post-op bruising

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Braylon
New Member


Date Joined Sep 2011
Total Posts : 7
   Posted 9/2/2011 9:25 PM (GMT -6)   
Completely new to the colostomy world. I've been out of hospital for -uhm- 5 hours. They didn't place the stoma particularly well and I'm having problems because its situated near a fold in my abdomen. In any event, they've had to change the wafer three times already. I have a windy looking bruise under the stoma about 1/2 inch. I don't know if this is cause for alarm. I don't have a nurse coming for a day and a half. Any advice from those of you who have experience in this?

Thanks

betsaronie
Regular Member


Date Joined Oct 2007
Total Posts : 318
   Posted 9/2/2011 9:44 PM (GMT -6)   
What do you mean by "windy?" The bruise could a couple of things. Post op bruising for starters, nothing to worry about. It maybe from changing so much in a short period of time, especially if the nurses pushed really hard. last, if you are using a convex wafer, the kind with a bowl like center, (Which you probably are not) it would be skin breakdown. Unless it hurts when you aren't even touching it, its not skin breakdown. IF it should start to hurt and the pain grows over time, ER it and get the bag off. (this happened to me) But most likely its one of the first two or a combo and nothing to be worried about. Surgery is pretty rough afterall. :)

Welcome to the forum! Sorry you needed surgery, but we'll be here to help! My stoma was in a fold, not awesome, I know. Is it permanent or temporary? Eakins will be your new friend. (You may already be using them!) You may want to try a convex wafer, ask your ostomy nurse about them, and maybe a belt. My first recommendation is to go to edgepark.com request a free catalog and start reading up on all the different types of supplies to choose from. Prepare to be overwhelmed by the amount! Then go to the respective dealers websites, coloplast.com, covatec.com, hollister.com etc and request samples. they all have numbers you can call and talk to someone that can help you decide which product to try as well. I lived in samples for almost 2 months after my first surgery. It will help you find an appliance system that works well for you. What works for one doesn't always work for another, but I used the Coloplast Sensura flat line with an eakin underneath. I know I probably sound like I'm speaking french right now right? that's where the edgepark catalog helps. It will give you pictures of what I'm saying. I had no idea what convex was or that there were so many different brands right out of the hospital either. It gets easier I promise!

So I wouldn't worry about the bruise as long as it doesn't hurt. Now go request your free catalog :) Don't forget to take your walks and Welcome again!
-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
-Takedown 6/13/11
I <3 my J-pouch!

Braylon
New Member


Date Joined Sep 2011
Total Posts : 7
   Posted 9/3/2011 12:11 AM (GMT -6)   
windy meant meandering- kind of an S shape to it rather than a round bruise that one normally gets.

The surgery was elective for me so I'm actually happy to have it done. It's just that inevitable adjustment period of not knowing anything. Thanks for the advice. I just ordered the catalog. I'm kind of waiting to see what size it will be once it's healed up a bit and the swelling goes down all over.

Thanks for your help. I'm sure I'll be around here frequently for awhile.

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 9/3/2011 7:57 PM (GMT -6)   
Braylon, welcome! Congrats on having surgery; I too was happy to have mine done.

Betsaronie gave you good advice there.

Is the nurse who is coming to see you an ostomy nurse? It's really good to talk to one at this early stage, as they know a lot more than most of the regular visiting nurses. My nurse was really helpful in recommending products etc. I too use the coloplast sensura -- I like them because they are easy to clean, and they've worked well on my skin. I had a few leaking problems, and my nurse changed me to a convex wafer because my belly is a bit soft, and that took care of them.

Also, you need to measure your stoma a lot (once or twice a week) during the first six weeks or so, as it really does shrink....

You'll be amazed at how fast you'll learn about the ostomy world.... definitely feel free to ask more questions.
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

betsaronie
Regular Member


Date Joined Oct 2007
Total Posts : 318
   Posted 9/3/2011 11:13 PM (GMT -6)   
gotcha on the S shape. yeah that definitely seems like post op or pressing too hard bruising. Hopefully the nurse can give you a definitive answer when you see her/him. And yes, waiting to see the size is good, it takes about 6-8 weeks to reach its normal size. Just another reason to get those samples so you aren't buying supplies that will eventually be way to big! Cheers to feeling better!
-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
-Takedown 6/13/11
I <3 my J-pouch!

Braylon
New Member


Date Joined Sep 2011
Total Posts : 7
   Posted 9/4/2011 1:01 AM (GMT -6)   
Thanks. I sent off for some already. What is annoying is that the hospital wound care nurse sent home a bunch of small sizes, which will probably work in a few weeks just fine, but right now they are just too small. They are the moldable ones rather than the cut out kind but I had to cut out the entire moldable section to get it to fit right. Really frustrating, but it's holding well and everything has gone nicely today.

Braylon
New Member


Date Joined Sep 2011
Total Posts : 7
   Posted 9/4/2011 1:01 AM (GMT -6)   
Thanks. I sent off for some already. What is annoying is that the hospital wound care nurse sent home a bunch of small sizes, which will probably work in a few weeks just fine, but right now they are just too small. They are the moldable ones rather than the cut out kind but I had to cut out the entire moldable section to get it to fit right. Really frustrating, but it's holding well and everything has gone nicely today.
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