pancaking of stool in a colostomy pouch

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New Member

Date Joined Sep 2010
Total Posts : 7
   Posted 9/29/2010 5:17 PM (GMT -6)   
On July 18 of this year I had a colostomy during surgery to repair a perforated colon.  It is supposed to be reversed in a month or two.  The colostomy was unsettling, as it is for everyone, but since the stool does not drop to the bottom of the bag, I am continually having to open the top and clean it that way.  Otherwise, the stool works its way under the wafer and irritates my skin.  Changing to a wafer with a ring barrier has helped, but I still have problem with itching under the wafer and some odor.
I am 77 and dreading the reversal surgery but I don't want to have the colostomy  for the rest of my life, either.
Any help you can give me will be appreciated.

Veteran Member

Date Joined Mar 2010
Total Posts : 1595
   Posted 9/29/2010 10:07 PM (GMT -6)   
There is a lubricant to put into the pouch that might help. I have never needed it.
Call your supplier, they should be able to help you.


Veteran Member

Date Joined Feb 2003
Total Posts : 1251
   Posted 9/30/2010 1:35 AM (GMT -6)   
A lot of people just spray some cooking oil on the inside at the top of their bag. This allows stool to slide down easier into the bag (just don't get any oil on the adhesive bits.
Ileostomy for 34 years due to UC. I had my surgery at 10 years of age.

Moderator of the Ostomy and Psoriasis Forums


I'm not a complete idiot - some parts of me are missing!

New Member

Date Joined Sep 2010
Total Posts : 7
   Posted 9/30/2010 8:48 AM (GMT -6)   
Thank you for the response.  I have tried the lubricant without success.   I guess I will just have to keep on opening the top and emptying it that way.  I think the problem is the consistency of the stool.  Not hard enough to have the weight needed to drop.

Regular Member

Date Joined Mar 2005
Total Posts : 457
   Posted 9/30/2010 9:18 AM (GMT -6)   
Sometimes when it happens to me I just kinda brush it down lightly. Maybe you've tried that already, just a suggestion.

New Member

Date Joined Sep 2010
Total Posts : 7
   Posted 9/30/2010 12:53 PM (GMT -6)   
Actually, the one time I pressed it downward it worked itself under the wafer and I had a leak. Lesson learned. My new wafers have a barrier around the opening so that stool cannot leak on the skin. This has helped a lot, but I still empty from the top.

Thank you for your suggestion.

Veteran Member

Date Joined Jan 2007
Total Posts : 4147
   Posted 10/1/2010 12:01 PM (GMT -6)   
Try drinking grape juice and it sort of speeds up the poop and makes it drop into the bag. I have an ileostomy rather than a colostomy so it may not work the same for you, but worth a glass of grape juice to find out. Good luck with all. Rosemary

New Member

Date Joined Sep 2010
Total Posts : 7
   Posted 10/1/2010 1:44 PM (GMT -6)   
Thanks for the grape juice tip. Anything is worth a try at this point.

Regular Member

Date Joined Apr 2005
Total Posts : 362
   Posted 10/3/2010 11:54 PM (GMT -6)   
I sometimes have stool that is at just the wrong consistency.
Sometimes , if it's all the way at the top, and hard to encourage it to "drop", I use warm water, poured into the tail end, to coax the stool from the top of the pouch.

Other times when it's firmer and feels like I'm about to give birth out my stoma and the bag's gonna pop off, I take a bit of milk of magnesia to loosen the stool. since I have crohn's i usually only have this problem when I'm taking lots of pein meds.

Those lubricants never seemed to work for me. And I don't like 2 pc appliances so I cannot empty from the top.. if you are at home when you bm I strongly suggest the warm water trick :) gets the pouch squeaky clean too.
33 years old, dx with Crohn's in 1998. Currently on :
Clofazimine 100mg daily,
Rifampin 600mg daily, and Clarithromycin 2 tabs daily
and Cipralex 10mg/day for anxiety.
Hydroxyzine, percocet, Ativan as needed.
5g pharmaceutical grade Omega 3's, 1000IU's Vitamin D3 daily
2 Perianal fistulas, and 1 more suspected. Crohn's only at end of colon, cecum. Remi, Asacol, Salofalk, Imuran, Humira did nada. Built immunity to long-term Cipro use, which also induced panic attacks.

New Member

Date Joined Sep 2010
Total Posts : 7
   Posted 10/4/2010 8:33 AM (GMT -6)   
Thanks so much for getting back to me. The warm water trick just might work.

not creative
Regular Member

Date Joined Mar 2007
Total Posts : 470
   Posted 10/5/2010 11:40 AM (GMT -6)   
I use a two piece closed bag so it doesn't much matter if the poo goes all the way down since I don't empty it. I would try a convex wafer if you dont already use one. I had a similar problem to yours that went away once I switched to convex.
Laurenne, 25 Graduate from University of California, Davis. BA-Anthropology
Dx'd w/ IBS and CD in 2002. Was in flare from 2006-2010 with almost no relief from any meds I tried.
Three abscesses that are now fistulas, with three setons! All gone as of March 9
Tried: LDN- Did nothing good, Remicade- allergic, Humira- no reaction
On: Zoloft, Abilify, folic acid, b12, vitamin c, multivitamin

3-9-10: Total protectomy and Sigmoid colostomy installed. Haven't spent more than 3 minutes on the toilet since- it's fantastic! Now I'm just waiting to get regulated so I can irrigate.

New Member

Date Joined Sep 2010
Total Posts : 7
   Posted 10/5/2010 2:15 PM (GMT -6)   
I use the 2 piece system, too, and empty it from the top. I'm in luck if the stool is hard because it just falls in the toilet. It's another story if it is cow floppy but I do the best I can. I do use the convex supplies from Hollister and it has helped. Thanks for your input and good luck to you.
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