Question

A patient has a loop colostomy. The patient complains that the distal stoma looks like it is secreting mucus. What is your best response?.

Answer 1

The distal stoma may secrete mucus and that would be normal.This will be best response.

What is a  colostomy?

• A stoma in the big bowel (colon) through the abdomen is created during a colostomy, a surgical surgery.

• Surgery stomas, also known as colostomies, ileostomies, or urostomies, are openings created in hollow organs (such as the colon) to link them to the outside.
• It is typically carried out following surgery or an injury to open a passageway for the removal of bowel waste from the stoma (opening) on the abdomen.
• Depending on the rationale for the procedure, a colostomy may be temporary or permanent; for instance, certain infections or accidents may call for temporarily disconnecting the colon before reconnecting it.
• For a chronic or irreparable condition, such as cancer that necessitates the removal of the rectum or dysfunction of the muscles that regulate bowel emptying or stool evacuation, a permanent colostomy may be necessary.

What is a loop colostomy?

• A loop of your colon is pulled out through a cut in your abdomen during a loop colostomy. A stoma, or opening, is created by opening the loop and stitching it to your skin.

• The stoma features two close-together holes. One is attached to the portion of your colon that is active and where waste exits your body following surgery.

• Your anus is reached through the opposite entrance, which is connected to the inactive portion of your bowel.

• While the loop of the colon heals, a support device (a rod or bridge) may occasionally be needed to maintain the loop in place. Usually, it is taken off after a few days.

“The full question is-

A-The distal stoma may secrete mucus and that would be normal.

B.  "The distal stoma of a loop colostomy is the functional end that excretes

urine and requires more frequent changing of the pouch."

B-The distal stoma of a loop colostomy is the functional end that excretes urine and requires more frequent changing of the pouch.

C-The proximal stoma secrets mucus but otherwise is considered as non-functional. The output from the distal stoma is called effluent.

D-Let me take look at your pouch of the distal stoma perhaps it is leaking.”

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