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Crohn's Disease Forum » Surgery » Stoma Subforum » Colostomy: 1 piece vs 2 piece


06-10-2011, 07:00 AM   #1
lotte26
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Colostomy: 1 piece vs 2 piece

Hello lovelies!

As you probably know I am a newbie colostomy bag lady. I have tried several bags and was just wanting some opinions on some things.

First off, is it normal for a flange to lift up around the stoma? I used my first 2 piece the other day and have had it on for three days. I have been noticing that output is getting under the seal though, and this worries me... The stoma nurse said it was fine because I have a colostomy, but seriously, poo on skin, any kind is not a good thing IMO. Tonight the poop was about 1 cm under the seal too, perhaps I squidge my bag to much to move poo down? Do any of you guys do this or just let it sit there and eventually fall down. I don't think I have had a big a poo for that to happen .. Lol.

Second, do you colostomates prefer one pieces or two pieces? I like the idea of two pieces much much more as I can't bear the thought of pulling off the flange two or three times a day! I have very thin sensitive skin. But on the other hand I don't want poop sitting on my skin for up to a week. Ew.


Anyway your opinions would be appreciated!
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-Charlotte


Crohn's disease since 2002, with multiple fistulae

25 May '11 : colostomy formed, 70cm bowel removed + 50cm ileum removed.

16 October 2015 - open parastomal hernia surgery to be performed

Past Failed Meds: Pentasa, azathioprine, methotrexate, Humira.

Current Meds: Humira, azathioprine, fluoxetine, Brevinor, Fish oil, melatonin
06-10-2011, 07:10 AM   #2
Nyx
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I use a 2 piece, I'm with you, I can't stand the thought of using a one piece that stays on for a week that I can't clean thoroughly...lol My flange doesn't lift around my stoma at all and seem to only get a bit of output under it when it's getting to week point and it's time to change anyway. If it's a real problem, you can always put paste around your stoma and see if that helps or you can keep experimenting with different appliances.

I'm a poo mover too. I find I get a vacuum in my bag and it won't move on its own sometimes, so I do move it away from Oscar. Doesn't seem to affect my flange at all though.
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Crohn's Diagnosis: May 2006
Current meds: none
Surgeries: Colostomy, December 2009

"Never trust a fart." Jack Nicholson, The Bucket List

Oscar is awesome! Loving my life with my stoma (with a hint of poo)!!

06-10-2011, 01:31 PM   #3
Terriernut
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Charlotte, I was thinking you could use a barrier ring as well under the appliance. That should help!

I was quite used to the one piece system. But I'm absolutely not going back to them unless I have to. (as in run out of everything else)

The two piece allows me to use a small bag for day, and a larger one for night. As a pigmy, this is a good thing! The small bag less visable obviously, the bigger one for night and early morning, and when I'm having my coffee of course.

HTH,
Misty
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DX Crohns Feb 2011, symtoms 1997, 2009 and then WHAM! Emergency surgery for perforated sigmoid, fistula through fallopian tube, septic and near dead: Colostomy-Stan was born 22/12/10. Another parastomal hernia, his name is Ollie and he is MONSTER size!
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06-13-2011, 06:27 AM   #4
poolside
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Would a 1 piece allow you to use the liner bags? Or do you need a 2 piece for that?
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Poolside

Making Crohn's sexy since 1995

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Resection/Colostomy 2011
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06-13-2011, 06:31 AM   #5
poolside
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Actually can anyone tell me the benefit of using a 1 piece system? I am very curious to know what the benefit of it is...
Also, what is the benefit of using a non drainable pouch? is it cheaper or something?

Charlotte, I use the coloplast paste strips and they do a great job of preventing output from going under my flange, because that was a problem for me in the beginning.
And yes, I'm a nudger lol. I can't stand it when output comes out and is sticking straight out into no mans land. I want it down in the bag where it can live happily ever after. Until I drain it....
06-13-2011, 07:27 AM   #6
Nyx
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You can't use a liner with a one piece because you need to be able to change it every time you go poop (or as often as you want to change it). Plus, I don't see there being a way to get it in the bag anyway. It has to stick out the opening so it just doesn't fall into the bottom of the bag and become useless.
06-13-2011, 07:29 AM   #7
Nyx
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http://colomajic.com/

Watch the video to see how the liners work. They work with drainable and non-drainable pouches. I use non-drainable because I don't use the drain anyway so what's the point of having a lump digging into my crotch if I don't have to? lol
06-13-2011, 01:47 PM   #8
Terriernut
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Poolside, I personally dont see the benefit of a one piece system. I have one on now because it was my emergency backup at work. Had a problem yesterday with the bag. My fault, not the bags! Anyway, when you get a whiff of something folks...run to the loo with your supplies before it's too late! Luckily, I got there before it was a big problem!

As for non drainable, I guess if you have a two piece non drainable it'd be ok for folks with colostomies maybe? Not for us ileostomists though! But you'd be changing the bag alot?
Misty
06-13-2011, 09:04 PM   #9
poolside
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what's the point of having a lump digging into my crotch if I don't have to? lol

Hehe

Once I get rid of Mr. Burns I'm going to try a snap closure type system where I can use these liners, because I am loving the idea of flushing away instead of cleaning out the darned bag each time.
06-13-2011, 09:21 PM   #10
Nyx
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poolside...once you try them you'll never go back to flushing out your bag again...just sayin'...best invention EVER!!!
06-13-2011, 10:04 PM   #11
kekemonster101
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I have had both an ileostomy and a colostomy and I have to say that closed pouches are wonderful. When I had the drainable pouches, I always remember it being very unclean - having to rinse out the bag, the little tag at the end never really being clean, etc.

With a closed pouch, when your bag gets full, you just throw the bag in the trash and put on a nice, new fresh pouch every time. Its the two piece system similar to tupperware. I like the hollister brand because it has a little raised flange you can press on instead of your stomach.

Regarding the colomajic liners, they dont hold very much in them.. I only use them in an emergency when im running low on closed bags. When you have drainable pouches, usually insurances only pay for like 10 bags a month, which makes sense. However, with a closed pouch, usually they allow for at least 2 bag changes a day, or 60 a month.

I highly recommend you check out closed pouches - so much cleaner and nicer! (However they may not be ideal if you have very liquid output)
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Diagnosed Crohn's 2001
7 Compression Fractures in spine due to long-term steroids
Adrenal Insufficiency
Extreme malabsorption
Previous ileostomy - currently have colostomy
PEG Tube
Several surgeries incl. Fistulas, Abscesses, Resection
2 Deep Vein Thrombosis
Completely bedbound as of 2010

Currently on:
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