There are no restrictions on taking a bath or shower and neither soap nor water will flow into the stoma or harm it in any way.
During bathing, pouches can be on or off; if on, the pouch's edges should be closed using waterproof tape or a plastic bath apron.
Soap or cleanser should be residue free. [Soap residue can interfere with the adherence of the skin barrier to the skin]
Clothing
Patients are free to dress as they normally would.
Snug undergarments can be worn with the pouch inside the undergarments.
Drinks
Avoid alcohol and carbonated drink (can increase the amount of gas).
Medications
Precautions to be taken by patients with ileostomy
Some medications like large tablets, coated pills, time- release capsules, birth control pills may pass through without digestion (alternate medications can be chosen] Doctors, dentist and pharmacist must be informed about ileostomy.
Laxatives should be avoided after surgery, can cause fluid and electrolyte imbalance.
Management of ostomy during exercise and sports
A belt or binder to secure and support the pouch is recommended for patients who involve in sports.
Pouch should be emptied before swimming
Rough contact sports like volley ball, basketball, hockey, baseball and heavy weight lifting are restricted
Sex, Marriage, and pregnancy
Can enjoy the sex life as before surgery and pouch should be emptied before intercourse, change to smaller size of bag/mini cap.
Discuss the sexual problems with doctor or surgeon.
No evidence that unwanted pregnancies have resulted from malabsorption of the pill.
Patient with stoma can conceive successfully, Frank discussion with the doctor before attempting to conceive.
Skin care
Skin barrier need to be used to prevent excoriation.
To avoid leaks, choose pouches that are the right size.
Enterostomal nurse or the surgeon should be contacted if redness, rash and swelling persist.
Gentle cleansing with water or with mild soap is allowed for thorough rinsing.
Precaution to be taken while removing peristomal hair [use scissors, electric shaver or hair removing creams]
Products such as sealants, skin barrier pastes, adhesives should be used appropriately
Management of ostomy at work and travel
An emergency kit containing pre-cut stoma bag with all supplies needed for pouch change should be carried by the patient at all times.
Ostomy products should not be left in the hot car- the adhesive can melt.
Contacts of local ET nurse must be available during extended periods trips
To avoid gastroenteritis, safe water, preferably bottled water, should be consumed.
Job counselling is required in case of work involving vigorous activity