I have a pad to cover my stoma. I cut it in half (I use to cut it in threes) It's a sanitary napkin (SN) the kind that sticks to your underwear (without the wings) that I put in front of the stoma stuck to my underwear. Than I put a folded paper towel in front of that and when I empty my pouch I'd throw away the paper towel. The discharge goes from slightly mucoid to thicker depending on my post nasal drip (PND). I have chronic PND and it gets worse depending on the weather. Since the paper towel absorbs most of the discharge I only change the SN once a day.
I have never seen blood on the paper towel but occasionally after I'm finished emptying my pouch and I wipe off the area and stoma there maybe a pin size amt of blood. I assume it's because when I inserted the catheter I must've done something to the area/skin around the stoma that caused that.
I think the amount of discharge maybe a subjective thing. I think the discharge I have is slight to more depending on the PND. I watch it to be sure it's not more that the amount I usually see. I adjust things as needed. i.e. when I cut the pad into threes I changed the pad more. I don't remember how often back then, sorry.
When I used a bandaid I change it every time. But then I got tired of alway pulling off a bandaid. That was slightly annoying so I only use a bandaid very rarely.
It's usually a watery consistency. Sometimes in the morning it's been thicker probably because I'm not drinking while I sleep. I've been told by Dr to drink 10 to 12 cups liquid per day so It flows. I drink mostly tap water since it's just easier. I suppose if I eat more fibrous foods it would be thicker all the time. But I have never seen solid pieces if that's what you mean.
I have mucous most times, some days it is saturated, some days not so bad. Sometimes thick, sometimes thin. I haven't figured that out but I guess I don't care enough to try I only change my stoma cover when it feels overly wet cause that will cause skin problems.
Sometimes there will be a tiny amount of blood. The stoma is highly vascular so it bleeds very easily and can get dinged by the catheter. I wouldn't be worried unless is it was more than a few drops.
I have very rarely had a small amount of stool or a piece of veg. Sometimes a piece gets pulled into the valve, half in the hole of my catheter, and then gets left behind, its works its way to the surface. That has maybe happened 3-4 times in 15 years.
I used to use just a folded-up kleenex but as years went by I developed a crook in my valve which holds stuff after intubation. That means that around 10-30mins afterward it pushes out the stuff.
A bit of output, a bit of mucus, a bit of whatever...I am no longer scared or shocked.
I use a 1/2 of a minpad stuck to my undies and a folded kleenex against my stoma. The minpad stays on for 24hrs unless there is a lot of stuff coming out, the kleenex gets changed as needed (usually after each intubation).
Sometimes I have a drop of blood, my stoma is old, has side granulation (little red or white bumps that tend to bleed) so it bleeds when rubbed with the catheter.
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