HOL - OS - Colostomy Irrigation Care Tips - NA - 923065-1217

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OSTOMY CARE TIPS

Colostomy Irrigation

General Information
• Similar to an enema with the water being placed into
your stoma
• Routine irrigation is done on doctor’s orders (to regulate
emptying of the bowel at a scheduled time)
• Appropriate for some people with sigmoid or descending
colostomies
• Not appropriate for people with a urostomy or ileostomy
• Should only be done based on the recommendation of a
knowledgeable healthcare professional
• Allow approximately one hour for irrigation procedure

Using the Hollister Irrigation Set


1. Assemble your supplies: irrigator bag, stoma cone, irrigator sleeve, ostomy belt (if needed), water-soluble lubricant
(optional), water, and a new pouch or stoma cap.
2. Close the regulator clamp on the irrigation tubing and connect the stoma cone tube to the irrigator tubing.
3. Fill the irrigator bag with the amount of water recommended by your healthcare professional. The water should be
lukewarm.
4. Hang the bag at a height where the bottom of the bag is approximately at your shoulder height when you are sitting.
5. Open the clamp and allow some water to run out the end of the cone. Close the flow control clamp.
6. Remove and discard your existing pouch or stoma cap.
7. Attach your irrigation sleeve.
a. If you are using a one-piece irrigation sleeve, a belt will be needed. The belt should be snug enough to create a
watertight seal.
b. If you are using a two-piece system, attach the irrigator sleeve to your skin barrier flange.
8. Find a comfortable position to sit either on the toilet or next to the toilet. Place the end of the sleeve in the toilet.
9. Open the top of the irrigator sleeve. If desired, coat the stoma cone with stoma lubricant. Gently insert the irrigator cone
into your stoma as your healthcare professional has instructed you.
10. Hold the cone in place and, with your other hand, open the flow control clamp to allow the water to begin to flow into
your stoma. Press the cone against the stoma gently, but firm enough to prevent leakage. If water does not flow into
the stoma, rotate the angle of the cone until water flows.
11. To change the rate of water flow, adjust the flow control. If cramps occur, close the flow control until cramps subside.
12. Once all the water is in, remove the cone from your stoma and close the top of the irrigator sleeve. At this time you
should have some initial returns of water and stool.
13. It usually takes from 30-45 minutes for the bowel to empty. During this time you can either sit in the bathroom or apply
a pouch clamp to the bottom of your irrigator sleeve so you can move around.
14. When your bowel is empty, drain the irrigator sleeve into the toilet. Remove the irrigator sleeve and set it aside.
15. Apply a new pouch if using a two-piece pouching system or clean and dry your skin and apply a new pouch as usual.
16. Clean your irrigator sleeve and cone with gentle soap. Rinse. Allow the sleeve to air dry. The irrigator sleeve and
irrigation set can be reused. Do not flush the irrigator sleeve down the toilet.
OSTOMY CARE TIPS

Colostomy Irrigation

FREQUENTLY ASKED QUESTIONS

How often should Most people irrigate their colostomy every day or every other day. This will be
I irrigate? influenced somewhat on your past bowel habits.

What time of day It is best to irrigate about the same time every day. You can choose the time of day
should I irrigate? that works best with your schedule.

Can I use tap water Most tap water is fine to use. If the water is safe to drink, it is generally safe for your
to do my irrigation? colostomy irrigation.

How fast should the That will depend upon how much water you use. If you use 1000 cc (one quart) of
water flow into my water, it will take approximately ten minutes. If the water stops flowing you may need
stoma? to reposition the cone.

What does it mean It could be because the water is going into your bowel too quickly. You can use
when I experience the clamp to stop the flow of water. Leave the cone in your stoma and see if the
cramps during my cramps resolve. Water that is too cold may also cause cramping. Removing the
irrigation? stoma cone and allowing the bowel to empty should relieve cramps completely. If
severe cramping persists, contact your healthcare professional.

Do I need to lubricate Some people find that their bowel has enough natural mucus to lubricate the cone
the cone before I insert during insertion. If you find that the cone does not slip in easily, some water-soluble
it into my stoma? lubricant on the cone tip makes this easier.

Do I need to insert the No. How far the cone is inserted varies from person to person. The cone should be
whole cone into my snug enough to prevent water from coming out of your stoma when you begin the
stoma? irrigation. If you have questions, contact your healthcare professional.

Hollister Incorporated
For product questions, sampling needs, or detailed clinical questions concerning our products in the US, 2000 Hollister Drive
call 1.888.808.7456. In Canada call 1.800.263.7400. Libertyville, Illinois 60048
1.800.323.4060

Routine follow-up with your healthcare professional is recommended. www.hollister.com

Prior to using any ostomy products/accessories be sure to read all product inserts and labels. Hollister Limited
95 Mary Street
The Hollister logo, Hollister and “Healthy skin. Positive outcomes.” are trademarks of Hollister Incorporated. Aurora, Ontario L4G 1G3
© 2017 Hollister Incorporated. 923065-1217 US-00221 1.800.263.7400

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