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To speak to someone about this information, contact our physical health team.
Phone: 0191 333 3584
Stomas can either be temporary or permanent depending on the reason for having the stoma.
A healthy stoma should be:
- Red and moist
- Protruding from the skin
- Opening of stoma should be in the centre
- Surrounding skin should be intact
Types of Stoma
Located on the left side of your stomach with an opening from your large intestine. You will use a closed pouch/bag. The output should be soft and formed with some wind.
Located on the right side of your stomach with an opening from your small intestine. You will use a drainable pouch/bag. The output should be loose and some wind.
Located in the stomach with an opening from the urinary tract. Stents may be in place following your operation. You will use a drainable pouch/bag with a tap. You will also use a night drainage bag overnight. The output will be urine and mucus.
Stoma Pouch Change
- Clean stoma bag
- Scissors and measuring device (if pouch is not pre-cut)
- Warm tap water
- Disposal bag
- Adhesive remover (if needed)
- Wash hands using soap and water/ or alcohol-based had rub.
- If using a drainable bag, empty contents into a disposable container before removing the bag.
- Peel the adhesive away from the skin slowly and gently with one hand while applying gentle pressure to the skin with the other hand.
- Fold the bag in two to ensure nothing spills out and place in a disposable bag.
- Using a piece of gauze soaked in tap water, remove the excess faeces or mucus from the stoma.
- Check your skin and stoma for any abnormalities such as ulceration or sores. If the skin and stoma are a healthy you can continue. If abnormalities are present then report these to your Stoma Care Nurse, Physical Healthcare Practitioner or Medic.
- Wash skin and stoma with gauze soaked in warm water until clean.
- Dry skin gently but thoroughly.
- If you do not have pre-cut bags, measure and cut appliance leaving a 3mm gap.
- Apply the clean bag.
- Dispose of all soiled tissues, containers and used bag.
- Wash hands using soap and water or alcohol-based hand rub.
If you notice any of these things, you must tell a healthcare professional.
You may have:
Signs of this could include:
- No output
- Liquid stool (not normal to you)
- Bloating/abdominal pain
- Swollen site
- Nausea and vomiting
Bleeding from stoma site
You may have:
- Eroded skin – gradual breakdown of the skin
- Over granulation – excessive tissue that is above the surface of the skin around the edge of the stoma
- Ulceration or wounds to skin around stoma
- Maceration – an area of wet skin around stoma that may appear white
- Mucocutaneous Separation -this is separation of the stoma and the skin surrounding the stoma
L1175, v1, 12/9/2022 (archive 12/9/2025)