Physical Effects: Understanding Stomas
Bowel cancer treatment may require an opening on the abdomen to divert waste. This can be temporary or permanent.
Colostomy
The colon (large intestine) is diverted to an abdominal opening.
The colon (large intestine) is diverted to an abdominal opening.
Ileostomy
The ileum (small intestine) is diverted to an abdominal opening.
The ileum (small intestine) is diverted to an abdominal opening.
Stoma
The actual name for the physical opening on the abdominal wall.
The actual name for the physical opening on the abdominal wall.
Body Image & Relationships
It is entirely normal to worry about your appearance or how a partner might react. Here is what you should know:
- Discreet Design: Modern stoma bags are designed to be invisible under clothing and are odor-proof.
- Open Communication: Talking openly with loved ones often helps fears of rejection disappear.
- Expert Support: Stoma nurses are available to help with both the physical and emotional transition.
Managing Rectal Discharge
Even with a stoma, you may experience clear/white mucus discharge from the back passage. This is normal bowel lining. Note: If the discharge is green, bloody, or smells, contact your nurse immediately as it may indicate an infection.
Practical Management Tips
| Concern | Advice & Solutions |
|---|---|
| Odor Control | Ensure a perfect fit. Use bags with charcoal filters or anti-odor liquid drops. |
| Diet & Digestion | Introduce one new food at a time. Chew well. Be cautious with nuts, mushrooms, and tough fruit skins. |
| Skin Care | Use barrier creams for soreness. (Check with your team first if having radiotherapy). |
Side Effects of Radiotherapy
Radiotherapy affects everyone differently. It targets cancer cells but can impact healthy nearby tissue.
Short-Term (During Treatment)
- Fatigue: Often due to the body repairing healthy cells.
- Skin Changes: Redness, itching, or dryness in the treated area.
- Localized Hair Loss: Only in the area being treated.
Possible Long-Term Effects
- Changes in bowel or bladder habits.
- Infertility or low sex drive.
- Erection problems (impotence).
- Permanent skin color changes in the treated area.
