does size matter for ileostomy

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New Member

Date Joined Nov 2010
Total Posts : 11
   Posted 11/20/2010 12:52 PM (GMT -6)   
My wife wanted me to ask if me being a bigger man with UC.Six foot one and 300 pounds.If i opp for the ileostomy does that cause for other problems like leakage etc

Veteran Member

Date Joined Oct 2009
Total Posts : 1054
   Posted 11/20/2010 5:40 PM (GMT -6)   
I don't see why it would. Little babies have ostomies that work just fine, and they're WAY smaller than we are.

Veteran Member

Date Joined Jun 2009
Total Posts : 985
   Posted 11/20/2010 6:30 PM (GMT -6)   
80sChick said...
I don't see why it would. Little babies have ostomies that work just fine, and they're WAY smaller than we are.

It's not a size or weight that matters, but, yes, wafers are harder to stick and stay on with excess belly fat. And if you're getting a temp ileo for a j-pouch, overweight people's small intestines lose some of the stretchiness and can't always reach far enough to do it, or can have a stoma below skin level if it does reach. Not every overweight person has these problems, but they can happen.

Regular Member

Date Joined May 2010
Total Posts : 26
   Posted 11/28/2010 11:32 AM (GMT -6)   
My only input/thoughts would be:
 because you are a bigger guy you probably have a bigger appetite? maybe I'm wrong.  This would lead to more output.
From my experience (5'9" female with a good apetite :) ) I know i have to get up almost always once in the middle of the night because my pouch is full (from output and gas).  Luckily I'm a light sleeper and never really favored sleeping on my stomach.  These adjustments are minor in comparisson the the relief/freedom I've reclaimed since my colon was removed due to severe crohn's.  Although we ostomates have to adjust and learn to do things differently, I'm ever so thankful to be in control of my life again!!!
Good luck with what ever you decide!
PS a good ostomy nurse will also consider your size and where your waistline is when determining where to place the stoma for optimal comfort/function. 

Veteran Member

Date Joined Aug 2006
Total Posts : 6571
   Posted 11/28/2010 12:47 PM (GMT -6)   
the only problem you might have like pam said, is excess belly fat, or folds of skin, can make it harder to get a wafer to stick.
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007!
-I have gone to find myself, if i get back before i return, keep me here-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!

New Member

Date Joined Dec 2010
Total Posts : 3
   Posted 12/8/2010 4:20 AM (GMT -6)   
Hey there, I'm a big guy too and had an ileostomy for a year -- just had my takedown and all is going well. If you're big, one problem to be aware of is the potential for a peristomal hernia. I had one around my ileostomy that grew quite large (I almost looked a bit 'pregnant' around the stoma) and wore a support belt most of the time to contain it. The problem with the support belt is that it did cause my bag to leak do to movement pulling on the seal of the bag. I was using a one-part bag. However, the belt is important, so you might want to start wearing one from the earliest opportunity to avoid getting a hernia. The surgeons fixed the hernia during my ileostomy take down, so hopefully it will stay. However, if you have a permanent ileostomy, I've heard it's much more difficult to fix hernias...

It is true that the more you eat, the more output you have. I didn't follow any strict diet and was fine, never had a blockage. But I did have to empty my bag about 6-8 times per day -- particularly in the evening and night. I had to wake-up at least once every night to empty. It made going out in the evenings a bit of a nuisance, as I had to constantly visit public toilets (which are rather small here in Europe). Plus I always carried an extra bag and wetwipes with me everywhere I went. Once I even had to empty during a film at the cinema.... but, all in all, my ileostoma was never a big problem and I got used to it.

Good luck with everything!
colorectal cancer diagnosed 8/2009
LAR surgery and temporary ileostomy 11/2009
Tumor stage IIIc / no metastases
8 cycles adjuvant chemo with XELOX
ileostomy takedown 11/2010
Doing Great!
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