Colostomy Day – Superstoma: Laura’s Story

This ostomy day, to help increase awareness and understanding of living with an ostomy, Laura, a young woman with experience of both an Ileostomy and (later) a Colostomy, shares her inspirational story…

In 2009, at 29 years old, I was diagnosed with severe endometriosis after my bowel closed in four places.  In December, I had to have a loop ileostomy created after a low anterior bowel section.  My ileostomy was meant to be for two to three months.  Seven years later, in 2016, my loop ileostomy was converted into a permanent colostomy.  Most people I have spoken to, including the medical profession, struggle to understand that I have a colostomy for this reason.  Most people tend to have theirs due to colitis, crohns or bowel cancer.  I guess there are many people who have stomas for all sorts of reasons.

My experience with both is mainly positive.  I view my surgery and my stoma as something which has saved my life.  Would anyone choose to have one?  Probably not but this view will be based on a stigma which still exists about ‘bags’.  Although not totally problem free, my stomas have allowed me to have my life back.  I am no longer worried about where the next toilet is, what I am eating and how it may affect me.  The knock-on effect before my surgery was immense.  I was worried about long day trips without access to a toilet, my bowels at the time of my period was almost unbearable and it affected both my social life and personal relationships as well.  So, in many aspects, I could argue that having a stoma has improved the quality of my life.  Yes, I have to do things a bit differently now but it’s my new ‘normal’.  It is amazing how quickly things become ‘normal’.

My journey hasn’t been without its trials.  The surgeries have been tough and the two major ones have been quite eventful.  My body doesn’t react on the way that it should and there have been several minor and serious complications.  Time is a great healer and slowly my memories of the difficult times are disappearing.  I developed a recto-vaginal fistula which prevented me having my ileostomy reversed.  After several surgeries to try and fix this, we decided on a final major surgery in 2016 to try and address it.  However, the surgery wasn’t easy and I woke up with a permanent colostomy and you know what?  I was okay with it.  I have always been petrified of a reversal and the inability to control my bowels as well as the frequency of which I would have to go to the toilet.  I also developed a parastomal hernia which I found upsetting as it affected my confidence.  Thankfully, it has been addressed now and hopefully I won’t get another one, although I know that I am at high risk of this.  I still have some issues that I deal with on a daily basis but I try to tackle things in a positive way, when I can. Again, these side effects are my new ‘normal’.

I will now have a colostomy for life.  I have eight years experience of a stoma now although only a year with my colostomy so I am a relative newbie when it comes to that.  Although I have learned a lot, I also have a lot still to learn.  My stoma and I are well.  I am fortunate enough that having a colostomy which has improved the quality of my life.  I have a full-time job which is demanding but my new plumbing doesn’t affect me too much.  Yes, I have had the odd leak and had to deal with this but no more than anyone who may have to dash to the toilet with a funny tummy.  I do worry about some issues like pancaking and smells when I’m at work.  In some ways, I can also hold off going to the toilet until I can make it.

My life is ‘normal’ or as normal as anyone’s life is!  I socialise, swim and exercise.  I can be self-conscious if I am in a changing room or with people I don’t know but I am gaining more and more confidence every day.  Sometimes my confidence is knocked but I try and get on with it all again.  At the moment, I still worry about airport security and body scanners although I have been through a few times now and staff have been sensitive and understanding.  I have recently had some negative comments about using a disabled toilet.  I am hoping to start commenting back on this one – not all disabilities are visible and sometimes I need to use the disabled toilet and I am entitled to.  I would never be rude but I would like to have a phrase ready that gets my point across and empowers me.  A comment was made to me only two weeks ago at the airport and I was surprised at how much it upset me.  I won’t allow it to again though.  However, on the same trip, I saw a man sunbathing on the beach with his bag on display.  I find this very empowering and motivating so I am gaining in confidence every day.

Due to the nature of my job, I keep my stoma personal.  I’m not embarrassed by it at all as it saved my life and is now a part of me, but I wouldn’t want my wider work community knowing.  Others don’t talk about their toilet habits so why should I.  This does annoy me a bit as I would like to be a part of trying to remove the stigma of having a ‘bag’.  The way I see it, I have some more control over my bowel movement as well as being a survivor, for want of a better phrase.  A friend has recently being diagnosed with bowel cancer and had a colostomy created.  I am finding the opportunity to discuss my stoma with someone else is not only helpful for her (so she has said) but also quite cathartic.  I like having a positive impact on someone else’s life and helping them with lots of tips and hints which I have gathered over the eight years.  I have been trained as a visitor although never been used and I plan to approach my stoma nurse soon about offering to talk to people who are about to embark on surgery to listen to their concerns and try and show them that they can live a normal life.  I know that things may change in the future and that I may have other issues to deal with in relation to my stoma, but I will address and try to overcome them when they happen.

Laura, Glasgow

For more information about Colostomy day and living with a Stoma, check out Colostomy UK –  #Superstoma, and the Ileostomy Association (IA). For links about other types of stomas, check out our links page.

If you would like to define what your ostomy means to you, check out our Lived Library, click on your ostomy type and tell us your experience.

Inspiration

These are some of the inspirational individuals, who as well as putting themselves and their experiences with medical accessories out there, have found creative ways to push pass stigma and challenge ideas about disability, illness and body confidence to name a few. We hope they inspire you too.

Bedeleven

A blog about stomas, fistulas, TPN, intestinal failure and living life. Hayley charts her experience of undergoing a multitude of surgeries, the challenges of living with multiple medical appliances and treatments, and the search for diagnosis. Hayley’s experiences are shared with humour. She has gone on to work in the health service.

Hannahwritesablog

Hannah is a poet who blogs about the health challenges she faces, through living with multiple health conditions, including intestinal failure and life with a feeding tube. There is lots to be found on her site above. An article by Hannah about writing from experience, featuring some of her poems can also be found here. In it Hannah discusses how her poetry helps her in processing sometimes traumatic health events, and enables others to get a sense of her experience, including challenging misconceptions about artificial feeding and being unable to eat.

Lucy’s Light

Lucy is an amazing health advocate who works tirelessly to spread awareness. Alongside her other projects, Lucy writes a blog about issues relating to chronic and life limiting illness, disability, different conditions, healthcare and hospice and palliative care. Including info about living with multiple ostomies and a central (Hickman) line. Here Lucy challenges societal conceptualisations of beauty and the way in which disability is perceived. The article challenges shame and celebrates what our bodies have endured.

Stomainateacup

Shelley is brilliant health advocate and determined campaigner, involved in many health projects. Shell blogs about multiple health conditions and issues, including life with an ostomy. Here Shell shares her awesome group swim, for Colostomy and World Ostomy day. She discusses using difference to make a difference, through raising awareness and challenging misinformation.

 

Disclaimer: MAST takes no responsibility for the content of external sites. Inclusion here does not signify endorsement.

What Lies Beneath Campaign

We are launching our What Lies Beneath campaign to increase awareness about the medical accessories people live with and care for day to day. It is allied to the Not All Disabilities Are Visible movement associated with multiple charities and individuals.

We’ve put together a double sided information card to promote awareness about the existence of hidden  medical accessories, as well as basic information about the different medical appliances and devices, that people may have. Its handy business card size, means single or multiple cards can be carried around in a bag or wallet and used if and when an occasion arises. We’ve also produced an A4 poster with the same information, for places where a static sheet or leaflet would be useful. Both can be downloaded by clicking on the relevant PDF below.

The card and leaflet are particularly aimed at those situations where those of us with hidden accessories can be negatively appraised, challenged or simply misunderstood. Using disabled facilities is a frequent context where this can occur, but there are also many other times when greater understanding and awareness would be helpful. It can be difficult in the moment to know what to say. Sometimes it is just a shake of the head and disapproving look we receive. Those with medical accessories should not have to feel they need give personal information to explain themselves, unless they want to. The recipient will not know which medical appliance / device you have. The card quietly asks others to reappraise the situation, while you go on your way. The front side of the card can also be used alone if preferred. We hope that the recipients understanding will then be carried forward to future situations.

As usual we would like to hear from you, so please contact us if you would like to give feedback about your use of the card.

WhatLiesBeneathCard

WhatLiesBeneathPoster

Decoration

ivpole

Living with a medical accessory means undergoing changes to the body we are used to living in. It can affect not only the way we see ourselves, but also our perception of how we are seen by others. Whether these changes are welcome, whether or not they are planned, they invoke a process whereby the individual adapts to the new way they look. The way in which each person comes to terms with and goes about living with their accessory is an individual choice.

At MAST we believe it’s important to know options that are out there.

gcatFor some people, in addition to choosing the right medical appliances, accessorising in some way can help bring them a sense of ownership, personalisation, incorporation, reclaimation, humour, individuality, beauty, or style, (to name but a few), to their body and accessory. The links and features here explore how others have done this, including those who offer a service to make accessories for other ostomates and tubies.

As usual if you have a way to decorate your medical devices that you would like to share, we want to hear from you. Get in touch here.

Securing IV or Enteral Tubing / Giving Sets

Living with a Central Intravenous Line (CVC), stoma that has a tube for feeding / venting, or a naso-tube, can mean dealing with considerable lengths of tubing. This is particularly the case when the appliance is in use with extension sets running to a metre or so. Even when disconnected, it is not unusual to have approximately 30cm of tubing just hanging around on a chest, abdomen or face! Regardless of mobility and activity level, these things – though greatly beneficial to our health – aren’t always practical. They can get caught, tangled or pulled, get in the way of personal care and get dirty.

There are lots of securement devices around. It’s worth doing some investigating, as it may take some time to find what works best for your own set up. Especially if you have more than one accessory to deal with, you may find you need to get creative with it. Don’t be afraid to look further afield if you need too; you may find the product that works for you was initially developed for a different type. Ask your specialist nurse what might help you.

Below are a couple of basic approaches that can help to secure extra tubing in a simple way, should you want something less clinical. Please note they are not intended for the CVC, ostomy or catheter site itself, which should be secured using medical products as you have been advised by your team.

If you need to secure it to the skin, then simple plasters can work well. img_20151123_150200Just line it up so the pad is over the tubing and stick either side as normal. It will allow a small amount of give, so that the tubing can move with your movement. img_20151217_023930-2The plasters that work best for this are ones where the pad covers the whole of the centre of the plaster. Other than that, you can choose whatever you like, from plain colours, to patterns, characters, words and sayings.

img_20170126_011816If you’re having trouble with lengths of tubing externally then a simple clasp with a piece of ribbon or material, will achieve the same effect; securing it while still allowing a little natural movement. There is no sewing involved, just cut the ribbon or material to size. Push it through the clasp, and put a piece of stick on Velcro on the ends so you can bring them together.img_20170126_012700 The clasp will clip to your clothing and then you can place the IV or enteral line between the material and close. It can be removed quickly and easily as necessary. Again, you can choose whatever material or ribbon that suits you.

 

Accessorising a Stoma Pouch

The number one priority for ostomy pouches is clearly their functionality, but once a reliable set up is in place, they can be decorated to reflect your own personal style and needs. It can also help out those of us using clear pouches, for those times when we would prefer and feel more comfortable to have the output covered up. Pouch covers are a great way to achieve this. They can be slipped on and off and washed as needed. You don’t even have to have any sewing skills, as the more proficient ostomists among us make them for all!

stomacoverswithcopy-2

Shelley Davey is one such lovely lady, an ostomist herself she has designed a range of pouch covers (pictured). Stomacovers has options available for different ostomies; ileostomy, colostomy, urostomy and gastrostomy, using a wide range of templates. Custom orders can also be arranged if you have specific requirements. There are a range of different designs to choose from, you can check them out here (opens new window).

 

Using Tubie Pads

These pads are great for stomas that have a tube or low profile (button) device in situ. They sit around the stoma (with a opening for the device) and clip in place. They have the practical purpose of absorbing leakage from the stoma site, helping it keep dry and protecting the skin from gastric / intestinal effluent which can cause granulation. They also protect the stoma, providing a cushion. Materials vary, but they are usually very soft and have multiple layers, given them better absorbency than gauze pads.

groovypadsIn addition to their practically purpose, they come in a huge variety of different designs, colours and even shapes. Making it another great way of personalising your stoma. Once again, you don’t need sewing skills of your own as folks in the tubie community sell them online. GroovyTubies hand-make a range of tubie pads (pictured) here in the UK. They even make glow in the dark pads! Different types of backing material are available. You can find them here (opens new window).