Managing Liquid and Explosive Stool After Taking Cold Medicine with an Ostomy

Question:

My husband has had an ostomy since last year, but recently, after taking cold medicine, his stool has become liquid and explosive. We have to change his pouching system daily, and his skin is red and sore around the ostomy. What can we do?

Answer:

It sounds like your husband may be experiencing side effects from the cold medicine or a potential illness, such as a virus or infection, which could be affecting his stoma output. Here are some steps you can take:

1. Check with a Healthcare Professional

• Consult your husband’s healthcare provider or an NSWOCC (Nurses Specialized in Wound, Ostomy, and Continence Canada) professional immediately to rule out dehydration, an infection, or other complications.

2. Find an NSWOC for Expert Care

• Use this link to locate a certified NSWOC in your area for professional advice and care:
• Find an NSWOC

3. Stay Hydrated

• Liquid stool can quickly lead to dehydration. Encourage your husband to drink electrolyte-replenishing fluids, such as oral rehydration solutions, to maintain proper hydration.

4. Review Medications

• Some cold medications contain ingredients that may upset the stomach or cause diarrhea. Speak with a pharmacist or doctor about alternative options that are less likely to affect his ostomy output.

5. Protect the Skin

• Frequent pouch changes and liquid stool can cause skin irritation around the stoma. To help:
• Use a barrier film or skin protectant specifically designed for ostomy care.
• Ensure a well-fitting pouching system to prevent leaks and further irritation.

6. Adjust Diet to Thicken Stool

• Certain foods can help absorb excess liquid and firm up stool. Consider adding:
• Bananas
• Rice
• Applesauce
• Toast (BRAT diet)
• However, consult with a healthcare provider for personalized dietary recommendations.

7. Assess Pouching System Fit

• Frequent leaks may indicate that the pouching system no longer fits properly. An NSWOCC professional can assess the fit and recommend adjustments or a different system for a better seal.

Additional Resources:

For guidance on assessing and caring for peristomal skin, visit:

Peristomal Skin Assessment Guide

Answered by:

Karen Bruton RN BScN MCISc-WH WOCC(C)
Nurse Education Consultant – Interprofessional Practice Support
Indigenous Services Canada, Government of Canada
Ostomy Canada (Volunteer)
Medical and Lifestyle Advisory Team

The post Managing Liquid and Explosive Stool After Taking Cold Medicine with an Ostomy first appeared on Ostomy Canada Society.