WHY ILEOSTOMY IS DONE

A Guide to Understanding and Managing an Ileostomy

An ileostomy is a surgical procedure that creates an opening in the abdomen to allow waste to pass out of the body. This is usually done when the large intestine is unable to function properly, due to conditions such as Crohn's disease, ulcerative colitis, or cancer. In this comprehensive guide, we delve into the reasons why an ileostomy may be necessary, shedding light on the procedure, its benefits, and the lifestyle changes that come with it.

Conditions That Necessitate an Ileostomy

Crohn's Disease:
Crohn's disease is a chronic inflammatory bowel disease that can affect any part of the digestive system. When it involves the large intestine, it can cause severe inflammation, leading to complications such as strictures (narrowing of the colon) and fistulas (abnormal connections between different parts of the digestive tract). In these cases, an ileostomy may be necessary to bypass the affected segments of the colon.

Ulcerative Colitis:
Ulcerative colitis is another chronic inflammatory bowel disease that affects only the large intestine. It causes inflammation and ulcers in the colon, leading to frequent diarrhea, abdominal pain, and rectal bleeding. If medical treatments fail to control the symptoms or complications arise, an ileostomy may be recommended to provide relief and allow the colon to rest.

Cancer:
Cancer of the large intestine, also known as colorectal cancer, is the third leading cause of cancer-related deaths worldwide. When cancer affects the colon or rectum, it can obstruct the passage of stool, leading to blockages and other complications. In these cases, an ileostomy may be necessary to create an alternative pathway for waste to exit the body.

Diverticulitis:
Diverticulitis is a condition in which small pouches (diverticula) form in the walls of the colon. These pouches can become inflamed or infected, leading to pain, fever, and complications such as perforation or bleeding. In severe cases, an ileostomy may be performed to allow the colon to heal and prevent further complications.

Benefits of an Ileostomy

Relief from Symptoms:
An ileostomy can provide significant relief from the symptoms associated with conditions like Crohn's disease, ulcerative colitis, and cancer. By diverting stool away from the affected portion of the colon, an ileostomy can alleviate pain, diarrhea, and other distressing symptoms, improving overall quality of life.

Prevention of Complications:
In cases where medical treatments are unsuccessful or complications arise, an ileostomy can play a crucial role in preventing serious health problems. For instance, it can help prevent perforation of the colon, which can lead to life-threatening infections.

Allowing the Colon to Heal:
In some cases, an ileostomy is performed to give the colon a chance to rest and heal from inflammation or disease. Once the condition improves, the ileostomy can be reversed, allowing the person to regain normal bowel function.

Lifestyle Changes after an Ileostomy

Managing the Stoma:
After an ileostomy, a person will have a stoma, which is an opening in the abdomen where waste exits the body. Learning how to care for the stoma, including changing the ostomy bag and maintaining skin health, is an essential part of life with an ileostomy.

Diet and Nutrition:
Following an ileostomy, certain dietary adjustments may be necessary to prevent blockages and other complications. This includes avoiding certain foods that are difficult to digest, such as raw fruits and vegetables, seeds, and nuts. A registered dietitian can provide personalized guidance on maintaining a healthy and balanced diet.

Social and Emotional Adjustments:
Living with an ileostomy can bring about social and emotional challenges. Adapting to a new way of managing waste elimination can take time and support. Joining support groups or seeking counseling can help individuals cope with these changes and maintain a positive outlook.

Conclusion

An ileostomy is a life-changing surgery that can provide significant relief and improve the quality of life for individuals with certain medical conditions. While it requires lifestyle adjustments and ongoing management, the benefits of an ileostomy can far outweigh the challenges. With proper care, support, and education, individuals with an ileostomy can live full and active lives.

Frequently Asked Questions

Q: Is an ileostomy permanent?
A: An ileostomy can be either temporary or permanent. Temporary ileostomies are performed to allow the colon to heal or to manage complications. Permanent ileostomies are necessary when the colon cannot function properly and needs to be bypassed.

Q: How often do I need to change my ostomy bag?
A: The frequency of ostomy bag changes depends on the individual's output and the type of ostomy bag used. Generally, ostomy bags need to be changed every 1-3 days.

Q: Can I swim or participate in sports after an ileostomy?
A: Yes, swimming and participating in sports are generally safe after an ileostomy. However, it's important to take precautions to protect the stoma and avoid strenuous activities that may put excessive strain on the abdomen.

Q: Can I travel with an ileostomy?
A: Traveling with an ileostomy is possible with proper planning. It's essential to pack an adequate supply of ostomy supplies, medications, and any necessary documentation. Researching ostomy-friendly accommodations and