Stomas

Question 1

Where is a Colostomy?

Answer 1

Large intestine
Descending part - Firmer stool
Ascending or Transverse - More fluid stool
-Can be permanent or temporary

Question 2

What is a Ileostomy?

Answer 2

End of the small intestine, the large intestine is removed, it is on the right hand side, and generally stool is more fluid like.

Question 3

What is a Urostomy?

Answer 3

This is formed following removal of the bladder.
The output is urine.
This is not reversible and there is a continuous flow of urine.

Question 4

Which foods/drinks can be gas producing?

Answer 4

Alcohol, Asparagus, Banana’s, Beans, Broccoli, Beef, Cucumber, Eggs, Mushrooms, Onions

Question 5

What foods/drinks are Odour producing?

Answer 5

B vitamins, Some cheeses, Cauliflower, Fish, Garlic, Green vegetables, Onions, Parsnips, Turnips

Question 6

What food/drinks increase/loosen stool?

Answer 6

Apples, Bran, Figs, Prunes, Spicy food, Wholegrain cereals

Question 7

What food/drinks can cause a blockage?

Answer 7

Beef, Brocolli, Celery, Coleslaw, Grapes, Lamb (protein dense, slows the GI down), Mushrooms, Nuts, Sweetcorn, Popcorn, Insoluble fibre can cause a blockage in the gut.

Question 8

What food/drinks can cause red stools?

Answer 8

Beetroot, Strawberries, Tomato sauce

Question 9

What drugs can cause Intestinal Dysmotility?

Answer 9

Tricyclic antidepressants, Ca blockers, Opiates, Loperamide

Question 10

If someone with a stoma is constipated what can they use?

Answer 10

Diet and medicines review.
Increase fluid and fibre.
Consider the use of Ispaghula Husk –> Not if pt has Ileostomy! as it increases water and salt loss

Question 11

What can you give a patient who has a stoma and is complaining of Diarrhoea?

Answer 11

Diet and medicines review.
Oral rehydration
Loperamide (Liquid/ dispersible tablet) - Capsules can pass too quickly to be absorbed, stoma output needs checking.