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Reply to "K-Pouch Mucosal Prolapse"

I was intubating 8-10 times a day, thinking I had to have the pouch empty (which will not happen as the pouch expands since it was like our colon, it will always have some stool in it per the stoma nurse). I had trouble intubating sometimes and I poked and prodded and that caused irritation and more mucus. The more the valve/pouch is used – or put to work – the more mucous it produces (per Dr. Dietz). I thought I had to irrigate 3-4 times a day to clean out the pouch. This is not necessary. Dr. Dietz said to irrigate if your stool is thick so you are right on Janet. Otherwise the stoma nurse said 1-2 times a day. I just had backwards thinking (maybe still on ‘surgery’ mode thinking). After my visit, I have changed my ways and my stool is thicker, I irrigate when too thick and I intubate 4 -5 times a day. I still have leaked at night since changing my ways but I think I will give it some time to let my body adjust accordingly. The stoma nurse said with mucous, it depends on the person. Some produce more, some produce less. But the more activity (intubation, irritation) the more mucus the pouch produces. The panty liner trick will not work for me right now; in fact, I have changed to Allevyn pads to pull the mucous away from skin to avoid irritation. Hopeful this will even out soon as I still try and take care of my new pouch.  

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