Stoma care guides - Getting back to normal
1. Do I need different clothes
You will normally be able to wear the same clothes and underwear as you did before. However, if your colostomy is very high up on your waist this can be a problem, but help is at hand. High waisted trousers for men can be obtained at several outlets. Some men prefer to stop wearing belts and feel more comfortable wearing braces. For the ladies there is a wide choice of flattering clothes and swimwear in the high street. There are also specialist providers to whom your stoma care nurse can direct you.
2. Will I be able to return to my job?
Once you have fully recovered, and providing there are no other medical implications, there is no reason why you should not return to the job you did before you had your colostomy. Your doctor will advise you when you are fit enough. If your work is strenuous and involves lifting heavy weights, or is work that puts a strain on the abdominal muscles, you should first seek advice about wearing proper support belts/girdles. It is advisable, where possible to contact your stoma care nurse to be measured. After surgery it’s normal to feel tired more quickly even if you are not doing strenuous work.
3. Will my driving be affected?
Once you are well enough to drive you may find the seat belt is uncomfortable across your stoma. If this is a problem try fitting a 'Klunk Klip' to the seat belt. These can be obtained from most high street car accessory stores, or on line. The Klip is attached to the inertia-reel of the seat belt preventing it from constricting your colostomy.
4. Can I travel at home or abroad?
Having a colostomy should not prevent you from travelling at home or abroad, whether it is for business or pleasure. The only difference is that you should plan ahead and prepare a little more than before.
5. Can I return to sports and exercise?
As mentioned earlier walking is excellent exercise and a good starting point after your operation. Other than physical contact sports, there are virtually no restrictions. If in doubt check with your stoma care nurse who may suggest a stoma guard if your sport is more strenuous. Thousands of colostomates are enjoying a huge range of activities such as golf, sailing, cycling, swimming, as well as more down to earth pursuits like gardening and rambling.
6. Can I go swimming?
The answer is “Yes – you certainly can go swimming”. Here are a few suggestions to help you feel more confident:
• You may like to try wearing a smaller stoma bag under your swimming costume or trunks as these can be more discreet.
• If you are worried about damaging your stoma whilst swimming, although this is unlikely to happen, you could try wearing a stoma shield.
Your stoma care nurse will be able to advise you or alternatively you can contact us on our Helpline – Freephone 0800 328 4257.
7. What should I eat?
By the time food reaches the colon, it has been almost completely digested, so having a colostomy does not mean you will have to change what you eat. It is not necessary to follow a special diet (unless you have been advised to do so by your doctor for another specific medical condition). Try, as far as possible, to eat a diet containing a variety of items from all the food groups (Fruit and vegetables, bread other cereals and potatoes, meat, fish and other alternative, fatty and sugary foods, milk and dairy foods). This will ensure that your body receives all the essential nutrients (protein, carbohydrate, fat, vitamins and minerals) it needs.
8. Should I eat more fibre and less fat?
Bear in mind that, although current advice is to eat more fibre and less fat:
• Too much fibre (e.g. pulses and bran based cereals) may cause wind or loose motions.
• If you are trying to regain lost weight, it may be better to use full fat milk and cheese, rather than semi-skimmed or skimmed alternatives.
9. Are there any foods colostomates should avoid?
We are all different. Some colostomates can eat anything. Others have found, by experience, that it is best to avoid certain foods. If you have persistent problems try keeping a food diary you my find it helps. If you suspect a food causes problems, try it at least three times, separated by an interval of at least a week, before eliminating it altogether. If you find you are cutting out most of the items in any one of the food groups, then it is advisable to seek individual dietary advice. Your GP can refer you to a state registered dietician.