Answer: Slight bleeding from the stoma is very common. In order to better understand stomal bleeding, it is helpful to review the structure of the bowel.
The entire digestive tract is lined with a type of tissue called mucosa. The mucosa contains many glands that secrete mucus. The mucus is a clear jelly-like substance that keeps the lining of the bowel moist and shiny. The mucus serves as a lubricant that permits smooth passage of food substance along the digestive tract.
Supporting the mucosa is a tissue layer called the submucosa. The submucosa contains numerous small blood vessels, which give the stoma its pink or red colour. There are no sensory nerve endings in this layer. Because the blood vessels are close to the surface of the stoma, any trauma to the stoma will cause bleeding.
Pouches that are improperly sized or improperly applied may injure the mucosa. Sports related injuries can also cause stomal bleeding.
Minor superficial bleeding often stops spontaneously. To prevent recurrent bleeding, ensure that the stoma is handled gently and is well protected with a properly fined appliance. Extensive bleeding may be serious and should be reported to your ET nurse or doctor.
