How To Treat an illeostomy Blockage

 

HOW TO TREAT AN ILEOSTOMY BLOCKAGE
UOAA Patient Reference Card, UOAA Update 3/12

Symptoms: Thin, clear liquid output with foul odor; cramping abdominal pain near the stoma; decrease in amount of or dark-colored urine; or abdominal and stomal swelling.
Step One: At Home:

  • Cut the opening of your pouch a little larger than normal, because the stoma may swell.
  • If there is stomal output and you are not nauseated or vomiting, only consume liquids such as sodas, sports drinks, or tea.
  • Take a warm bath to relax the abdominal muscles.
  • Try several different body positions, such as a knee-chest position, as it might help move the blockage forward.
  • Massage the abdomen and the area around the stoma as this may increase the pressure behind the blockage and help it to pop out. Most food blockages occur just below the stoma.

Step Two: If you are still blocked, vomiting, or have no stomal output for several hours:

  • Call your doctor or WOC Nurse (ostomy nurse) and report what is happening and what you have tried at home to alleviate the problem.

∙Your doctor or WOC Nurse (ostomy nurse) will give you instructions
(e.g., meet at the emergency room, come to the office).
∙If you are told to go to the emergency room, the doctor or WOC Nurse (ostomy nurse) can call in orders for your care there.

  • If you cannot reach your WOC Nurse (ostomy nurse) or surgeon and there is no output from the stoma, go to the emergency room immediately.

Important: Take all of your pouch supplies with you to the Emergency Room (pouch, wafer, tail closure, skin barrier spray, irrigation sleeve, etc.)

 


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