An ostomy involves a surgically created opening, called a stoma, on the abdomen that allows bodily waste to exit into an external pouch. Adjusting to daily life with an ostomy often brings various considerations, including how to manage routine activities like sleeping. A common concern for many individuals is whether sleeping on their stomach is safe or even possible with an ostomy. This concern stems from anxieties about potential discomfort or damage to the stoma or pouch.
Is Stomach Sleeping Possible?
For many individuals living with an ostomy, sleeping comfortably on their stomach is achievable and safe. The primary concern is often fear of injury to the stoma or discomfort due to pressure on the ostomy pouch. A stoma, while sensitive, is composed of resilient tissue, similar to the inside of the mouth, and is not easily damaged by direct pressure from sleeping. The challenge is managing the external collection pouch.
Concerns about potential leakage or discomfort can lead to avoiding stomach sleeping, but these issues can be mitigated with proper preparation. Individual experiences with stomach sleeping vary, influenced by factors such as stoma location, ostomy type (e.g., colostomy, ileostomy, urostomy), and body shape. While some individuals find it comfortable immediately, others may need to explore different approaches to find a suitable position.
Strategies for Comfortable Stomach Sleeping
Several strategies can help individuals achieve comfortable stomach sleeping with an ostomy. Managing the ostomy pouch is a primary consideration. Emptying the ostomy pouch before lying down reduces its bulk and internal pressure, which can prevent discomfort and minimize the risk of accidental leakage during the night. A flatter, less full pouch is less likely to press uncomfortably against the abdomen.
Strategic pillow placement can also create a comfortable sleeping environment. Placing a small, soft pillow or a rolled towel around the stoma area or under the hips can create a “bridge.” This technique elevates the torso slightly, thereby reducing direct pressure on the ostomy site and allowing the pouch to lie more freely without being compressed. Some individuals find comfort by trying a modified position, such as sleeping slightly on their side or in a half-stomach position, which can offer a gradual transition to full stomach sleeping.
The type of ostomy pouch can also influence comfort. Many individuals find that smaller, more compact, or flatter-profile pouches are less intrusive when sleeping in a prone position. Wearing specialized protective gear, such as a stoma guard or an abdominal binder, can provide added security and protection. These devices can help shield the stoma from direct pressure and keep the pouch securely in place, offering peace of mind throughout the night.
Addressing Specific Concerns and Seeking Guidance
While stomach sleeping with an ostomy is often possible, certain concerns might arise that require attention. Leakage, for instance, is a common worry, but it can be reduced by ensuring proper pouch adherence and by consistently emptying the pouch before bedtime. Regular inspection of the skin around the stoma for any signs of irritation is important, as persistent pressure or moisture can lead to skin issues. Maintaining good skin hygiene and ensuring regular, timely pouch changes are preventative measures against such irritation.
Any persistent discomfort or pain experienced while attempting to sleep on the stomach should not be ignored. While some initial adjustment is normal as the body adapts to new sleeping positions with an ostomy, ongoing pain is not a part of this adaptation. Indicators that professional advice is warranted include changes in the stoma’s appearance (like unusual color or swelling), recurring leakage despite preventative measures, or discomfort that consistently disrupts sleep. Healthcare providers, particularly ostomy nurses, are specialized resources offering personalized guidance and solutions for managing an ostomy, including advice on sleeping positions and comfort.