For those with a colostomy, it is usually wise not to irrigate during this time. Your intestine is really washing itself out. After diarrhea, you have a sluggish colon for a few days, so again, "leave it alone". Start irrigation again after a few days when your colon has had a chance to return to normal.
For the ileostomate, diarrhea is a greater hazard. Along with the excess water discharge, there is a loss of electrolytes and vitamins that are necessary in maintaining good health. This loss Is usually referred to as a loss of fluid which, in turn, brings a state of dehydration. ... therefore, you must restore electrolyte balance. First, eliminate all solid food. Second, obtain potassium safely and effectively from tea, bullion, and ginger ale. Third, obtain sodium from saltine crackers or salted pretzels. Fourth, drink a lot of water. Cranberry juice and orange juice also contains potassium, while bullion and tomato juice are good sources of sodium.
Vomiting also brings the threat of dehydration. If it is severe and continuing, your doctor should be notified. You should know also that diarrhea may be symptomatic of partial obstruction or an acute attack of gastroenteritis. Since the treatment of these two entities is entirely different, a proper diagnosis should be made as rapidly as possible if obstruction is suspected because of localizedcramping. A physician should be sought immediately. So you can see why it is so important to determine whether the diarrhea is caused (1) by obstruction or (2) gastroenteritis.If you do not know, check it out with your doctor Do not play games. Remember, always call your physician unless you are 100% certain of what you are doing.
For urostomates-be sure to keep electrolytes in balance follow the general instructions for colostomies and ileostomies. No ostomate should take medicine for pain or a laxative without the physician's order. Do not use antibiotics for colds or flu unless the doctor orders it. In colostomy patients, drugs or certain foods can cause constipation-prevented during a cold by drinking plenty of liquids.Increased water intake in the ileostomate results in increased urine output rather than increased water discharge through the appliance.
When returning to a normal diet, use fiber-free foods at first, then gradually Increase to regular, normal diet. Prompt attention to the symptoms of distress of colds and flu should bring to each of you a happier and, hopefully, healthier winter.
