Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

122 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest remedy for clogging on distal stoma

Answered by
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3191 Questions

Posted on Wed, 13 Aug 2014 in General Health
Question: I have an ileostomy and wear a bag. The ostomy has an entry and exit hole (it was originally meant to be only temporary, but I have had it for nine years). Every so often, effluent will enter the exit hole and collect in what is left of my colon and rectum and I will have to 'go' the normal way (I also have a j-pouch). Over time, a mucus plug has developed down there that I cannot get out. I have felt the plug, but am unable to get it broken up or out. What can I do to soften it enough so that it will pass through?
Answered by Dr. Deepak Kishore Kaltari 4 hours later
Brief Answer:
Distal stoma wash

Detailed Answer:
Welcome to Healthcare-Magic
Greetings of the day

The site from which the stools come out is the proximal and the other opening is distal stoma. It's quite common for some quantity of stools to spill over to distal stoma. Also due to secretion of mucous down the distal stoma loop there is accumulation of mucous.
I would suggest you the following
1. Distal stoma wash : Using a catheter inserted in the distal loop. Wash using 500 ml of Normal Saline with few drops of Sodium bicarbonate added . Twice a day wash will be helpful
2. Rectal enema : Either retention enema using Normal saline with Soda Bicarbonate added will be helpful.

This can be done in consultation with your physician.
Do get back to me if you need any further assistance, will be glad to assist you.

Take care
Best regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Medical Procedures
Medical Topics

Recent questions on  Sodium bicarbonate

doctor1 MD

hi, i am still having heart papiltations since last Thurday. I was diagnosed with tachycardia in March. What can i do? i tried drinking some baking soda and water a few minutes ago, but I read that baking soda can be dangerous, so I didn't drink all of it. This (heart palp.) is a bit scary for me. I am only 21. I have been drinking a lot of water though. I also took some apple cider approx 3 times today and yesterday. I had alot of dirrhea yesterday (mainly last night). I have been having a bunch of gas trapped inside of me too. I think it's a digestion (indigestion) and dehydration problem. Please help me.

doctor1 MD

Is there any evidence that a daily use of sodium chloride and sodium bicarbonate as a nasal wash has anosmia side effect?

doctor1 MD

Hello Doctor, Hope you are doing well. I am following up on my dad's condition who is suffering from IBS . He was using sporlax and lactulose syrup for past 10 days but there is not much improvement this time. He initially took 10ML of lactulose...

doctor1 MD

I am 42 years old and i have this chest pain for several days. it is painful to drink or eat. I have taken vinigar and water, carbination(soda), baking soda, Gas ex, and the pain still exsist. i keep feeling like i wanna brup but cant like a cramping. no heartburn.

doctor1 MD

my son was stung by a wasp on his index finger and another on his chest. almost 48 hours later his index finger is still red almost purple looking and very swollen and the spot on his chest is red and swollen about the size of a baseball. he says they hurt, but displays no other reactions. I have used Benadryl cream, Epsom salts, vinegar,. and baking soda past so far. the color seemed to lighten slightly on the chest but nothing else improved. should I see a doctor or is this normal. he is 7 and I don t recall him being stung by a wasp only a yellow jacket once but it was much better within 24 hours.

doctor1 MD

What is the best home remedy for acid reflux? I had to stop taking Ranitidine and Omeprazole because I was getting rashes. Thank you

doctor1 MD

My stomach burns and sometimes hurts, I avoid just about every acidic foods. I usually take zanta, lanzap etc. There is always a a bad taste/smell coming from my throat . I gargle with baking soda and hydrogen peroxide but to no avail. It is quite embarrasing. HELP!!!!!