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given. Before acting on suggestions from anyone, ostomates are advised to check with a doctor or stoma care nurse that the course of action is suitable
for them. Whilst every care is taken, the author will not be held responsible.
Ileal means that it is related to the ileum, the lowest end of the small intestine.
An ileal conduit is a way of diverting urine outside of the body, when the urinary bladder has been removed or bypassed. A segment of ileum (small bowel) is used as a conduit (channel) to divert
urine. The urine will pass through this conduit, and out of a stoma in the abdomen. The conduit is not
a reservoir for urine.
An ileal conduit is often referred to as a urostomy.
See Ileal Conduit.
See Ileoanal Reservoir.
ILEAL POUCH ANAL ANASTOMOSIS
See Ileoanal Reservoir.
See Crohn’s Disease.
Ileoanal relates to the joining of the small bowel to the sphincter at the anus.
See Ileoanal Reservoir.
An ileoanal reservoir is an alternative to a permanent ileostomy. Technically, it is not an ostomy, since there is no stoma. In this procedure, the colon and most of the rectum are surgically removed, and an internal pouch is formed out of the terminal portion of the ileum in order to provide some storage area for stool. An opening at the bottom of this pouch is attached to the anus in order to restore the continuity of the bowel function. The muscle of the rectum is left in place, so the stool in the pouch does not leak out of the anus.
The operation may be completed in two stages. People, who have this surgery, are able to control their bowel movements, and it is not necessary for them to wear an appliance.
Once the surgery is complete, it is important that the pouch remains free of waste materials for a few weeks so that it can heal. To facilitate healing in the post-
An ileoanal reservoir is also called ileoanal anastomosis, ileoanal pull-
Depending on how the ileum is looped before it is cut, folded and stitched to make the pouch, the reservoir may also be called a J-
An ileocecal valve is a valve, which connects the lower part of the small intestine and the upper part of the large intestine (ileum and caecum). The valve controls the flow of fluid in the intestines and prevents back flow.
Ileocolitis is irritation of the lower part of the small intestine (ileum) and colon.
Ileorectal anastomosis is a surgical procedure in which the colon is removed, and the ileum is attached directly to the rectum. Sometimes, this operation is carried out as a treatment for ulcerative colitis.
An ileostomy is a surgically-
The output or consistency will vary depending on the location of the stoma within the small bowel. An external stoma appliance is used to collect waste products.
The stoma does not possess any nerve endings. Therefore any trauma to the stoma will be painless,
but it could be harmful, e.g. injury from an ill-
An ileostomy may stop functioning due to a blockage caused by adhesions or undigested food. The patient may experience abdominal pain, distension, nausea and vomiting. There will be minimal or no output from the stoma.
Management will include fluids only, relaxation and abdominal massage. A food blockage will in most cases resolve spontaneously, but if symptoms persist the stoma patient may require admission to hospital for conservative or surgical treatment.
An ileostomy enema is small bowel irrigation of the stoma with water.
An ileostomy generally begins to function within the first 48-
An ileostomy will function intermittently throughout the day.
The effluent from an ileostomy contains enzymes, and if in contact with the peristomal skin, excoriation and soreness will occur.
An ileostomy pouch can be either open-
Ileostomy supplies are products used by stoma patients, who have an ileostomy.
The ileum is the lowest part of the small intestine, where the small and large intestines connect.
An imperforate anus is a birth defect, where the rectum is not connected to the anus. As a result, the bowel has no outlet from the body.
An incision is a cut made in the skin during a surgical procedure.
Incontinence is the inability to control the passage of urine or stool (faeces).
See Bowel Incontinence.
See Urinary Incontinence.
See Continent Urostomy.
Indigestion is discomfort or pain in the digestive system. It differs from person to person, and is
related to diet, physical and psychological circumstances. It is also called heartburn.
An infection is classed as an invasion of the body by various agents (e.g. bacteria, fungus, protozoa, viruses, worms), and the body’s reaction to them or their toxins. Infections are sub clinical until they affect a patient’s health, when they then become infectious diseases or conditions.
Infection can be local (e.g. an abscess), confined to one body system (e.g. pneumonia in the lungs), or generalized (e.g. septicaemia). Infectious agents can enter the body by inhalation, via the gastrointestinal tract, or wound contamination.
The body responds with a rise in leukocytes, production of antibodies or antitoxins, and often a rise in temperature.
See Parastomal Infection.
Inflammation is the body's reaction to infection, irritation or other injury. The symptoms include redness, warmth, swelling, pain and impaired function.
INFLAMMATORY BOWEL DISEASE
Inflammatory Bowel Disease is a long-
Inflammatory bowel disease is not another acronym for irritable bowel syndrome, and should not be confused as such.
Intermittent catheterisation is a technique, which is used by people, who are unable to empty their bladder, or with urinary incontinence, so that they can empty the bladder at regular intervals, by inserting a catheter into the bladder, either via the urethra or continent diversion.
An internal pouch is any form of surgically-
Interstitial cystitis is an inflammatory condition of the bladder, leading to significant pelvic pain and frequency of urination, where no infection is found.
Intestinal flora is the bacteria, yeasts and fungi, which grow normally in the intestines.
Intestinal mucosa is the surface lining of the intestines, where the cells absorb nutrients.
An intravenous pyelogram is a special x-
Irrigation is a method of management for colostomates only. A prescribed volume of water is instilled through the stoma to flush out stool from the colon, and to provide some regulation over bowel movements. This requires a special irrigation system, consisting of an irrigation bag with a connecting tube (or catheter), a stoma cone and an irrigation sleeve. Sometimes, a special lubricant is used on the stoma in preparation for irrigation.
The procedure offers a stoma patient an alternative to wearing a colostomy pouch on a regular basis. The user can then wear a specially-
Irrigation is not an option for every stoma patient, as some medical conditions or types of stoma, mean that this process is unsuitable. If a stoma patient is interested in irrigating and wants to learn more, it is very important to consult a stoma care nurse prior to irrigating.
IRRITABLE BOWEL SYNDROME
Irritable Bowel Syndrome is a functional bowel disorder of the gastrointestinal (GI) tract. Nerves, which control the muscles in the GI tract, are too active. The GI tract becomes sensitive to food, stool, gas and stress. This causes recurrent abdominal pain, discomfort, bloating and is accompanied by alterations in bowel function, diarrhoea, constipation or a combination of both, typically over months or years.
It is also called spastic colon or mucous colitis.
Irritable bowel syndrome is not another acronym for inflammatory bowel disease, and should not be confused as such.
An irritation is any inflammation or soreness. In ostomy care, it usually refers to the skin. A skin irritation may be seen as skin that is reddened, open, and/or moist.
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