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A Guide To Living With A Stoma More For You


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DISCLAIMER


100% accuracy at time of writing cannot be guaranteed.  A listing in this website is provided for informational purposes only, and does not mean it is an endorsement.  All companies listed are tried at the reader’s own risk.  All information provided is intended as a supplement to any professional help already

given.  Before acting on suggestions from anyone, ostomates are advised to check with a doctor or stoma care nurse that the course of action is suitable

for them. Whilst every care is taken, the author will not be held responsible.

NAUSEA


Nausea is a symptom, which results from the inclination to vomit.


NEPHROSTOMY


Nephrostomy is a temporary urinary diversion of urine away from the ureters, in which a plastic

catheter (nephrostomy tube) is inserted through the skin into the kidney, stitched into place, and left

to drain urine.  The rest of the urinary tract is bypassed.


NIGHT DRAINAGE BAG


A night drainage bag is a large collection bag for urine.  This is connected to the valve bottom of a urostomy pouch at night, whilst the urostomate is in bed.  It provides additional storage capacity for the urine, and keeps urostomy pouches from becoming too full and pulling loose from the skin.  Night drainage bags keep draining the urine away from the stoma itself.




NITRAZINE PAPER


Nitrazine paper is strips of paper, which change colour to show the acidity or alkalinity of urine.


NOCTURIA


Nocturia is defined as excessive urinating at night, i.e. waking up in the night to go to the bathroom more than once.  Nocturia can be normal, and is more common with aging.  However, it may also be a sign of an underlying condition, such as diabetes or prostatic enlargement.


NUTRITION


Food provides the energy and nutrients, which everyone needs to be healthy. Nutrients include

proteins, carbohydrates, fats, vitamins, minerals and water.


Learning to eat nutritiously is not hard:


Eat a variety of foods, including vegetables, fruits and whole-grain products.

Eating more fruit and fibre should help make stools softer.

Eat lean meats, poultry, fish, beans and low-fat dairy products.

Drinking lots of water or juice, will also help soften the output from a stoma.

Use salt, sugar, alcohol, saturated fat and trans fats in minimal quantities.








OAB


See Overactive Bladder.


OBSTRUCTION


An obstruction is a blockage or occlusion of a structure (e.g. in the GI tract), which prevents the flow

of liquids or solids.


ODOUR


In these modern times, odour should not prove to be a problem, since most stoma pouches have a filter, which incorporates a deodorizer.  However, if an ostomate is not happy with the filter on their current pouch, there are other pouches, made by different manufacturers, which could be tried.

In addition to the filters incorporated into stoma pouches, several manufacturers and suppliers of stoma care appliances produce drops or granules, which are designed to neutralise any odour.  These can be introduced into a clean pouch before use.


Odour could mean leakage or the filter may have come into contact with the content of the bag

making the deodoriser ineffective.  If this becomes the case, the appliance should be changed as

soon as possible.


Some ostomates find that drinking tomato juice or buttermilk, or eating natural yoghurt or parsley,

helps to control odour. Others take peppermint capsules.


ONE-PIECE STOMA POUCH


A one-piece stoma pouch system includes a skin flange and collection pouch, which are joined together as a single unit, so that both are changed at the same time.  Most one-piece pouching systems do not include a plastic ring, which might limit the ability of the pouch to flex with changes in the body.  Therefore, generally, a one-piece system is more flexible than a two-piece system.


They are usually available in a variety of pre-cut hole sizes/starter hole sizes, which may be trimmed with scissors to fit irregular-shaped stomas.  A one-piece pouch system can be either drainable or closed.


See Pouch.


OPAQUE


The term ‘opaque’ can refer to the pouch material, which is coloured - either white or beige. Using a white or beige stoma pouch helps conceal the contents.


ORTHOTOPIC NEOBLADDER


An orthotopic neobladder is a replacement bladder, made from a section of intestine, which substitutes for the bladder in its normal position, and is connected to the urethra to allow voiding through the normal channel.   Like the ileoanal reservoir, this is technically not an ostomy, because there is no stoma.  Candidates for neobladder surgery are individuals, who need to have the bladder taken out,

and who are prepared to self-catheterise following surgery, if necessary.


OSTOMATE


An ostomate is a person, who has a stoma – colostomy, ileostomy or urostomy.  In some countries, ostomates are called ostomists.


OSTOMY


Ostomy is a general term, which is sometimes used interchangeably with the word stoma, (a Greek

word for mouth or opening). However, they have different meanings.


Treating diseases of the digestive or urinary systems involves removing all or part of the small intestine, colon, rectum or bladder.  In these cases, there must be a new way for wastes to leave the body.


An ostomy is the procedure used to create a stoma, a surgically-created opening in the abdomen.  The opening is created for the discharge of body waste (colostomy or ileostomy) or urine (urostomy), and it can be permanent or temporary.  An ostomy is necessary, when part or all of the intestines are removed.  The actual end of the ureter or small or large bowel, which can be seen protruding through the abdominal wall, is called a stoma.


A permanent ostomy may be necessary when disease, or its treatment, impairs normal intestinal function, or when the muscles that control elimination do not work properly or require removal.  The most common causes of these conditions are low rectal cancer and inflammatory bowel disease.


A temporary ostomy may be required if the intestinal tract cannot be properly prepared for surgery, because of blockage by disease or scar tissue.  A temporary ostomy may also be created to allow inflammation or an operative site to heal without contamination by stool.  This type of ostomy can

usually be reversed with minimal or no loss of intestinal function.


OSTOMY BELT


Sometimes an ostomate feels that it is necessary to have extra support and an added sense of

security, and using an ostomy belt helps.  Ostomy belts are belts, which wrap around the abdomen,

are easily attached to the loops found on many pouches, and can be used with both one-piece and

two-piece pouches.  In addition, belts can be used to help support the pouch, or as an alternative to adhesives if skin problems develop.  A belt may also assist in maintaining an adequate seal, when using a convex flange.


OSTOMY SUPPLIES


Ostomy supplies are products, which are used by stoma patients, who have a colostomy, ileostomy or urostomy.




OSTOMY VISITOR


An ostomy visitor is a person with an ostomy, who has completed a training programme, and visits patients before or shortly after ostomy surgery.  The visitor gives support and practical advice, rather than medical information.


OVERACTIVE BLADDER


Overactive bladder is a common type of urinary incontinence, which causes involuntary loss of bladder control.  This is caused by abnormal contractions of the muscles of the urinary bladder, resulting in a sudden, uncontrollable urge to urinate (called urinary urgency) with or without actual leakage of urine, even though only small amounts of urine may be in the bladder.  Symptoms include an urgent need to go to the toilet, going to the toilet frequently, and sometimes leaking urine before a patient can get to the toilet (urge incontinence).


Bladder training treatment often cures the problem.  In some situations, medication may be advised

in addition to bladder training in order to relax the bladder.


In addition, overactive bladder may be associated with frequent urination (urinary frequency).  Frequency is usually defined as urinating more than eight times a day. Overactive bladder can also be associated with night-time urination (nocturia) - the need to get up in the night to urinate, thus interrupting sleep.  Overactive bladder is not the only cause for these symptoms - other possibilities include urinary tract infections, diabetes, diuretics (water pills) medication, prostate disease, bladder tumours or interstitial cystitis.


See Frequent Urination, Interstitial Cystitis, Nocturia, Stress Incontinence, Urge Incontinence, and Urinary Incontinence.
































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