Colostomy Bag Care - How To Prevent Colostomy Bag 'Ballooning'

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By AloBeDa

Colostomy Bag. Ballooning Illustration
Colostomy Bag. Ballooning Illustration
Source: Coloplast

Ostomy bag ballooning is one of the few but surmountable problems you will encounter occasionally if you don’t take note of what you ingest. It is a condition that every colostomy patient must learn to cope with, manage, and accept as something that occurs in the daily life of ostomites.

As you get more and more used to wearing an appliance and take your colostomy bag care seriously, controlling and managing incidences such as bag ballooning becomes much easier to control and will soon become 'second nature'.

How Does It Happen?

Colostomy bag problems like ballooning occurs when there is a gradual build-up and accumulation of gas (flatulence) passed out through the stoma into the colostomy pouch, filling it up gradually until it bulges out through clothing like a balloon attached to the abdomen.

What this basically means is that once the stoma lets out air into the bag it fills it up with no means of escape. If this air is not let out through the bags filter or at the base, if a drainable colostomy bag, the stoma may ache slightly from the pressure build-up.

What Causes Colostomy Bag 'Ballooning'?

You get excessive gas build up which leads to a bloated bag if:

  • You swallow air, something that occurs through smoking.
  • You chew tobacco.
  • You chew gum excessively.
  • You munch or chew continuously.
  • You eat rapidly or swallow large pieces of food that hasn’t been chewed.
  • You follow a diet of foods that give you gas.

Foods and DrinksThat Cause Stoma Bag Problems

The following foods will cause gas build-up and will result in frequent bag 'ballooning':

Foods

  • Nuts
  • Cabbages
  • Onions and garlic
  • Cauliflower
  • Asparagus
  • Soy products
  • Beans
  • Cucumbers
  • Radishes
  • Brussels sprouts

Drinks

  • Carbonated and other fizzy drinks
  • Sparkling wines
  • Champagne
  • Dairy products such as milk, cheese or yoghurt

If for any reason, any of these foods and drinks have to be consumed, it is good you take them in moderation or sparingly. If you have to go out to an event, such foods and drinks must not be consumed for at least 24hrs before the outing.

And for those who have to go to work, following a simple colostomy diet is essential, and gas emitting foods or drinks can be left as weekend treats when you stay at home.

An important thing to note is to chew food more carefully and eat more slowly so as not to take unnecessary gulps of air which will cause gas build-up.

Most times when the bag's balloon outs there is no need to change it. All that may be required is 'releasing' the gas build up privately in the toilet or bathroom.

Modern colostomy bags have a small pinhole opening that's linked to a thin disk of charcoal filter. This hole is normally covered with little stoma bag filter covers. These covers can be lifted to expel the air and release the gas. The gas passes through the charcoal filter with odour.

Colostomy Bag Care and Management

If you are living with a colostomy and prefer to wear drain-able bags, you can release gas through the same opening whereby the waste is emptied. This may be a bit tricky, but it’s still easy to do nonetheless.

The only disadvantage of emptying gas from an ostomy bag's ballooning this way is the consuming odour that emanates from it. In this instance, colostomy deodorants which are an essential ostomy product must be readily at hand. Because ostomy deodorants help reduce the offensive odour, it is advisable to always carry around a small canister.

It is pertinent to note that your colostomy bag must never get more than two thirds filled with stool, neither must it become over half filled with gas (flatulence).

Copyright © 2010 AloBeDa. All Rights Reserved.

Comments Are Welcome

cheryl 18 months ago

my patient has gas in the morning and it his bags gets so big it pulls loose....how do i prevent this....i have him on every kind of gas pill known to man....his bag is 1 piece and has the gas release with charcoal, but there is a plastic cover over it so it seems to defeat the purpose to me....HELP

AloBeDa profile image

AloBeDa Hub Author 18 months ago

Hello Cheryl.

It sounds like your patient eats some excessive gas producing foods the evening or night before. If there isn't an underlying medical problem causing the excessive gas, then it may have to do with your patient's diet.

There are some foods that need to be avoided, or, eaten sparingly when one has a colostomy. If foods such as beans, cauliflower,cheese, onions,or even fizzy drinks is consumed regularly and taken to late at night, colostomy bag ballooning will definitely occur in the morning hours.

Suggest to your patient what NOT to eat. Try a change of evening foods for a while and see and note the results.

I hope this helps.

Thanks for the visit.

Goodluck.

chris 12 months ago

I had diarriah before the air adds to the bag and now 4 nights without sleeping. (it is definitely not my diet) i took gas-x but nothing seems to work. suggestions as exhausted

steph 8 months ago

I have a resident that continues to pull off her colostomy bag through out the night... Is there any other kinds of supplies that stick better than others or any trcks to get her to stop pulling it off

AloBeDa profile image

AloBeDa Hub Author 8 months ago

Hello Steph, i can only think of your patient having to wear a sleeper suit that zips opens only at the back, so that getting to the colostomy bag will be a bit more difficult, and the chances of pulling it off will be reduced. You could try the Buck & Buck sleepwear.

I really hope this will help.

Goodluck

karen 6 months ago

I have a 15 month old who has a colostomy bag, and has started pulling her bag off as well. we found that putting a one piece bathing suit on her, (that is a size smaller than she usually wears) under her ZIP UP pjs over night helps alot. her suit is tight to her skin , and there for hard to get a grip on the bag to pull it off.

AloBeDa profile image

AloBeDa Hub Author 6 months ago

Thats a wonderful way to keep her from tugging at the bag. Oh the little darling.

Thanks for the visit and this important tip Karen.

Blessings

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