When should a new bulge around the stoma be checked?
A new or enlarging bulge may have several causes, including a possible parastomal hernia, and should be assessed rather than managed only by buying a firmer support garment.
When does the surrounding skin need attention?
Persistent soreness, broken skin, bleeding, weeping or repeated irritation deserves review, especially if the pouch seal is repeatedly failing.
What changes in the stoma itself should be checked?
Seek advice for a marked change in size, shape or colour, persistent bleeding beyond minor surface spotting, or new pain around the stoma.
What about changes in output?
A significant change in output can be important, particularly if there is very little or no output together with pain, vomiting or abdominal swelling.
When is pouch leakage more than a garment issue?
Repeated leakage may indicate that the pouching system no longer fits well because of body-shape, skin or stoma changes. A stoma care nurse can review the fit.
Who should you contact?
A stoma care nurse is often the best first point of contact for fit, skin and support issues. Depending on the symptoms, a GP, surgical team or urgent care service may also be appropriate.
Important: Seek prompt medical assessment for severe abdominal pain, vomiting, rapidly increasing swelling, a markedly dark or discoloured stoma, or little or no stoma output with worsening symptoms.
