Cause of bleeding from the intestinal ostomy
01 Cause of surgery
Bleeding from the intestinal ostomy in the early postoperative period is usually caused by inadequate hemostasis during stoma. Bleeding may occur in small blood vessels in the mucosa, mesentery, or abdominal wall intestinal ostomy.
02 Causes of trauma
Improper size or improper use of the ostomy pocket can easily damage the mucosa of the intestinal ostomy and cause bleeding; the use of rough utensils to clean the intestinal ostomy or the cleaning action is too rude and forceful, etc. will damage the intestinal ostomy and cause bleeding.
03 Causes of illness
Recurrent enteritis, polyps, diverticular disease, or tumor recurrence can all cause bleeding from the intestinal ostomy, and certain drugs or treatments can also cause bleeding from the incretion.
Nursing measures
Postoperative attention should be observed
Once bleeding occurs, inform the doctor in time to control the bleeding and maintain blood pressure. Sometimes the cause of bleeding is difficult to determine, especially intermittent bleeding, and further medical testing is required to confirm the diagnosis.
A small amount of superficial bleeding occurs during the replacement of the stoma pocket
Soft paper towels or cotton balls and gauze can be used with a little pressure to stop the bleeding. If the bleeding is more frequent, gauze compression soaked with 1% epinephrine solution and external application of Yunnan Baiyao powder can be applied, and the bleeding can be stopped by gauze compression. Or sprinkle skin powder on bleeding spots.
Traumatic causes bleeding
Cleaning tools should choose wet paper towels or soft towels, cleaning work should be gentle, cut stoma chassis opening aperture should not be too small.
Heavy or recurrent bleeding
Specific causes should be identified, and different treatments and corresponding treatments should be given for different causes.
Precautions
The cropped stoma chassis should be suitable
The size of the hole cut in the stoma chassis is generally 2-3 mm larger than the inflectomy;
Avoid trauma
Avoid using rough utensils to clean the intestinal ostomy; the cleaning work should not be too rude, and the intestinal ostomy should be protected before exercise to avoid damage to the intestinal ostomy.