Happy StomaUnhappy Stoma

Prolapsed Stoma

Problem	Management
Prolapsed stoma (Bowel protrude through stomal opening)	Avoid weight lifting and strenuous exercise.
	Contact to enterostomal therapist or surgeon.

Retracted/inverted Stoma

Problem	Management
Retracted/stoma inversion (flat or below to skin surface)	Use convex wafer/flange with support of belt and/or barrier rings or a barrier paste.

Skin Excoriation

Problem	Management
Skin excoriation	Ensure proper pouching technique. Avoid faeces or urine from coming into contact with skin. Use a barrier ring or paste. Drying the skin before applying your pouch. Use an adhesive remover to take off your pouch. Skin excoriations- use ostomy powder & barrier cream.

Mucocutaneous Separation

Stomal varices

Granulation of stoma

Management
Contact to doctor.

Peristomal Hernia

Problem	Management
Parastomal hernia (intestinal loops expand behind stoma due to weaker abdominal muscles)	Reduce Risk by- Support belts/abdominal binder. wearing support during exercise Support abdominal muscles while coughing, sneezing and laughing. Avoid rapid gaining of weight **Hernia and prolapse are less with Ileostomy**

Folliculitis

Problem	Management
Folliculitis	Use an electric shaver and shave in the direction of hair growth. Use adhesive remover. Use hair remover cream.

Obstructions with a Stoma

Problem	Management
Obstructions with a Stoma	Stop eating solids, increase fluid intake, drinking a warm drink such as water/tea. Drawing your knees to your chest and rocking from side to side. If abdominal pain and vomiting persist then visit the doctor in emergency.