Considering stoma to manage post radiotherapy/chemotherapy late side effects

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Hi all, Hello and hope you’re having a good day, 

In 2019 I was diagnosed with SCC in my perineum. Had surgery within a week, which revealed a wider spread of disease (my lymph nodes and bowel) and subsequently received radiotherapy and chemotherapy over 6 weeks. I was told when I signed the consent form the likely side effects. Because I had radiotherapy to my pelvis, it was recommended that I store sperm as I would be unable to produce healthy cells. I’ve had fantastic support from my Oncologist, the specialist nurses, radiotherapists, and appreciate everything they do for me. I thank my lucky stars that I’ve received all this treatment and I’m still alive, but I’ve  recently developed late side effects from the radiotherapy; almost constant diarrhoea which I manage usually with Colesevalam and Loperamide. At my last review with my Oncologist a couple of weeks ago she said the time had come to consider a colostomy to manage my diarrhoea, which is unlikely to improve. I’m just putting this out here to find out if someone who’s experienced this could help me with tips, advice and ideas? I can’t continue like this as I’m frightened to go anywhere or drive or just live with uncomfortable and uncontrolled diarrhoea. I’ve got through the trauma of diagnosis and treatment and I know I’ll get through this, and I’m almost convinced a stoma is the key to boosting confidence and removing the fear. Any advice from someone with experience of stoma issues would be gratefully received. I’m posting this after talking things through with the lovely helpline staff who encouraged me to post in this group. Thanks for sharing your advice and tips!

  • Hi Andy 6502, 

    I have had a stoma since Oct last year. It took a bit of getting used to & if I don't watch what I eat I can still end up with a runny tummy. Green veg, spicy food & alcohol are the main culprits. But I also find coffee tends to go straight through me too. But other than that,  as you have found a tablet can help. I guess with a bag you can see when it needs emptying & after a while it becomes 2nd nature. I have found using a bag that you empty rather than chane is easier for those bad days as your not having to carry much with you. But I guess its your own preference. I tend to carry a small spray of smellys around with me incase I need to use the toilet & I'm going to try out the 2 piece colostomy bag, where you change the whole bag & just leave the ring, when I go to visit my Mum.

    I shower every other day as this is when I tend to change my bag. I try & not eat or drink before this as I find it tends to come out in the shower. Especially as I dont wear a bag in the shower so it gives my skin time to breath. I just make sure that I dont soap my stoma. I have had some accidents, but they tend to be where I've not put the bag on properly or waited too long before going to the toilet. 

    I'm coming up for my fourth lot of chemo & found that the tabs they give me can make my stoma runny but other than that I have to say its pretty manageable if you can stomach the stodgy food & high fat content you have to eat to get your stoma bk to something like normal. I found, keeping a food diary helps. You can then see how food reacts. I thought I was bleeding for 2days, then realised I'd eaten beetroot. Doh! 

    Hope some of this helps. Good luck. 

  • Hi Zuri,

    thanks for sharing your experience, it’s really helpful and I will bear in mind the things you’ve mentioned. As with everything in life there are pro’s and con’s and I’m now waiting for the surgeon appointment and OT assessment is today. I’m sending positive vibes and best wishes to you for your ongoing treatment. 
    take care and good luck!