What is high stoma output?

A high-output stoma (HOS) or fistula is when small bowel output causes water, sodium and often magnesium depletion. This tends to occur when the output is >1.5 -2.0 L/24 hours though varies according to the amount of food/drink taken orally. An HOS occurs in up to 31% of small bowel stomas.

Is a high output stoma a complication?

High output ileostomies are important complications of stoma formation following bowel surgery. Adequate management of such stomas might prevent severe morbidity and mortality when this potentially fatal complication develops.

How do you control high output stoma?

You may be prescribed medications like loperamide or codeine phosphate to reduce your stoma output and these are best taken 30-60 minutes before food. You may also be prescribed anti- secretory medication such as omeprazole or ranitidine to reduce the amount of acid produced by your stomach.

What does high output ileostomy mean?

What is a high output ostomy? A high output ostomy is when you have more than 2 litres (8 cups) of fluid from your ostomy in a 24 hour period. The output is usually very watery and needs to be emptied 8 to 10 times or more a day. The output may also be very difficult to pouch and often leaks.

What causes high output stoma?

3.2 Potential causes of a high output stoma must be considered and treated as appropriate. Sepsis, sub-acute obstruction, steroid withdrawal (following surgery for inflammatory bowel) and clostridium difficile infection can all cause a high stoma output and should be excluded as the cause (Baker et al, 2010).

How much is a high output stoma?

A high output stoma is a stoma which passes more than 1 to 1.5 litres in 24 hours.

What is the normal output of a colostomy?

The average daily output of an ileostomy is about 500 ml per day, but may be up to 1,000-1,500 mls in a day. The average daily output of a colostomy is about 500 ml per day, with a range of about 200-700ml. You should learn to monitor the amount and consistency of your bowel movements.

Why is my stoma overactive?

When part of the bowel has been removed or is not working correctly your gut cannot properly absorb nutrients, electrolytes (salts), fluid and your body’s own secretions. They pass through the bowel quickly; this produces the high output from your stoma.

Is Dioralyte hypertonic?

Double strength Dioralyte (i.e. 2 sachets dissolved in 200mls) is the hypertonic fluid of choice at Hull University Teaching Hospitals NHS Trust. However due to the potassium content it should be used cautiously in patients with renal impairment and avoided in those with hyperkalaemia.

What foods cause high stoma output?

Certain foods may make your stoma output more liquid especially if eaten in large quantities e.g. fibrous foods (wholemeal bread, wholegrain cereals, pulses, leafy green vegetables, raw vegetables, sweet corn, fruits and nuts), spicy foods, alcohol, drinks containing caffeine (e.g. coffee, tea, cola), fruit juices and …

What is a loop stoma?

In a loop colostomy, a loop of colon is pulled out through a cut in your tummy. The loop is opened up and stitched to your skin to form an opening called a stoma. The stoma has 2 openings that are close together. One is connected to the functioning part of your bowel, where waste leaves your body after the operation.

What is the normal expected output for a ileostomy?

Average ileostomy output ranges from 800 – 1,200 milliliters (mL) or 3 – 5 cups per day. Right after surgery, output may be watery. During the first few weeks after surgery the output should thicken to the consistency of applesauce. It is normal to empty your ileostomy bag 6-8 times per day when it is half full.

What to know about high output stomas?

The development of a high-output stoma (HOS) is associated with water, electrolyte and nutritional complications. Prompt, careful assessment and management is required to avoid rapid clinical deterioration in this patient population.

What foods can you eat with a high output stoma?

Managing your high output stoma: drinks Restrict ‘ordinary drinks’ to one litre per 24 hours l‘Ordinary drinks’ include water, squash, tea, coffee, hot chocolate, milk, fruit juice, fizzy drinks and nutritional supplement drinks.

What happens when you have a high output ostomy?

When you have a high output ostomy, your ability to absorb fluids is reduced. Drinking too much fluid can increase the output from your ostomy and cause you to become dehydrated. This may be opposite to what you might expect. To help you absorb fluids: • limit the amount of fluids you drink. • change the types of fluids you are used to drinking.

When does an early Ho occur in a stoma?

An early HOS was defined as occurring in hospital within 3 weeks of stoma formation and a late HOS was defined as occurring after discharge. Results: Six-hundred and eighty seven stomas were fashioned (456 ileostomy/jejunostomy and 231 colostomy). An early HOS occurred in 75 (16%) ileostomies/jejunostomies.