How to Manage Ostomy Ballooning

Ostomy ballooning is a common concern for many people with ostomies. It refers to the excessive accumulation of gas in the ostomy pouch, causing it to expand and potentially become uncomfortable.

If you or a loved one have an ostomy, it is crucial to understand what ostomy ballooning is and how to manage it effectively.

What is Ostomy Ballooning?

Ostomy ballooning occurs when gas collects in the pouch attached to the stoma, causing it to inflate or distend. This can lead to discomfort and inconvenience for the wearer. Several factors can contribute to ostomy ballooning, including the release of gas during digestion, eating foods like beans, and cabbage, drinking carbonated beverages, swallowing air while eating or drinking, and certain bacteria's in the digestive tract.

Recognizing the signs and symptoms of ostomy ballooning is vital for effective management. Common indicators include a visibly distended pouch, increased pressure or fullness in the abdomen, and changes in the pouch's shape or appearance. In some cases, individuals may also experience leakage or difficulty emptying the pouch.

Preventing Ostomy Ballooning

Ostomy ballooning can be uncomfortable and inconvenient. However, several tips and techniques can help prevent this issue and promote a more comfortable experience.

• Proper stoma care and maintenance play a crucial role in preventing ostomy ballooning. Regularly clean the stoma and surrounding skin using mild soap and water. Gently pat the area dry with a soft towel to maintain the skin's integrity and prevent irritation.
• Using the right ostomy products can also make a significant difference in managing ballooning. Consider a pouching system with an integrated filter, which allows gas to escape while preventing odors from leaking. These filters help reduce the risk of ballooning and provide a more discreet and comfortable experience.
• Avoid foods and drinks that contribute to excessive gas production, such as carbonated beverages, beans, cabbage, and onions. 
• Eat smaller, more frequent meals and chew food thoroughly as this can also aid digestion.
• Use an ostomy belt. These belts provide additional support and security to the ostomy pouch, reducing the risk of leakage and minimizing gas build-up. They are adjustable, comfortable to wear, and can be easily worn under clothing without causing discomfort.

Each person's needs may vary, so consult with your healthcare professional or ostomy nurse to determine the best solutions for you. 

Dealing with Ostomy Ballooning

To lessen the discomfort, it is essential to release the trapped gas. 

Burping your bag is a way of draining the bag without completely emptying it. For this method, you will open the drainable bag slightly, allowing only air to escape and no liquid or solids. If you plan on burping your bag in public settings, it is advisable to use a pouch deodorizer to avoid smell leaking out with the gas. Changing your disposable bag or emptying your re-usable bag will also help remove the gas in your ostomy pouch if timing and/or your stock of supplies permit. 

After releasing the gas from your pouch, there may still be gas in your stomach that was waiting for room to evacuate. You should allow this build-up of gas to release before attaching your pouch back to your stoma. 

One practical strategy to release this gas is to gently massage the abdomen around the stoma area to stimulate the gas release. Additionally, try changing body positions, such as lying down on your side or sitting up straight, as this can assist in releasing gas.

If this is a more persistent issue, you may find diet changes and exercise's such as yoga, can help relieve gas and it's symptoms as a more permanent solution. Always consult with your healthcare provider if ballooning is persistent. 

Remember, you are not alone in dealing with ostomy ballooning. There are support resources and communities available to provide guidance and emotional support. Online forums and support groups allow individuals with ostomies to connect with others who understand their experiences. My Care Supplies offers educational resources and articles to help you navigate the challenges of living with an ostomy.