Question about tail clip closures

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Blueheron
Veteran Member


Date Joined Feb 2010
Total Posts : 720
   Posted 4/19/2011 10:19 AM (GMT -6)   
I just got some Convatec samples with tail clip closures. After looking at the instructions, it seems like these wouldn't be that clean to use. Once you empty the pouch, there is stool on the inside of the tail. It seems that even if you wad up toilet paper and try to clean the inside of the tail, a little stool still remains. Once you put the clip on, this section is still exposed. The nice thing about the velcro ones is that you roll them up, so the dirty section is tucked inside. Am I understanding the tail clip wrong?
-Officially diagnosed with UC in 2006, though had symptoms since 1999.
-Had mild/moderate symptoms continuously until severe flare in autumn 2010 which required 2-week hospital stay
-Took Asacol, Rowasa, Canasa and Prednisone to manage flares but meds stopped working
-Tried 1 infusion of Remicade but had excruciating joint pain and discontinued
-Had permanent ileostomy surgery 11/8/2010

Dave D
Regular Member


Date Joined Aug 2005
Total Posts : 404
   Posted 4/19/2011 10:42 AM (GMT -6)   
I keep a squirt bottle with water nearby to squirt the residual stool back into the bag, then put the plastic clip on.
Dave D
Grandpa Dave is 72.
IBD since 1977
Perforation and resection 1993
Diagnosed as Ulcerative Colitis 1994
IBD since 1977
Received first J-Pouch 1997
Diagnosed as Chron's 2004
Redo, resection, and remove camera capsule 2005
Contracted Scleritis of the Eye 2008
Mild Stroke 2009.
Permenant Ileostomy 2011.

Four Grandkids

Older than dirt

suebear
Veteran Member


Date Joined Feb 2006
Total Posts : 5698
   Posted 4/19/2011 2:35 PM (GMT -6)   
I always used a wet wipe to clean the tail before re-clipping.

Sue

betsaronie
Regular Member


Date Joined Oct 2007
Total Posts : 318
   Posted 4/19/2011 5:08 PM (GMT -6)   
i hated these bags and so switched to coloplast velcro closure, but had convatec clips in the hospital. The way I helped keep them clean was a suggestion the ostomy nurse had.

Before actually emptying, fold the top of the pouch down like a sock. As in when you put two socks together and then fold the top down to hold them together. This way no stool will ever touch the top 2 inches where you folded it down. then clean with a wet wipe as sue suggested and reclip. that was the only way I could get those bags clean. I was all to happy to get rid of them though.
-diagnosed with UC Dec 2006 at 22
-allergic or intolerant to all 5ASAs, sulfa and 6-mp
-emergency transverse colostomy on 9/13/10 from perforated colon
-J-pouch surgery step 1 of 2 3/21/11

80sChick
Veteran Member


Date Joined Oct 2009
Total Posts : 1054
   Posted 4/19/2011 5:30 PM (GMT -6)   
Yup, that's right! YOu're not wrong.

That's one of the reasons I like the velcro best. A lot of people think velcro is gross because the output gets into the velcro a little, but usually if you clean it well, it doesn't really, and also, I don't really think stuff like that can be avoided. I'm not going to sit there and clean the tail for 15 minutes every time I empty...I'm getting on with my life! It's really not a big deal to have a slightly imperfect tail closure, especially if it's velcro. It's not getting on anything.
Stephanie, 29 years old

March 2000-Diagnosed Crohn's Colitis
(Tried every drug imaginable, but lived 10 years with daily diarrhea)
March 18, 2010-Total Proctocolectomy and Permanent Ileostomy! :)
(Now med free, 4 subsequent procedures to correct blockages at stoma site)

Stoma named Zoe...She's my best bud!! :)

FrostyinVt
Regular Member


Date Joined Aug 2008
Total Posts : 33
   Posted 4/19/2011 6:26 PM (GMT -6)   
80sChick...I think your awesome :)
Crohns since age 6...46 now.
No meds ever worked, 37 surgeries since age 11, intestines have ruptured 3 times. no large, very very little small left. Illeo since 89

Blueheron
Veteran Member


Date Joined Feb 2010
Total Posts : 720
   Posted 4/19/2011 9:37 PM (GMT -6)   
Thanks everyone. I had a feeling I was reading the instructions correctly. Not sure those pouches are for me. I really do love the Coloplast velcro closures and have not had problems getting stool on them. Still, I want to try some other brands as sometimes the Coloplast wafers peel up a bit on me. I just got some samples of the Convatec Autolock series and the pouches only come in the tail clip version. Right now I am trying a Convatec Sensura Natura which has an Invisiclose Velcro tail opening. Works pretty well, but hangs down a ways compared to Coloplast and brushes against my leg when I walk.

Like 80sChick, I don't like taking a lot of time to clean the tail perfectly either. It is too time consuming and then it just gets all dirty again the next time you empty:) Also, I just got back from an overnight backpacking trip (where it snowed the entire time), and I didn't want to pack tons of toilet paper into the backcountry and back out in order to get things spotless (not to mention my hands getting cold dealing with the tail). This will be even more true as I go on longer backpacking trips in the future. The Coloplast pouches were great because even if you don't clean the tail perfectly, it folds on itself so that stool doesn't get anywhere.

Ahhh, the joys of trying to find the right system:)
-Officially diagnosed with UC in 2006, though had symptoms since 1999.
-Had mild/moderate symptoms continuously until severe flare in autumn 2010 which required 2-week hospital stay
-Took Asacol, Rowasa, Canasa and Prednisone to manage flares but meds stopped working
-Tried 1 infusion of Remicade but had excruciating joint pain and discontinued
-Had permanent ileostomy surgery 11/8/2010

Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 4/20/2011 8:17 AM (GMT -6)   
Hubby did not like the clip closure and really prefers the velcro closures. Honestly prefers the Hollister Lock and Roll pouch but the wafer's adhesive decided to bother him. He is now using the Convatech SurFit Natura wafer but does not like the pouch as well as the Hollister New Image one.

However we are at the point where it is more important that he has a wafer that agrees with his skin that he can get some wear time from, no leaking and the pouch he'll just find a way to adjust to.
64 yr old male suffered with UC & in May 06 had a severe flare & hospitalized 6 days...various prednisone treatments leading to steroid dependence and osteopenia, 12 asacol, 200 mg Imuran, failed remicade infusions Jan-May 2010 Dependence on pain meds. Made decision 6/10 to have surgery which was on 12/17/10 (total proctocolectomy & ileostomy - unable to have the j-pouch) and no longer in pain.

stripey
Veteran Member


Date Joined Feb 2011
Total Posts : 1059
   Posted 4/20/2011 2:07 PM (GMT -6)   
I use a bag with a separate tail clip (convatec natura and hollister pouch clamp) and the clamp it slightly bigger than the convatec ones. It basically looks like those clippits things you can buy to clip sandwich bags or freezer bags closed. With the hollister ones you can fold end of bag inside it so end is not exposed. Much prefer it to the velcro ones which end up having to be folded up so many times there is not much drainable bag space left so have to empty it too often.
 
Oh, forgot to say. Yes the clips that are supplied with the bags are useless and I just throw them away. Far too thin and fiddly.

polishdan
Veteran Member


Date Joined Mar 2010
Total Posts : 1595
   Posted 4/20/2011 4:37 PM (GMT -6)   
I have tried the velcro closures and do not like them. Can't get the tail clean. I wear convatec pouch and clip.  Here is my procedure. Before I empty I tear off three pieces of TP each two squares long. Fold each at the perforation. Then with the perforation on my right side I fold the top down in half again. Do all three. Place two on right knee and one on left. open the clip and place it on left knee TP. Then empty and squeeze as much as possible out by sliding thumb and first finger on the tail towards the opening. Then place one folded piece on the tail opening and squeeze out with thumb and first finger again into the TP. Do again with second piece. By now the tail should be clean. Put the clip on as close to the end as possible. Wipe the end with the third TP. Important to put the clamp on as close to the end as possible.
 
Hope that made sense. Works very well for me.
 
Dan

windy city
Veteran Member


Date Joined Dec 2010
Total Posts : 607
   Posted 4/21/2011 10:20 PM (GMT -6)   
I also disliked the tail closures, used for a few months, until the velcro ones were available for the wafer I am using. In the beginning after surgery, the tail closures were impossible to clean. One time I was wearing white pants and after cleaning, residue came out of the closure and a small amount spotted my pants. What I started to do was double roll up the closure and clamp, that way the end is tucked in and not exposed.
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