Stoma to Tight

Darren HMember

I have an ileostomy for almost 2 years now. For most of that time i havent had any problems but in the last few weeks its starting to feel like my stoma has become too tight. Im having trouble passing anything, even if its pure liquid, im having to help it out most of the time.
Anyone else had this problem?
Im thinking i will need to go back to my surgeon to have it seen to.

4/15/131:43 PM

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Jan DollarModerator, RN, retired

First, are you able to pass a small finger through your stoma easily? If not, you may have a stomal stricture, and yes, time to see the surgeon. Don't try to force anything.

If you can get your finger in there OK, then there may be an obstruction, either by fibrous food buildup or from adhesions causing twisting/kinking. If switching to a liquid diet does not move things through, again a visit to the surgeon is in order. You may need some imaging to figure it out.

Good luck!

Jan

4/15/132:23 PM

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Darren HMember

Thanks Jan, I dont have a total blockage. It is passing but just not very easily and i can feel it coming through uncomfortably which wasnt always the case. I dont think its an emergency situation just yet but i will get in contact with my doctor on it. Better safe than sorry.

4/15/134:05 PM

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Jan DollarModerator, RN, retired

Yes, both of the above issues can cause partial obstructions, and can come on gradually. But, yes, you don't want to wait for it to become an emergency.

Are there any bulging areas around the stoma? If so, could be a peristomal hernia.

Jan

4/15/135:34 PM

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