Sunday, September 11, 2011

Bleeding from the stoma


Bleeding from the stoma
            An occasional spot of blood might appear on the dressing that covers the urostomy. That’s no big deal, since the mucosa, the lining of the small intestine that forms the opening, is somewhat fragile.
            Frank blood in the urine is another matter. There are several reasons, including trauma to the pouch somewhere between the stoma and the new bladder during insertion of the catheter. Other causes include infection and stone.
Cancer within the pouch is a remote possibility and it sometimes causes bleeding.  But be reassured: after more than 20 years’ experience only about a half-dozen cases have been reported. If you have had a personal or family history of multiple polyps of the colon, consider discussing pouchoscopy with your urologist. It makes sense to look at the colon-become-bladder at least as often as your gastroenterologist recommends colonoscopy.
            Obvious blood in the urine is always an indication to see your physician without delay.

1 comment:

  1. I clean my stoma and sometimes there is blood a slight amount of blood on paper towel but no blood in my urine what does this mean

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