Welcome to our health education library. The information shared below is provided to you as an educational and informational source only and is not intended to replace a medical examination or consultation, or medical advice given to you by a physician or medical professional.

Colostomy: Changing Your PouchCuidado de una colostom­a: cambio de la bolsa

Colostomy: Changing Your Pouch

You were given a stoma (new opening for stool to pass from the body) during surgery. Stool starts to pass from the stoma soon after surgery. That means you'll need to learn how to change your pouch before you go home. A drainable pouch needs to be changed usually every 5-7 days. To change your pouch, follow the steps below. Start by gathering what you'll need:

  • plastic bags

  • soft washcloth

  • toilet paper

  • new pouch

  • extra skin protection

  • scissors (if needed)

  • clean towel

1. Remove the Used Pouch

  • Removing the pouch If you use a drainable pouch, empty it first. Sit on or next to the toilet. Set the clamp aside.

  • Start at the upper edge of the skin barrier. Carefully push the skin away from the skin barrier with one hand. Slowly peel back the skin barrier with the other hand.

  • Peel all the way around the skin barrier until the pouch comes off.

  • Seal the pouch in a plastic bag. Then put it in a second plastic bag. Throw it away in a trash bin.

2. Clean Around the Stoma

  • Cleaning skin around the stoma Wipe any stool off the skin around the stoma with toilet paper.

  • Clean the skin with warm water and a soft washcloth. Wash right up to the edge of the stoma. Pat the skin dry with a clean towel.

  • If needed, put on extra skin protection, such as moisture barrier paste, cream, or powder.

3. Put On the New Pouch

  • Putting on the new pouch If you don't use a pouch with a precut skin barrier, size and cut the opening (1/16 inch bigger than the stoma) and peel the backing off the skin barrier. Carefully place it over the stoma.

  • If you use a two-piece pouch, snap the pouch onto the barrier. Start at the bottom and work your fingers around the flange.

  • Press the barrier against the skin with your hand over the barrier and hold it in place for 45 seconds. This molds the barrier to your skin.

  • If you use a drainable pouch, clamp the tail.

Call Your ET Nurse or Other Healthcare Provider If:

  • The skin around the stoma is red, weepy, bleeding, or broken.

  • The skin around the stoma itches, burns, stings, or has white spots.

  • The stoma swells, changes color, or bleeds without stopping

  • The stoma changes size, becomes even with or sinks below the skin, or sticks up more than normal.

Date Last Reviewed: 2005-11-10T00:00:00-07:00

Date Last Modified: 2005-11-10T00:00:00-07:00

For top-quality, up-to-date care for gastrointestinal problems, trust the board-certified, experienced GI specialists trusted by thousands of patients and their doctors for nearly 30 years. Call Gastroenterology Consultants at (281) 481-9400 or fill out our online Request an Appointment form to schedule your consultation with us.

Gastroenterology Consultants

Ellington

444 FM 1959, Suite A,
Houston, TX 77034
Direct Phone: 281-481-9400

St. John

2060 Space Park Drive, Suite 306
Nassau Bay, TX 77058
Direct Phone: 281-892-2460

Clear Lake

250 Blossom Street, Suite 210 Webster, TX 77598
Direct Phone: 281-316-1119

Pasadena

4211 Fairmont Parkway
Pasadena, TX 77504
Direct Phone: 832-456-8434

Pearland

15015 Kirby Dr. Ste.200A
Pearland, TX 77047
Direct Phone: 713-343-6360

League City

2555 S. Gulf Freeway Ste. 500
League City, TX 77573
Direct Phone: 281-481-9400

Gastroenterology Consultants is a leader in advanced, comprehensive gastrointestinal care. We specialize in up-to-date gastrointestinal care, which includes screening and treatment for colon cancer, heartburn and acid reflux, esophageal disorders and difficulty swallowing, peptic ulcers, H. pylori, gallstones and other gallbladder disorders, rectal bleeding and hemorrhoids, malabsorption and celiac disease, liver diseases - hepatitis C, hepatitis B, cirrhosis, fatty liver disease, hepatoma and liver cancer, abdominal pain, noncardiac chest pain, ulcerative colitis, Crohn's disease, pancreatitis and pancreatic cancer, anemia, nausea and vomiting, gas and bloating and lactose intolerance

Gastroenterology Consultants also offers colonoscopy screening for colorectal cancer, EGD & capsule endoscopy small-bowel, endoscopic ultrasound, Bravo 48-hour pH monitoring, H. pylori breath testing, esophageal manometry and impedance testing, hemorrhoid band ligation, esophageal dilatation, advanced therapeutic ERCP, Biologic therapy, treatment of Barrett's esophagus, common bile duct stones and endoscopic mucosal resection.