Ostomy Stomal "Bumps" - What Are They? - What To Do?
Liz O'Connor RN, CETN,
ET nurses are often asked about small "bumps" which appear on a formerly smooth stoma. They can be on the surface or around the edge where the stoma meets the skin. They can occur in a single area or around the whole circumference. Most of the time these are granulomas, which are of a benign nature. Granulation tissue is a normal defence reaction of the body to injury.
Those at the edge can be due to:
Those on the top or side of the stoma can be caused by:
- A reaction to the suture being sewn though the stoma and to the skin, or,
- Too rigid or too tight a faceplate rubbing the stoma.
What should you do? Most of the time these are nothing to worry about. Don't second-guess though. See your ET nurse and if necessary your doctor. Occasionally these bumps can be a manifestation of another condition (like the recurrence of Crohn's disease). Often they can be taken care of by treatment with silver nitrate sticks. Occasionally they need to be biopsied.
- An allergic reaction to the plastic in the pouch (even after using the same type of pouch for a long time), or
- Stomal drainage constantly pointing to one area of the stoma (this can occur when the stoma opening points down).
Quite often a change in the pouch or faceplate can help resolve the problem.
From Metro Maryland, via Metro Halifax News & Regina Ostomy News (May-Jun 2000), via Inside Out On-line Nov/Dec 2000.
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