Living with a colostomy

What is a colostomy?

The colon, which is the first 1.2 to 1.5 metres of the large intestine, is part of the body's digestive system. It has the job of absorbing water from waste material (faeces) and returning it to the body. It also absorbs any remaining nutrients. The solid waste material is then passed through the colon to the rectum. From there, it is eliminated from the body through the anus.

When the colon, rectum or anus is unable to function normally because of disease or injury, or needs to rest from normal function, the body must have another way to eliminate the waste. A colostomy is an opening -- called a stoma -- that connects the colon to the surface of the abdomen. This provides a new path for waste material and wind to leave the body. A colostomy can be permanent or temporary.

How will a colostomy change my life?

While still in the hospital after your surgery, you will be taught about the care of your colostomy and given some tips for making the necessary adjustments. While living with a colostomy will require a modification of your lifestyle, with proper education and guidance, it is manageable. The following tips should help you adapt to life with a colostomy.

• Monitor your medications -- Some medicines can cause constipation or diarrhoea.
• Eat a well-balanced diet -- Avoid foods that cause excessive wind, such as cabbage, beans and some nuts. A dietician can help you choose a balanced diet that will help you avoid constipation and diarrhoea and not interfere with your colostomy.
• Live your life -- Having a colostomy is not the end of life as you know it. Modern colostomy supplies are designed to lie flat and are not noticeable under clothing. Most colostomy patients are able to return to work and to most of the activities -- including sex -- they enjoyed before surgery.
• Colostomy irrigation, which keeps the bowel clean by washing water through it every day or every other day making a bag unnecessary, may be suitable for some people. Talk to your specialist or stoma care nurse to find out if you are a candidate.

Keep in mind there are organisations, such as the Colostomy Association www.colostomyassociation.org.uk, and support groups, who can offer help.

Be sure to talk to your doctor or the nurse about resuming your normal activities and about any concerns you have about living with your colostomy.

Colostomy warning

In some cases of colostomy, skin irritation or infection can result from stool that leaks under the bag. A hernia can develop around a colostomy, and the bowel may become narrow. Taking good care of your stoma and eating a balanced diet can help you avoid these problems.