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Blood around stoma...

ddpekks's picture
ddpekks
Posts: 162
Joined: Sep 2011

We changed wafer tonight. We took it off, he showered as usual and I dried around it with a paper towel. I noticed a very small stain of red. I checked closer and where the skin meets the stoma there was a hairline stain of blood (about 1/4 of the way around it). Not much, but it alarms me. I intend to check it in the morning, but this is all new to us. Don't know if this is normal or not. Please help me.

Thanks,
D

Buzzard's picture
Buzzard
Posts: 3073
Joined: Aug 2008

The stoma has no nerves but it does have capillaries and bleeds at the drop of a hat...I have looked as though I am slaughtering myself sometimes when using a towel. The stoma will bleed if you look at it wrong..Its ok, its normal, I simply blot it with toilet paper until it quits then apply my wafer......your ok... :) Buzz

ddpekks's picture
ddpekks
Posts: 162
Joined: Sep 2011

There is so dam*d much to learn. He is very calm about it, and I'm trying not to alarm him, but I had to leave the room to keep from freaking out. Thank God for this site.
D

John23's picture
John23
Posts: 2140
Joined: Jan 2007

"where the skin meets the stoma there was a hairline stain
of blood (about 1/4 of the way around it"

That's a typical sign that the hole in the wafer/appliance is not
cut quite close enough to the base of the stoma.

Waste is contacting the skin at the base of the stoma and burning
into it.

If you're not using "cut to size" appliances, I strongly suggest you
begin using them. The stoma will change size over a six month
period following it's placement, and what may fit today, may
not fit by next week.

To resolve any damaged skin under the appliance, use a
product from Convetec, called "Stomahesive Powder".

Do -not- use any other skin dressing, or topical dressing
with the Stomahesive Powder, it is designed to be used alone!
Just put some on your finger, and dab it to the sore area(s), and
dust off any excess. Apply the appliance directly on top of the
powder, and the sore area should be healed within two days.

There should be no skin showing around the stoma's base
when you look at the stoma with the appliance on.

Oh, and if you're not using a two-piece appliance, I would
highly recommend that you try them. It makes placement easier,
and you can change out the pouch without having to remove
the wafer.

Try this website: UOAA , there's a wealth of information there
for any ostomate!

Best wishes to you,

John

Buckwirth's picture
Buckwirth
Posts: 1272
Joined: Jun 2010

are dead on for an ileostomy, but not as important for a colostomy.

Buzz and I both have colostomies, and I agree with him that blood around the stoma is perfectly normal, and I use a pre-cut appliance that does not fit perfectly, but which was recommended by my WOCN. Have to say I am very happy with it, and do not miss cutting my appliance every time I change it. I do use paste or the Hollister rings to fill in the open spaces.

What I would suggest is letting him start taking care of the stoma himself (unless you are describing a situation where he was ill with the chemo). There will come a day he needs to do this at work, out of town, or even while grocery shopping and he needs to be comfortable doing it on his own.

taraHK
Posts: 1961
Joined: Aug 2003

Normal -- especially if a just a little blood. The stoma and surrounding area can get banged or 'scratched' -- sometimes even by towel (by the way, I find paper towel ideal for dabbing dry). Nothing to worry about, in my humble opinion, if it is just a little bit and blood flow stops quickly. IF there is a lot of irritation around the area (soreness, redness, stinging) then I agree with John23 -- make sure the hole in your appliance is the right size and the adhesive powder he recommended works wonders - I swear by it (and, like John, NOTHING ELSE). Also, if you can give the area a little "air" before reapplying appliance, that is good (depending on your output situation -- can you get a safe window - -even 30 min).

Can be scary the first time! Good luck

Tara

ddpekks's picture
ddpekks
Posts: 162
Joined: Sep 2011

I've been cutting the wafers (Hollister) because, at 3 months, it's a little more oval than round. Should I cut it round and kinda force it into that shape, so that I can use the pre-cuts? We had an Osto nurse for a short while, but she always came in while I was at work, so I've learned from reading and his relay of instruction.

He pretty much does everyting for himself excet the butt packing and wafer changing. I think we are both still nervous and still learning about all this and maybe try too hard to get it right.

He wrote down the name of the powder and is going to try to find it today.

Again, thank you so much. Your info is gret!

D

Buzzard's picture
Buzzard
Posts: 3073
Joined: Aug 2008

I can send you a few to see if they are suitable for you...I love the way they fit work and stay on...they are disposable pouches, not the reusable ones. I also have some of that powder that John speaks of if you'd like to try it as well...if you would like them PM me an address to send them to and I will get them out....I will send a couple of wafers and 6-8 pouches for 3-8 days worth of wear...These pouches have the vent system as well but sometimes stop up during the night but 95% great.........buzz

PS...I wouldn't try and force the wafer over the elongated stoma..That will cause bleeding as well but with a colostomy the stool is normally thicker and a little looser fit is most of the time allowable...The Illeo however is a lot watery and finds the openings a lot easier to irritate the peristomal skin...I can normally tell when I am getting a leak at first it starts to itch a bit, then a lot. then starts the burn. If it starts to itch a bit then get it cleaned and changed.... :)

Mine are Hollister as well...18373 pouch and a 14603 wafer cut to fit..32 mm...they can be recut to oval if you would like to try them...I think the powder is called ""Adapt Stomahesive Powder"

ddpekks's picture
ddpekks
Posts: 162
Joined: Sep 2011

But I don't think it's necessary to send me any. We use the same thing you do, only not pre-cut wafers. We will order pre-cuts next time. I think I've been given such good info here that I should be able to handle it now. If it doesn't get better, believe me, I will be back.

You guys are the best.

D

John23's picture
John23
Posts: 2140
Joined: Jan 2007

I would forget the "precut" versions and continue to cut each
one yourself. The stoma will change (as you have noted), and
while the "precut" versions may be OK for the older stoma,
(haha), I.E. the stoma that one has had for a couple years, the
new stoma needs to be custom fitted until it finally settles.

At nine months post surgery (with my second Ileostomy), the
stupid thing is still changing in size and form. I would have
had to throw out a lot of precuts, and I would have suffered
leaks and peristomal skin damage.

Not everyone, with -any- type of stoma, fits the same situation.
A Colostomy can be a lot easier to service than an Ileostomy,
but as any WOCN can tell you, a Colostomy can also be as
much hell to work with as an Ileostomy; we're all different,
and not all stomas conform to the best "standards".

With a Colostomy.... Many Colostomates make use of a
technique called "Colostomy Irrigation". Those that practice
irrigating say they can go without the appliance for periods
of time (between irrigating). It may make life a bit easier living
with a Colostomy... Unfortunately, we Ileostomates can not
make use of the procedure.

That "powder" by the way, is Convetec Stomahesive Powder.
It comes in a very small plastic bottle. Those that use it properly
swear by the miraculous results it provides! But remember not to
use any other topical dressing under or over it (no skin preps),
otherwise you'll be defeating the purpose of the Stomahesive powder.

Best wishes,

John

Annabelle41415's picture
Annabelle41415
Posts: 6209
Joined: Feb 2009

Yup it's common, it bleeds very easy and nothing to worry about. It's good to be aware though.

Kim

scjohnson2006
Posts: 2
Joined: Oct 2011

yeah I hate it when mine bleeds bc it burns really bad when I put my wafer on.. aghh.. and I do everything for it to stop.. agrrevating... and my problem now is that it turns black( my stoma) and no one thinks nothing is wrong..

Annabelle41415's picture
Annabelle41415
Posts: 6209
Joined: Feb 2009

That doesn't seem right at all. They always say it should look a healthy "pink" and certainly not black. You should probably make an appointment with the surgeon and have him look at it again just to make sure.

Kim

eibod
Posts: 160
Joined: Mar 2011

My husband has had a colostomy since January and it still bleeds. Sometime more than
others. It is very scary.

Buzzard's picture
Buzzard
Posts: 3073
Joined: Aug 2008

and it still bleeds....If my stoma was black then I would definitely see an ostomy nurse on the double...something isn't right...

marqimark's picture
marqimark
Posts: 242
Joined: Jun 2011

As usual great info abounds on this board.

I am sorry so many have so much experiance fighting this disease.
I am greatful that they take their time to share what they have learned from their experiences.

Thanks and hugs to you all.

Mark

Kenny H.'s picture
Kenny H.
Posts: 503
Joined: Aug 2010

x2 on the 2-piece appliance system. I also use the Hollister 2-piece units. I cut my own out at 26mm so they are a snug fit & have had no bleeding.

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