RISKS OF OSTOMY
What Are The Risks That Ostomy Patients May Get Face?
FOR COLOSTOMY
A colostomy is a major surgery. As with any surgery, there are risks of allergic reactions to anesthesia and excessive bleeding.
Colostomy also carries these other risks:
- a blockage of the colostomy
- damage to other organs
- a hernia, which occurs when an internal organ pushes through a weak area of muscle
- an infection
- internal bleeding
- problems from scar tissue
- a prolapse of the colostomy
- a wound breaking open
- Your doctor can best explain your personal risks, the risks of the surgery, the potential for complications, and the advantages of the surgery.
FOR ILEOSTOMY
Any surgery brings risks. These include:
- infection
- blood clot
- heart attack
- stroke
- difficulty breathing
Risks that are specific to ileostomies include:
- damage to the surrounding organs
- internal bleeding
- an inability to absorb enough nutrients from food
- urinary tract, abdominal, or lung infections
- an intestinal blockage due to scar tissue
- wounds that break open or take a long time to heal
- You may have trouble with your stoma. If the skin around it is irritated or moist, you’ll have a hard time getting a seal with your ostomy pouch. This can result in a leakage. Your doctor can prescribe a medicated topical spray or powder to heal this irritated skin.
Some people hold their pouch in place with a belt. If you wear the belt too tightly, it can lead to pressure ulcers.
You will have times in which no discharge comes through your stoma. However, if this continues for more than six hours and you feel nauseous or have cramps, call your doctor. You might be suffering from an intestinal blockage.
People who have had ileostomies may also get electrolyte imbalances. This happens when you lack the correct amount of important substances in your blood, especially sodium and potassium. This risk increases if you lose a lot of water through vomiting, perspiration, or diarrhea. Be sure to replenish lost water, potassium, and sodium.
FOR UROSTOMY
Your healthcare provider will explain the procedure and any risks. Some possible risks include:
- You may have problems with anesthesia.
- You may have infection, bleeding, or blood clots.
- Other parts of your body may be injured during the surgery.
- Scar tissue called adhesions may form in the belly and cause a blockage in the bowel.
- You may have problems with urine control, especially if a new bladder was made and connected to your urethra or a hole in your belly.
- Your bowel function may change. You may have frequent bowel movements or diarrhea.
- The stoma may get narrowed from scarring and need surgery to correct it.
Ask your healthcare provider how these risks apply to you. Be sure to discuss any other questions or concerns that you may have.
