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Caring for a stoma requires routine maintenance, which includes the regular removal and replacement of a stoma bag. This process helps maintain hygiene, prevent skin irritation, and ensure the effective function of the stoma appliance. Below is a step-by-step guide on how to safely and effectively remove and replace a stoma bag.

Preparation Before Removal

Before removing the stoma bag, it’s essential to gather all the necessary materials. This includes:

• A new stoma bag or base plate (depending on whether you use a one-piece or two-piece system)
• Warm water and soft, non-alcohol-based wipes
• A medical adhesive remover (available on prescription)
• Barrier sprays or wipes (optional)
• A plastic bag for disposal of the used appliance

Additionally, if you are using a drainable pouch and have liquid output, it is advisable to empty the pouch before removal to avoid any leakage during the process. Always remember to wash your hands before starting.

Stoma Bag Removal

To begin the removal process, gently pull down on the removal tab of the stoma bag to loosen the adhesive from the skin. Start at the top of the flange and gradually peel it away from the skin, working slowly and carefully downward. Use one hand to roll back the adhesive and the other to apply gentle pressure to the skin, which helps prevent irritation.

If the adhesive is difficult to remove, you can use a medical adhesive remover to ease the process. This can be sprayed or wiped onto the area where the flange meets the skin. An adhesive remover minimizes the risk of skin damage and ensures a smooth removal.

Always change your stoma appliance if you experience any itching, burning, or discomfort, as this can indicate skin irritation or an ill-fitting appliance.

Cleaning the Stoma Area

After removing the stoma bag, the next step is to clean the stoma and surrounding skin. Use warm water and soft, lint-free wipes or kitchen roll to gently cleanse the area. It is important not to use harsh soaps, disinfectants, or solvents, as these can irritate the sensitive skin around the stoma. Water-based or neutral pH products are recommended if soap is necessary.

While cleaning, remember that the stoma itself may bleed if rubbed too hard, but light bleeding should stop quickly. However, if bleeding occurs from within the stoma, it is essential to contact your stoma care nurse.

Once the area is clean, dry the skin thoroughly using dry wipes or soft kitchen roll. For those with sensitive skin, barrier creams, sprays, or wipes can be applied to protect the skin from irritation caused by the adhesive.

Replacing the Stoma Bag

Once the skin is dry, you can fit the new stoma bag. If you use a one-piece appliance, bend the top half of the flange away from the body so you can see to position the bottom half correctly around the stoma. Press the remainder of the flange onto the skin, using the warmth of your hand to ensure a snug fit. Make sure there are no creases or wrinkles, as these can cause leaks.

If using a two-piece appliance, first secure the base plate around the stoma, ensuring that it is attached firmly to the skin. Then, attach the stoma bag to the base plate by pressing it in place. Avoid touching the adhesive side with your fingers to maintain its stickiness.

Final Steps

After ensuring the new stoma bag is securely in place, check for any leaks or discomfort. Always dispose of the used bag in a plastic bag and wash your hands thoroughly.

It’s important to regularly inspect your skin for irritation, redness, or any signs of an ill-fitting appliance. If any issues arise, consult with your stoma care nurse.

By following these steps, you can ensure that your stoma bag is replaced efficiently, minimizing the risk of skin irritation and keeping your stoma healthy. Regular appliance changes and attention to proper cleaning and fitting are key to maintaining a comfortable and functional stoma appliance system.

For more details, visit our website Rapidcare.co.uk. We work with the NHS to provide free home delivery of prescriptions based medicines and other medical needs, making sure you always have what you need at home.