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Ileostomy: Emptying Your Pouch

Your pouch needs to be emptied whenever it gets to be about one-third full. This keeps the pouch from bulging under your clothes. It also helps prevent leaking and odor. To empty your pouch, follow the steps below.

image of man sitting on toilet emptying his ileostomy pouch

1. Empty the Pouch

  • Sit on or next to the toilet. Or stand in front of the toilet. Place a layer of toilet paper in the toilet bowl to keep stool from splashing.

  • Pull your clothes away from the pouch.

  • Hold the bottom of the pouch up. Open the Velcro closures or remove the clamp and set it aside.

  • Slowly unroll the tail, or spout, over the toilet.

  • Slide your fingers down the pouch to push out all the stool.

2. Clean the Pouch

  • Wipe the inside and outside of the tail with toilet paper. This helps prevent any odor.

  • Check both sides of the pouch for tears or holes. If you find any, put on a new pouch.

  • If the pouch closes with a clamp, rinse the clamp if there is stool on it.

  • If you want to rinse out the pouch, hold the tail up and pour water through it. Hold the tail closed and shake the pouch gently. Then empty the pouch into the toilet.

3. Close the Pouch

If the pouch has Velcro closures:

  • Properly fasten the Velcro closures to close the pouch.

If the pouch has a clamp:

  • Hold the clamp open with the curved side, or hinge, toward your body.

  • Lay the bar, or “knife,” of the clamp flat on the tail of the pouch, about 1 inch from the bottom of the tail.

  • Fold the tail up over the bar. Make sure the tail lies flat against the bar. Also make sure the whole width of the tail is held within the bar. If it isn’t, the pouch may leak or smell.

  • Hold the tail of the pouch firmly against the bar. Then close the clamp by bringing the hinge up to the bar. Press the two parts together until they lock.

Releasing Gas

Gas can collect in the pouch even if there is no stool. Never puncture the pouch to release gas. If you do, you’ll break the odorproof seal. Stool can also leak if the pouch is punctured. To release gas, follow these steps:

  • Hold the tail of the pouch up slightly and open the Velcro closures or remove the clamp.

  • Hold the top of the pouch with one hand.

  • With the other hand, push the gas out by sliding your thumb and index finger from the top to the bottom of the pouch.

  • Secure the Velcro closures or reclamp the pouch, following the steps under #3 above.


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