regina ostomy news · only friends who haven't met" ... yet? if you have access to a...

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Regina Ostomy News MAY / JUNE 2016 In This Issue Managing Ostomy Emergencies & Accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Editorial . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Article continued from page 1 . . . . . . . . . .4 Urostomates and Fluids . . . . . . . . . . . . . . . 5 Swimming with an Ostomy . . . . . . . . . . . . .6 Dehydration . . . . . . . . . . . . . . . . . . . . . . . .7 Psychological Adaption . . . . . . . . . . . . . . 8 Ostomy Canada Society Conference . . . . . 9 Mysterious Sounds . . . . . . . . . . . . . . . . . 10 Restoring Intimacy . . . . . . . . . . . . . . . . . . 11 Membership Form . . . . . . . . . . . . . . . . . . .12 Continued on Page 4 MEETINGS Meetings are held on the second Tuesday of the month at 7:30 p.m., starting in September, at the Community of Christ Church, 4710 8th Avenue (corner of Arthur and 8th). No meetings are held during the months of January, July and August) UPCOMING MEETINGS May 7 - Ostomy Seminar (Saturday), no regular meeting in May June 14 - Potluck 6:00 p.m. followed by meeting and elections at 7:30 September 13 - Topic TBA MANAGING OSTOMY EMERGENCIES AND ACCIDENTS, by Kyle Jindel. When living with a stoma, sometimes the unthinkable happens: pouches or barriers leak, a pouch pops open, odors come through; an insurmountable number of possibilities all related to having an ostomy, just waiting to happen at any time. But it doesn't happen to be this way. With proper care and planning, you can minimize or eliminate the possibilities of accidents occurring in the first place. And even if there is a leak, blowout, or odor, a little preparation will make crisis management easy. Probably the most common accidents are leaks, blowouts, and odors. Let's describe these situations briefly, and then we'll discuss some tips to best manage these common predicaments affecting Ostomates: Leaks - A "leak" is when any contents of the stoma are compromised, leaking out through the Ostomy appliance. Leaks will almost always form at the point of least resistance, and in many cases get worse if not managed quickly. The most common leak points are under the barrier (due to weak or compromised adhesive), through pouch closures (drainable pouches), faulty pouching systems, or through punctures (rare to go unnoticed, but can still happen.) Blowouts - Blowouts can be a royal pain and happen for many of the same reasons that leaks can happen – overfilled pouches (usually from filling too quickly with air), poorly maintained pouching, external pressures on the pouch, and faulty appliances. The portion that pops open, like leaks, is usually where the least resistance is. Preventing Leaks and Blowouts With some simple steps, both of these scenarios can be avoided entirely: Install a Pouch Release Valve - Valves such as the Osto-EZVent or Filtrodor filters can be installed directly onto pouches to

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Page 1: Regina Ostomy News · only friends who haven't met" ... yet? If you have access to a bathroom and you're not sure ... Find whatever you can (a napkin, paper towel, a band-aid,

Regina Ostomy News MAY / JUNE 2016

In This Issue Managing Ostomy Emergencies & Accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Editorial . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Article continued from page 1 . . . . . . . . . .4 Urostomates and Fluids . . . . . . . . . . . . . . . 5 Swimming with an Ostomy . . . . . . . . . . . . .6 Dehydration . . . . . . . . . . . . . . . . . . . . . . . .7 Psychological Adaption . . . . . . . . . . . . . . 8 Ostomy Canada Society Conference . . . . . 9 Mysterious Sounds . . . . . . . . . . . . . . . . . 10 Restoring Intimacy . . . . . . . . . . . . . . . . . . 11 Membership Form . . . . . . . . . . . . . . . . . . .12

Continued on Page 4

MEETINGS Meetings are held on the second Tuesday of the month at 7:30 p.m., starting in September, at the Community of Christ Church, 4710 8th Avenue (corner of Arthur and 8th). No meetings are held during the months of January, July and August)

UPCOMING MEETINGS

May 7 - Ostomy Seminar (Saturday), no regular meeting in May

June 14 - Potluck 6:00 p.m. followed by meeting and elections at 7:30

September 13 - Topic TBA

MANAGING OSTOMY EMERGENCIES AND ACCIDENTS, by Kyle Jindel.

When living with a stoma, sometimes the unthinkable happens: pouches or barriers leak, a pouch pops open, odors come through; an insurmountable number of possibilities all related to having an ostomy, just waiting to happen at any time. But it doesn't happen to be this way. With proper care and planning, you can minimize or eliminate the possibilities

of accidents occurring in the first place. And even if there is a leak, blowout, or odor, a little preparation will make crisis management easy.

Probably the most common accidents are leaks, blowouts, and odors. Let's describe these situations briefly, and then we'll discuss some tips to best manage these common predicaments affecting Ostomates: Leaks - A "leak" is when any contents of the stoma are compromised, leaking out through the Ostomy appliance. Leaks will almost always form at the point of least resistance, and in many cases get worse if not managed quickly. The most common leak points are under the barrier (due to weak or compromised adhesive), through pouch closures (drainable pouches), faulty pouching systems, or through punctures (rare to go unnoticed, but can still happen.) Blowouts - Blowouts can be a royal pain and happen for many of the same reasons that leaks can happen – overfilled pouches (usually from filling too quickly with air), poorly maintained pouching, external pressures on the pouch, and faulty appliances. The portion that pops open, like leaks, is usually where the least resistance is. Preventing Leaks and Blowouts With some simple steps, both of these scenarios can be avoided entirely: Install a Pouch Release Valve - Valves such as the Osto-EZVent or Filtrodor filters can be installed directly onto pouches to

Page 2: Regina Ostomy News · only friends who haven't met" ... yet? If you have access to a bathroom and you're not sure ... Find whatever you can (a napkin, paper towel, a band-aid,

Page 2 Regina Ostomy News

REGINA OSTOMY CHAPTER EXECUTIVE

MISSION STATEMENT The Regina Ostomy Chapter is a non-profit mutual support society for the benefit of people who have had, or are about to have intestinal or urinary diversion surgery.

Our purpose is: • To help people with intestinal and/or urinary diversions

to lead full and productive lives and to provide information and emotional support to their families and caregivers.

• To educate the public about intestinal and urinary diversion surgery.

• To provide trained visitors to those who have undergone intestinal and/or urinary diversions, including preoperative and postoperative visits or phone calls, at the request of the physician or enterostomal therapist.

May/June 2016

OSTOMY & WOUND CARE CENTRE

TO ENTEROSTOMAL THERAPY SERVICES Pasqua Hospital 766-2271

Jane Wilmot, RN, BScN, ETN, Program Coordinator

Sheryl Walker, RN, BScN, CETN

Sarah Gatin, RN, BScN, ETN

Lela Mileusnic, RN, BScN, ETN

Monica Aikman, RN, BScN

Arleene Arnold, RN, CETN

Lana Klein, RN, BScN, ETN

Patty Gianoli, Office Manager

President Agnes Parisloff 761-0221

Past President Lorraine Thompson 757-3954

Secretary Heather Bathgate 949-4664

Treasurer Neal Holt 949-5538

Membership Chair Susan Hunter 585-0410

Publicity Brenda Frohlick 949-2352

Flowers & Cards Wilma Trumbley 545-7652

Phoning Gord Kosloski 789-1592

Gail Zipchian 522-8669

Host June Crawford 543-2852

Bill Collie 543-2647

Lunch Brenda Frohlick 949-2352

Gale Miller 789-5139

Mailing Brenda Frohlick 949-2352

Newsletter Deb Capentier 775-1869

Louise Laverdiere 536-5442

Visiting Enterostomal Therapy Services

766-2271

DONATIONS

Thanks to the following individuals who generously donated funds to the chapter:

Bernard Girardin - Regina Frank Selinger - Regina

Carolyn Murray - Regina Henryk Przepiorka - Regina

Jack Sutherland - Regina

NEW MEMBERS

"There are no strangers here, only friends who haven't met"

IN MEMORY It is with deep regret that we report the death of three of our past members. We extend our most sincere sympathies to family and friends.

David Ash

Kathleen Mickalishen

Lawrence Reykjalin

Page 3: Regina Ostomy News · only friends who haven't met" ... yet? If you have access to a bathroom and you're not sure ... Find whatever you can (a napkin, paper towel, a band-aid,

Page 3 Regina Ostomy News

Good day dear readers. Another season of fair weather is upon us. It’s such a great time for working gardens, going for walks, playing in water, opening windows, listening to birds and dozens of other things. And as seems to be the norm, busy times lay ahead. • Our Spring Seminar is just around the corner, Saturday, May 7th (9:00-4:00)

• On June 14th there will be a POT LUCK and Annual General Meeting with elections. We’ll start at 6 pm. The vacant positions are President and a SASO rep. SASO is a peer support group for “Spouses and Significant Others”, which is incredibly important in the recovery and learning process of living with an ostomy. We have an extraordinary executive committee who take on the little things that need to be done but many of these people have

been doing these tasks for years. WE NEED YOU!! As Helen Keller said, “Alone we can do so little; together we can do so much.” There may be a part you can play, if you’re open to it.

• July 24-29 is the annual Ostomy Youth Camp, held in Bragg Creek, Alberta. Ostomy Youth Camp is a unique and exciting opportunity for young people, between the ages of 9 and 18, with an ostomy or related special need. It’s a great camp, but there are costs associated with attending. The Regina Chapter sponsors campers, as does the Canada Ostomy Society. If you know of someone who would be interested in attending, contact Agnes Parisloff or the Ostomy Canada Society office (info page 11). This year we’re sponsoring Sidney Dorash and we are still open to sponsor other “campers”. Have fun Sidney!!!

• August 18-20 is the National Ostomy Canada Conference in Winnipeg. It’s so close that it’s easy to attend. “Celebrate the Journey, Past, Present and Future” is the theme and there will be speakers and suppliers and representatives from all across the country. Check it out on page 9, and visit the website. If you’d rather fill out a paper form, we’ll have some at the May seminar and the June meeting.

• October 1st is the 4th Annual Stoma Stroll. It’s a great public awareness event and fundraiser. Stay tuned for more information.

• Did you know that our own Agnes Parisloff is being honoured with the Saskatchewan Volunteer Medal, for her work in the refugee and immigrant community? Congratulations Agnes!

• And a shout out to our great ET Nurses as they celebrate National Nurses week May 9-15. Happy Mothers’ Day to all women who nurture and ‘mother’ their friends and family and Happy Fathers’ Day to all the men, who nurture and ‘father’ the people around them.

WOW! So fit your fun and relaxing times in between all of this and enjoy the summer. Walk and stretch and drink lots of water. Stay healthy, be happy and see you soon!

Editor’s Message Editor’s Message

May/June 2016

Save the Date!

4th Annual

Stoma Stroll

October 1, 2016

Page 4: Regina Ostomy News · only friends who haven't met" ... yet? If you have access to a bathroom and you're not sure ... Find whatever you can (a napkin, paper towel, a band-aid,

Page 4 Regina Ostomy News May/June 2016

Continued from front page

quickly release gas buildup in a pouch. This will help the pouch from getting too full too quickly, cut back on bathroom breaks to relieve contents, and of course, prevent leaks and blowouts from pressure buildup inside.

Drain or Change Regularly - Monitor the pouch contents and relieve it when it's at least 1/3 full. Not quite there yet? If you have access to a bathroom and you're not sure when you will again, take care of it then. And make sure you drain before bed to prevent any nighttime accidents. The rule of thumb is this: Always think ahead of your stoma!

Pack A Kit - A good kit should contain at least one full replacement and all the wipes, creams, odor sprays as well as the cleanup & disposal supplies you need for a full change. This kit will stay on you if you're traveling, and keep a stationary one in the office or at school just in case.

Patch it up - If a situation arises and you do not have a kit handy for a full replacement, you'll need to patch up the leak the best you can. Find whatever you can (a napkin, paper towel, a band-aid, duct tape) that can be used to seal off the leak. It's hardly a good fix, but it can buy you extra time to get to a bathroom or to a private place to take care of it.

Wear the Right Clothes - For active folks, if you're moving a lot you could increase friction against the baseplate and/or pouch, in the least causing some skin irritation or at worst causing a leak to form through the adhesives. Wearing looser clothes can help alleviate this problem.

Eat Right - Know how nutrition affects your ostomy. All foods will digest differently, and this will affect how and when your pouches fill. For instance, drinking a lot of beer and eating a big meal before bed may not be the best idea - you may end up waking up to empty your pouch at least once or twice through the night!

Carry a Spray - For odors, get something strong enough to neutralize the odors instantly, not just mask them. Medi-Aire Odor Eliminator and Odor Assassin are both great options to eliminate odor. Devrom Tablets - These tablets are called "Internal Deodorant", which helps minimize odors of pouch contents and are great for odors.

Lastly, if you're still having problems with leaks, blowouts, or odors, try changing your products.

Everyone's stoma is a little different, so finding the right products is key. Sometimes the Ostomy supplies you have may not be giving you the proper care. For instance, if you have a flush or retracted stoma (in relation to the

skin surface), using a standard barrier may cause contents to leak under the barrier and weaken the adhesive. But a convex barrier with a little bend towards the middle could be enough to prevent this from happening. There are some situations where you would prefer to use a drainable pouch and some situations where a more discreet, disposable closed pouch is preferred.

So, if you are not satisfied with your Ostomy appliances, do not be afraid to experiment with new products - you'll soon discover what you've been missing out on! Via Calgary Changing Times, Winter 2015 (2010, August 9). Retrieved from http://ezinearticles.com/?Managing-Ostomy-Emergencies-and-Accidents&id=4829096

HELLO DOCTOR! A mechanic was removing the cylinder heads from the motor of a car when he spotted a famous heart surgeon in his shop, waiting for the service manager to come take a look at his car. The mechanic shouted across the garage, “Hello Doctor! Please come over here for a minute.” The famous surgeon, a bit surprised, came over to the mechanic. The mechanic straightened up, wiped his hands on a rag and asked argumentatively, “So Doctor, look at this. I also open hearts, take valves out, grind ‘em, put in new parts and when I finish this will work, good as new. So how come you get he big money, when you and me is doing basically the same work?” The doctor leaned over and whispered to the mechanic, “Try to do it when the engine is still running.”

Page 5: Regina Ostomy News · only friends who haven't met" ... yet? If you have access to a bathroom and you're not sure ... Find whatever you can (a napkin, paper towel, a band-aid,

Page 5 Regina Ostomy News May/June 2016

Urostomates and Fluids - Reprinted from Metro Halifax News, March, 2003; Ostomy Gazette, Halifax October 2014 People with urinary diversions no longer have a storage area, a bladder, for urine. Therefore urine should flow from the stoma as fast as the kidneys can make it. In fact, if your urinary stoma has no drainage for even an hour, it is time for serious concern. The distance from the stoma to the kidney is markedly reduced after urinary diversion surgery. Any external bacteria have a short route to the kidneys. Since kidney infection can occur rapidly and be devastating, prevention is essential. Wearing clean appliances and frequent emptying are vital. Equally important is adequate fluid intake, particularly fluids, which acidify the urine and decrease problems of odour. In warm weather, with increased activity, or with a fever, fluids should be increased to make up for body losses due to perspiration and increased metabolism. It is important that you be aware of the symptoms of a kidney infection.

• Elevated temperature • Chills • Low back pain • Cloudy, bloody urine • Decreased urine output

All ilea conduits normally produce mucus threads in the urine, which give it a cloudy appearance. Blood urine is a danger signal. Thirst is a great index of fluid needs. If you are thirsty, drink up. Also develop the habit of sampling every time you pass a drinking fountain. Important - if urine is collected for urinalysis, called C&S, sterile specimen or checking for infection be sure your doctor and nurse know a sterile specimen must be taken directly from the stoma and not from the pouch. Bacteria builds up in the pouch immediately. It will give false test results. If they are not sure how to do this, do the following.

• Remove your pouch; Clean the stoma; Bend over and catch the urine in a sterile cup

If there is a slow flow of urine being expelled, drink a glass or two of water. The kidneys will work. Urostomates, who do not use a night drain, are running a big risk of puddling and the backing up of urine into the conduit up to the kidneys. This may cause not only irritation, but also serious infection.

Page 6: Regina Ostomy News · only friends who haven't met" ... yet? If you have access to a bathroom and you're not sure ... Find whatever you can (a napkin, paper towel, a band-aid,

Page 6 Regina Ostomy News May/June 2016

SWIMMING with an OSTOMY Summer is once again upon us and every year at this time we are asked if you can still swim or do water-sports with an ostomy. The answer is YES! With a little planning ahead you can continue

to enjoy the water as you did before. Swimming with an ostomy is great cardiovascular activity that is easy on your joints and back. It might be wise to check with your ET nurse or doctor first before stepping into the pool but otherwise if you feel well enough for some gentle water work, go for it. The first thing people worry about of course is if that appliance is going to stay on. With proper preparation you can be confident it will. First, you might want to replace the appliance (ideally the night before) whether it be one or two piece, before you go swimming. Most brands are capable of withstanding the twisting and friction involved in swimming but if you are an especially active ‘water sporter’ you might try Cymed’s microskin, or ask your local supplier/ET nurse what they might recommend. Wafers with waterproof tape can be a good choice, or you can tape the edges yourself with pink tape. (you make a sort of ‘picture frame’ around the barrier edges). Tape the filter shut as water might get into the pouch. It won’t hurt you if it does, but it can get sloppy plus who wants chlorinated or unclean lake water next to the stoma? If you do elect to change brands, it would be wise to wear the new gear for a few changes before you commit to a public splash. Snug spandex/lycra shorts under board shorts are an excellent choice for men, or snug spandex/lycra bathing suit bottoms for the ladies—these will help hold things in place. You can also use an ostomy belt but cinch it firmly. Ostomy belts aren’t going to be very comfortable when you get out because they’ll stay damp a long time. Speaking of damp, Coloplast Mio’s new fabric coverings shed water and dry much faster than the usual pouch coverings. Consider packing an extra bag and flange to change into once you’re finished. Knowing that you have that extra

gear available will assure peace of mind if you aren’t comfortable for some reason. For those with an ileostomy or busy colostomy, time your meals so that your swim, can evolve with the least discharge possible. Avoid gas producing foods and drink plenty of water. Now having said all this, you know what? Some people don’t need to do anything different at all with their routine when they want to get back in the water. Wafers are meant to stay affixed and seal the stoma. Everybody’s anatomy and skin is different so you might have to try a few options before finding the right one for you.

Source: Vancouver Ostomy HighLife July/Aug. 2014 via Winnipeg Ostomy Assoc. Inside/Out April/May 2015

Page 7: Regina Ostomy News · only friends who haven't met" ... yet? If you have access to a bathroom and you're not sure ... Find whatever you can (a napkin, paper towel, a band-aid,

Page 7 Regina Ostomy News May/June 2016

DEHYDRATION Source: Ostomy Toronto Handbook for New Ostomy Patients The large intestine does not play a major part in absorbing nutrition; although it absorbs some minerals, notably salt, its main job is to extract water from waste coming from the small intestine. If all or much of the large intestine is removed, the patient loses this natural ‘rehydrator’ and can be at risk for dehydration. Therefore, dehydration affects ileostomies more than any other type of ostomy. Thirst is not always an accurate measure of your body’s needs; those with ileostomies should develop the habit of drinking water throughout the day. (8 to 10 glasses per day is recommended.)

SYMPTOMS:

Mild Dehydration : Thirst, dry lips, dry mouth, flushed skin, fatigue, irritability, headache, urine begins to darken in colour and urine output decreases. In this situation, increase your fluid intake. Call 911 or visit an emergency room if this happens to a baby.

Moderate Dehydration: All of the signs of mild dehydration, plus: skin doesn’t bounce back quickly when pressed, very dry mouth, sunken eyes, (in infant sunken fontanel, the soft spot on the head), output of urine will be limited and colour of urine will be dark yellow, cramps, stiff and/or painful joints, severe irritability, fatigue, severe headache and increased heart rate. In this situation, contact a medical professional.

Severe Dehydration: All of the signs of mild and moderate dehydration, plus: blue lips, blotchy skin, confusion, lethargy, cold hands and feet, rapid breathing, rapid and weak pulse, low blood pressure, dizziness, fainting, high fever, inability to pee or cry tears, disinterest in drinking fluid. In this situation, call 911 or visit your nearest emergency room.

- Source – Ostomy Toronto newsletter via Halton-Peel Newsletter May 2015

Page 8: Regina Ostomy News · only friends who haven't met" ... yet? If you have access to a bathroom and you're not sure ... Find whatever you can (a napkin, paper towel, a band-aid,

Page 8 Regina Ostomy News May/June 2016

PSYCHOLOGICAL ADAPTATION

Much of your emotional healing will depend on if your surgery was planned or due to an emergency. Other factors that impact your psychological well-being are your age, relationship status, social support, the reason for your ostomy and how you view yourself. If your surgery was planned, your surgeon or ET nurse may have explained the surgical procedure and what an ostomy is. If your surgery was an emergency, you had no preparation and may be quite shocked when you awoke from surgery. Individuals who are physically and emotionally prepared for life with an ostomy adapt much easier to their stomas than those who are not.

Accepting and adapting to life with a stoma is an enormous task. So much has changed, the way your body looks, how you use the bathroom, maybe your clothing, diet and your self-image. You may be concerned that people look at you differently. You may experience frequent ostomy leaks, which make you very anxious about going out in public. You might feel that your body is not normal and that you don’t fit in. You might also have fears that others are aware of your pouch or that you might be pooping in public!

What about your spouse? Will he or she be repulsed by your stoma? What will your children think? What about dating? Can people smell me? You may be wondering if you will ever be intimate again. Another factor in your adjustment to life with a stoma is your prior comfort level with looking at your stool and the process of defecation or toileting. Those who never looked at their stool or are very self-conscious of defecating (poo-shy) will be more challenged to accept

their ostomy. Sensitive noses beware too. Body image has a profound impact on our self-esteem and social lives.

Altered Image

Having a stoma requires a great deal of psychological adaptation and adjustment. Grieving the loss of your body image as it once was is a normal process. You might also be grieving the loss of a smooth abdomen, body parts, maybe even having a belly button. C.M. Parkes describes five stages individuals go through with an altered body image:

• Realization – avoiding/denying the loss followed by experiences of unreality or the “blahs” (blunting). • Alarm - characterized by anxiety, restlessness, fear and insecurity. • Searching - acute episodic feelings of anxiety and panic and a preoccupation with loss. • Grief - feelings of internal loss and mutilation. • Resolution - efforts to construct a new social identity.

It takes time to heal from ostomy surgery both physically and emotionally. Talking to other ostomates, your ET nurse, attending support groups and social networking on the internet can provide the support you need to successfully adjust and adapt to life with an ostomy. Professional counseling may be helpful and antidepressants are sometimes necessary. Once you have gone through these stages of healing and education, you should be able to

resume an active, rewarding and full life. Thousands of ostomates have returned to work, dating, playing sports, sexual intimacy, having babies and enjoying life to the fullest. Your ostomy will hold you back only as much as you let it.

Adapted from Vancouver Hi-Life December 2014, Reprinted with permission from The Phoenix magazine, publication of the United Ostomy Associations of America. www.phoenixuoaa.org;

Mental Health Week 2016 May 2 - 8

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Page 9 Regina Ostomy News May/June 2016

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Regina SK S4R 1A5

306.352.8874

[email protected]

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Convatec

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Colomajic Liners

Catheters, Leg Bags

Incontinence Products

‘ Your Care is Our Speciality’

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Page 10 Regina Ostomy News May/June 2016

The Colorectal Cancer Association of Canada is a support group for the estimated 22,000 Canadians annually

diagnosed with colorectal cancer. Membership is free.

Information is available at their website: www.colorectal-cancer.ca

with links to news reports, articles, and other cancer organizations in the field. Support cancer coaches are also available to talk with patients about concerns and

about their cancer experience.

Or Phone 1-877-50COLON

consumption of certain medicines and the ostomy surgery. Hyperactive noises on the other hand reflect an increase in intestinal activity. They can be loud and further intensified by the stoma. They are common after meals or when experiencing diarrhea.

Precautionary measures: Although abdominal noises are common, persistence of noises followed by pain must not be ignored. They could denote anomalies such as bowel obstruction or ulcer and may require medical attention. Noises too low or absent, could signal constipation. Lack of sounds, could mean rupture of the intestines. In general, the presence of abnormal symptoms such as nausea and vomiting, excessive gas, abdominal pains, sudden changes in bowel movements, or acute increase or decrease in abdominal noises should be disclosed to your ostomy health care practitioner.

Last words: Abdominal noises could be indicators of serious conditions, but normally are just your intestines at work. Still, they may be very perturbing and could affect ostomy patients’ quality of life. It is natural for Colostomy, Ileostomy, and Urostomy patients, with a dynamic life, outside their comfort zone, to feel apprehensive about noises. It can affect their confidence and demeanor. Watching one’s diet, learning to somehow contain, or outright suppress ostomy noises are alternative measures. Regardless of the solution, if noise is an issue, something must be done. After undergoing the traumatic changes inherent to ostomy surgery, it would be preposterous to let noises threaten one's social life.

“Mysterious” Sounds ….. Stoma Noise Explained (Copied from Edmonton Mail Pouch September 2014) Growling or gas sounds from the stoma are quite normal, but might be embarrassing and distracting in a social or working environment. These uncomfortable noises are usually a result of the following situations:

Intestinal Movements: When you have an urge to eat, the digestive system signals the brain to prepare for food entry and digestion. The process involves release of digestive fluids and movement of the abdominal muscles and intestines. The fluids interact with the air inside the intestines creating sounds. After ingesting, the intestines continue their motion and noise making while digesting the food.

Certain types of foods: Consumption of high fiber and starchy foods increases gas formation. The most common culprits are lactose, sorbitol, raffinose and stachyose. Eating too fast, having your mouth open while eating, and talking while eating causes you to swallow air. The result is grumbling noises, as air makes its way through the digestive tracts. To prevent the formation of gas, choose small frequent meals rather than large ones. Fruit and vegetables snacks are a good idea. Your ostomy will not deprive you from food options, but you will need to consume slowly and chew well.

Certain types of beverages: Nervousness and consumption of beverages like beer, coffee, cola or tea stimulates peristalsis and may produce noticeable ostomy sounds. Gastric movements from these beverages may make symphony like sounds, which in medical terms are denominated borborygmi (singular is borborygmus). Ostomy patients must be cautious with drinks in social outings. If you wish to have some alcohol, try a glass of dry wine like a Cabernet Sauvignon.

Hypoactive and hyperactive noises: There can be hypoactive and hyperactive noises. Quite normal while you sleep, the hypoactive noises indicate slowness in intestinal activities. These noises are not usually loud or intense. They are common after

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Page 11 Regina Ostomy News May/June 2016

4130 Albert St

Landmark location

• Carries extensive line of Convatec Ostomy Supplies

• Free Delivery and Mail Orders

• Convenient Hours

Open 24 Hours

777-8040

WE HAVE MOVED!

The national office of Ostomy Canada Society Inc.

Now located at:

OSTOMY CANADA SOCIETY

Suite 210

5800 Ambler Drive

Mississauga, ON L4W 4J4

e-mail: [email protected] Toll-free telephone number:

1-888-969-9698

Web site URL: http://www.ostomycanada.ca/

Ostomy Canada Society is a non-profit volunteer organization dedicated to all people with an ostomy, and their families, helping them to live life to the fullest through support, education, collaboration and advocacy.

RESTORING INTIMACY Frequently, among the first things to enter a recovering patient’s mind after major surgery is, “Will I be a whole person in the eyes of my spouse?” Accepting oneself is the first step toward a happier marriage and sex life, at any time for that matter. By

accepting one’s self, one appears as an emotionally well balanced and relaxed person, appealing to his or her spouse. When one has fear of rejection, fear of being unable to perform, fear of being unloved, the fears can be self-fulfilling. A healthy mutual, emotional caring for and about each other’s well being always plays the most important role in a loving relationship. Another most important ingredient is openness, a comfortable attitude that accompanies self-acceptance and invites acceptance by the spouse. If you are concerned about how your spouse will react to change in your body that is normal. The hardest part is accepting what you cannot change, but you must for a healthy outlook. Once you manage to banish fear of rejection and the anger of “Why me?”, you can work toward building emotional health and toward becoming comfortable with your new image. Your spouse may have greater emotional hang-ups than you that may be magnified by concerns for your emotional health. Your own positive attitude goes far in rebuilding the relationship, rekindling the “old spark”. Credit: Northern Pouchvine, Oct 2015 via Evansville Indiana Chapter Via: The New Outlook & GB News Review

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Regina Ostomy News

PRODUCTS MENTIONED IN THIS NEWSLETTER ARE NOT NECESSARILY ENDORSED BY THE

REGINA OSTOMY CHAPTER. SEE YOUR DOCTOR FIRST BEFORE TAKING ANY OF THEM!

VISITING SERVICES

We provide lay visiting service, at the request of the physician, patient or enterostomal therapist, either pre-operative or post-operative or both. The visitor is chosen according to the patient’s age, gender, and type of surgery. A visit may be arranged by calling the Visiting Program at the Enterostomal Therapy Services department at 306-766-2271.

May/June 2016

Charitable Registration No. 119114213RR0001

Regina Ostomy Chapter Membership Application

MEMBERSHIP The membership fee is $30 annually, which includes a subscription to our local newsletter which is published 5 times a year plus a subscription to Ostomy Canada, a UOA of Canada Inc. publication

Please Print *Name:

*Address:

*City/Prov/Postal Code:

*Phone Number:

*E-Mail (preferred, to save on mailing costs)

Membership Information

Colostomy Ileostomy Urostomy

Other

Supporter

Age: Under 18 18—40 41—59 60 +

New Member Membership Renewal

Address Change

A charitable tax receipt will be issued for all additional contributions of $20.00 or more *Please write on the back if needed*

Please make cheques payable to: Regina Ostomy Chapter and mail with this form to: UOAC Regina Chapter 6123 Brunskill Place Regina, SK S4T 7W7

HOSPITAL VISITS

March - 1 Colostomy; 1 Ileostomy; 1 Urostomy

April - 1 Colostomy; 2 Ileostomy

Moving? Questions? Need Information?

Regina Ostomy Chapter

6123 Brunskill Place

Regina, Sk S4T 7W7

(306) 761-0221 or [email protected]

Bequests & Donations We are a non-profit association and welcome bequests, donations and gifts. Acknowlegement cards are sent to next-of-kine when memorial donations are received. Donations should be made payable to UOAC Regina Chapter at address listed on this page and tax receipts will be forwarded.