Dear OncoLink "Ask The Experts,"
I am a hospice nurse working with an elderly patient who has excessive mucous from his stoma for over a year, and which causes erosion of the stoma seal. He has to change the seal several times a day. He is very active and is disgusted with this problem. He also has mucous from the rectum, which soils his pants. Is there any medication that will reduce the mucous; does he possibly have a C. difficile infection, and could you suggest the best supplies that will not break down around the stoma site? His surgeon said this problem will probably last forever, and I would like to figure out some solutions.
Ave Preston, MSN, RN, CWOCN, Ostomy Nurse Specialist at the Hospital of the University of Pennsylvania, responds:
I would suggest an evaluation by an Ostomy Nurse Specialist to see if there is a different pouching system that would get a better seal. Several manufacturers make skin barriers with extended wear barriers which may hold up better and/or he may benefit from a convex skin barrier pouching system and belt to help the stoma protrude more into the pouch. Unfortunately, I am not familiar with meds that would decrease mucus production.
See this previous question about rectal mucus after colostomy.
Jan 20, 2011 - The combination of chemotherapy with intensity-modulated radiation therapy is equally as effective for the treatment of anal cancer after two years as the combination of chemotherapy and conventionally delivered radiation therapy, as well as less toxic, according to a study presented at the American Society of Clinical Oncology's annual Gastrointestinal Cancers Symposium, held from Jan. 20 to 22 in San Francisco.
Jan 20, 2011
Mar 1, 2011
Apr 20, 2014