Ileostomy blockage

Thin, clear output from your ileostomy that smells foul is a sign of an ileostomy blockage. Other symptoms are cramping abdominal pain near the stoma, swelling of the stoma and abdomen and possibly decrease in amount of urine, or darker-colored urine. Mild cases can be managed at home, but if you have no output or you are having nausea and vomiting you must go to the emergency room immediately.

Things you can try if your symptoms are mild:

1. If the stoma has swelled, cut the opening of your wafer a little larger.

2. Drink one glass of liquid each time the pouch is emptied. Grape juice is a good choice.

3. Take a warm bath to relax the abdominal muscles.

4. Try the knee-chest position to help move the blockage forward.

5. Massage the abdomen and the area around the stoma as this might increase the pressure behind the blockage and help it to “pop out.” Most food blockages occur just below the stoma.

If after trying these steps, you still have symptoms for 24 hours, call your surgeon or ostomy nurse.