . In case patients with ulcers are at risk of infection, Betadine alcohol should be used to disinfect; The anti-ulcer medicine used is an anti-irritant powder. After cleaning the skin, inject the powder into the skin around the stoma (especially the easily irritated skin). Leave it on for 3-5 minutes and then wipe it off. Anti-irritation powder with soothing and anti-irritant effect, treating and drying the skin around the stoma; After taking out all the powder, proceed to apply anti-leakage glue to the surrounding legs of the stoma base or the ostomy hole, the location at risk of bleeding, the location of the tube or the fixed rod. artificial colostomy. In case the patient has an ulcer in the area close to the stoma, conduct an anti-ulcer ring close to the edge of the stoma, then stick the bag up. In case the patient has ulcers around the large stoma, proceed to use anti-ulcer stomatitis patch (thick Hydrocolloid patch to cut the stoma to fit), use anti-leak glue to apply a Loop the inside of the sticker and quickly glue the bag on. 2.2. Artificial para-anal hernia is a complication caused by a wide opening of the stoma, or because the abdominal wall around the opening is not stable. In this case, the patient should be monitored and considered to restore the abdominal wall around the opening or close the colostomy if indicated.
2.3. Prosthetic anal prolapse The anal prolapse usually occurs in the anus in a double-barreled, loop-type type. The artificial anus is pushed out causing pain, lack of blood supply can lead to necrosis of the artificial anus (symptoms of mucosal protrusion out of thunder purple, less stool circulation through the artificial anus). In this case, the prolapsed colon should be gently pushed inward, if the colon cannot be pushed in with ischemia, surgery should be considered for colostomy or closure. stoma if it's time to close.

3.1. Protecting the skin around the ostomy stoma. The color and properties of the skin around the stoma should be kept the same as the rest of the body. Some points to note are as follows:
The colostomy bag and the colostomy patch must have the right size. Patches with a base that are too small will increase the risk of damage to the stoma, causing inflammation. Conversely, if the patch has a too wide base, it will cause waste leakage and skin irritation. If the patient encounters any of the above cases, it is necessary to replace the bag and the protective patch with a more suitable size; Stool bags should be changed periodically during ostomy care, not when there is oozing, itching or overflow of new bags; Remove the ostomy bag from the skin carefully, gently and without pulling; Clean the skin around the stoma with clean water / physiological saline. Before wearing the bandage, use an ostomy ulcer ring or skin protection patch, it is necessary to dry the skin completely; 3.2. Emptying the colostomy bag The patient should prescribe a certain time of day to change the colostomy bag (it can be early in the morning before meals or 1 hour after meals). Normally, the waste after ostomy surgery will be thin and watery. Patients can wait until the waste reshapes and know the best time to clean and change the bag.
In addition, the patient should note:
When the waste is full to 1/3 - 1/2 bag, it should be empty to prevent the bag from bulging and leaking; The patient should choose a dressing area dedicated to cleaning the colostomy area; Use a spray nozzle to rinse again if waste remains inside the bag. 3.3. Diet for patients Some dietary guidelines for patients after colostomy surgery are as follows:
Eat small meals during the day; Chew well, eat slowly; Drink 8-10 glasses of water per day; In the first 1-2 weeks after surgery, the patient should use foods that are bland and low in fiber, then gradually use foods containing a lot of spices and fiber to assess the extent of the effect. effects on the digestive system; Do not eat legumes, whole grains, instead choose refined grains; Do not drink alcohol, use only non-carbonated, non-alcoholic beverages. 3.4. Taking care of the colostomy when bathing and cleaning the body. Patients who have ostomy surgery only use clean water to bathe and clean the body. In case you use soap to bathe, you should pay attention to wash off all the foam on the skin as an ostomy, because soap can make the base layer of the stoma anti-ulcer patch difficult to adhere to the skin.
Do not remove the anal bag when bathing or swimming to avoid possible fecal discharge.
Surgical colostomy, if not properly cared for, can easily lead to inflammation and ulceration of the stoma. Hopefully, this article will help patients have more information about how to care for and use anti-ulcer measures in the colostomy area.