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Caring for a Child with an Ostomy Even though it’s often a lifesaving procedure, it’s still difficult to watch your little one undergo ostomy surgery. But the hardest part for many parents is feeling fearful or anxious about their child’s needs after surgery. We’re here to help.
We’re here to help. With the right support—and a little patience and practice—you’ll soon feel comfortable caring for your child’s colostomy, ileostomy or urostomy needs. And we encourage you to ask your paediatric specialist or child’s ostomy nurse any specific medical questions or concerns.
A video thumbnail about Bella's inspiring journey with an ostomy since infancy, embracing life joyfully despite challenges. ;

Bella was born with Long Segment Hirschsprungs and has had an ostomy since she was 3 days old. Almost eight years later, Bella’s ostomy does not stop her from having fun! From swimming to teaching her friends about her "pouchy", Bella is living life to the fullest. 

Common Questions About Your Child's Stoma

This information was developed with the assistance of Sandy Quigley, CWOCN, CPNP, a pediatric nurse practitioner and clinical specialist in wound, ostomy and continence care at Boston’s Children Hospital.

Look for these characteristics:1

Red, moist, and soft to the touch, like the inside of your mouth
Round or oval in shape
Flat or raised up on the abdominal surface

A stoma is created from tissue that is much like the lining inside your cheek. The stoma has a good blood supply, and it is not uncommon for it to bleed slightly when it is cleaned during pouch changes.

Certain foods may change the color of stool. For example, red gelatin or beets may give stool a bright red color that looks like blood, but is harmless. However, if you are ever uncomfortable with the color of your child's stool, call the doctor.2,1,3

If you see these abnormalities in your child's stoma, contact his or her healthcare provider immediately: 1

The color of the stoma becomes very dark or very pale
There is blood in your child's stool, or blood is flowing from the stoma

Follow Bella on her social channels

Bella

Entrepreneur, Medical mom/content creator

Bella, an Entrepreneur and medical mom/content creator. ;

1. Ostomy: adapting to life after colostomy, ileostomy or urostomy. Mayo Clinic website. Accessed April 16, 2024. http://www.mayoclinic.org/diseases-conditions/colon-cancer/in-depth/ostomy/art-20045825
2. Colostomy: Department of surgery: SUNY Upstate Medical University. Department of Surgery | Colon & Rectal Surgery. 1988-2024. Accessed February 27, 2024. https://www.upstate.edu/surgery/healthcare/colorectal/colostomy.php.
3. Healthwise Staff. Living with an ostomy. UPMC Life Changing Medicine . July 26, 2023. Accessed December 4, 2023. https://www.upmc.com/health-library/article?hwid=ug2186
4. United Ostomy Associations of America, Inc. (UOAA). LIVING WITH AN ILEOSTOMY. Published online 2022. Accessed January 17, 2024. https://www.ostomy.org/wp-content/uploads/2022/10/UOAA_Living_with_an_Ileostomy_Guide-2022-10.pdf.
5. Hoeflok, J. Stoma shape. GI Society | Canadian Society of Intestinal Research . 2024. Accessed February 27, 2024. https://badgut.org/information-centre/ostomies/stoma-shape/#:~:text=Changes%20to%20the%20size%20and%20shape%20of%20a%20new%20stoma,about%206%20weeks%20after%20surgery.
6. How to change, empty and conceal an ostomy bag. UChicago Medicine | How to Use an Ostomy Bag and Pouching System. 2024. Accessed February 27, 2024. https://www.uchicagomedicine.org/conditions-services/colon-rectal-surgery/ostomy/guide-to-pouching-systems/how-to-use-a-pouching-system#:~:text=To%20prevent%20the%20pouch%20from,in%20a%2024%2Dhour%20period.
7. Laparoscopic total colectomy and Ileoanal Pullthrough Program: Ostomy Diet Guidelines. Boston Children’s Hospital. 2005 - 2024. Accessed February 27, 2024. https://www.childrenshospital.org/programs/laparoscopic-total-colectomy-and-ileoanal-pullthrough-program/your-visit/home-care/ostomy#:~:text=Your%20child%20may%20develop%20a,foods%20well%20to%20avoid%20blockages.

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