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Your child has a colostomy. This procedure involved cutting (and sometimes removing) part of the colon (large intestine). The end of the colon was attached to a small hole made in the abdominal wall. This creates an opening in the skin called a stoma. Stool and mucus pass out of the body through this opening into a holding bag. Below are guidelines for home care after a colostomy. The doctor and nursing staff may give you additional instructions for your child.
Care for your child’s healing stoma as you were shown. Ask your child’s doctor or nurse for an instruction sheet about stoma care. This will help remind you how to care for the stoma.
Care for your child’s stoma as instructed.
Unless told not to, wash the surgical incision(s) with soap and water and pat dry. Your child can shower or bathe as needed, but avoid having water spray right on the incision.
Check the healing incision(s) every day for redness, drainage, swelling, or pulling apart of the skin. Call the doctor if you notice any of the signs listed in the tint box below.
Follow all instructions from the doctor about watching the amount of output into the colostomy bag.
Keep your child from lifting anything heavier than 5 pounds until the doctor says it’s OK.
Keep your child from rough play and contact sports. But let your child be active, such as taking walks. If traveling in a car for long periods, stop often to let your child stretch.
Ask the doctor when your child can return to school. Most children are able to do so within 2–3 weeks after surgery.
Give your child any prescribed medications as directed. Don’t skip doses.
Don’t give your child over-the-counter medications unless the doctor says it’s OK.
A stoma can be temporary (used for a short time) or permanent. Your child’s health care provider can tell you more.
Tell your child’s teachers and the school nurse that your child has a colostomy.
A colostomy bag doesn’t smell and can be hidden under clothing. The bag can be emptied into a toilet in privacy.
A child with a colostomy can still play most sports. Talk to the doctor about your child’s special needs.
Make follow-up appointments as instructed.
Call the doctor right away if your child has any of the following:
Excessive bleeding from the stoma
Bulging skin around the stoma
Fever over 100.4°F (38.0°C)
Redness, swelling, bleeding, or drainage from the incision
Change in the color or size of the stoma
Signs of dehydration (excessive stoma output, dry mouth, extreme thirst, no tears when crying)
Bloody or black, tarry stool
Stool that is more watery than normal for more than 5 hours
Very hard stool
No gas or stool leaving the stoma
Nausea, vomiting, pain, cramping, or bloating