Chemo with an ileostomy bag

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Hi everyone. I was diagnosed with stage 3 rectal cancer in July and had an operation to remove this and have an ileostomy bag put on me in August. During the operation the surgeon seen the cancer had spread to my lymph nodes and took what he could see.

I've really struggled to come to terms with the ileostomy bag. I've had a lot of issues with soreness and leaks, which seems to have got a lot better with the help of my stoma nurse. I still get upset when I think about having the bag though.

I'm due to start chemotherapy next week, and have what I expect are usual worries about how much I'll cope. I lost my partner to cancer 5 years ago, so I'm alone with the children who also watched their dad be so unwell at that time, which is why I'm worried about coping.

My biggest fear though is diarrhea, vomiting or dehydration while I have the bag. I was wondering if anyone else had experienced chemotherapy with an ileostomy bag and whether they had any advice/ reassurance about this. My chemotherapy will be in the hospital on a drip once every 3 weeks, then I'll be sent home with chemotherapy tablets to take myself each day. The chemotherapy should last 3 months. There was an option to have just tablets over 6 or 9 months (I'm sorry I can't remember whether it was 6 or 9) but I would like to try to get this over and done with sooner rather than later if I can as I really need to get back to work before my sick pay followed by the rest of my annual leave runs out

I really appreciate you reading this as I hadn't meant to type so much. 

  • Are you having capox?

    I had it and didnt really have any problems with my iliostomy bag.I made sure I was always well hydrated ( with warm drinks,never cold) and took the anti sickness to pre empt any nausea and I wasnt sick once.

    All the best.I found it best to just go with the flow and not worry about things before they occured

    Kath

  • Yes it is capox Kath. Thank you so much for your reply as that's just made me feel a lot better. I think I've been planning for the worse and hoping for the best, when I should probably try to focus on positive outcomes x

  • Hi . I had Capox too back in 2017 and didn’t really notice any effect on my Ileostomy bag - in fact any diarrhoea is probably easier to manage with a bag than without. As Kath says just go with the flow - I think I was told to take the antisickness meds for the first couple of days but I was fine and never vomited once.

    Try and focus on the fact that you’re now cancer free and this is the final blast of weed killer to get rid of anything that may be lurking

    Take care

    Karen x

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
  • . You might want to have a quick read of this too 

    community.macmillan.org.uk/.../chemo-care-top-tips--

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
  • This is so good to know, thank you Karen. I was quite nervous posting here but I'm so glad I did now as I feel a lot calmer already x

  • Good . There’s a stoma board too where there’s lots of advice and tips

    community.macmillan.org.uk/.../ileostomy-and-colostomy-discussions-forum

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
  • Hi

    I had chemotherapy after my colostomy and never had any sickness or diarrhoea. I had a drip feed and tablets too although I plumped for only 2 courses of the drip and 8 courses of the tablets as that was easier to manage.

    I absolutely believe in positive thoughts bringing positive results and will not let the addition of a bag get me down. "Eddie" is manageable and perfectly hygienic, and in fact brings humour to my life at times.

    You can, and will get through this.

    Keep strong

    The day of my op
    Now history
    The day they removed
    The source of the mystery
    The thing inside me
    That was causing me strife
    The hideous thing
    That may have ended my life
    Now the thing has gone
    The future is bright
    At the end of the tunnel
    There's light
    The recovery
    (Though not without pain)
    Is going well
    And so much to gain
    Each day strength returns
    The wounds heal a bit more
    Each day my bum
    Is a little less sore
    Each day I sit
    A little more easy
    A little less tired
    A lot less queasy

  • Hi I'm going through the same I had stoma in July, I have had about 5 leaks  with loose stools but I'm.learning from it , I'm on 4th round of chemotherapy and I have to have a scan in November with further surgery if its shrunk the cancer enough as they couldn't remove the tumour before as it has blocked the bladder. Keep strong , easy to say but it's all we can do.im an emotional wreck but macmillon has counselled me .

    I don't know whst capox is 

  • Capox is oxaliplatin by drip followed by two weeks of capecitabine tablets.then a weeks rest.and repeat for however many sessions are needed

    Kath