N
The Global Insight

Where is an ileostomy

Author

Matthew Martinez

Updated on April 17, 2026

An ileostomy is an opening in the belly (abdominal wall) that’s made during surgery. It’s usually needed because a problem is causing the ileum to not work properly, or a disease is affecting that part of the colon and it needs to be removed.

Where is an ileostomy located?

An ileostomy is usually located on the lower right-hand side of the abdomen. The digestive enzymes make the output from your stoma very corrosive, so protecting the skin around your stoma, or peristomal skin, is extremely important. An ileostomy may be temporary or permanent.

Is an ileostomy a major surgery?

An ileostomy is a major surgery and requires some recovery time. You might remain in the hospital for up to one week. Your small intestine needs to heal for you to completely recover, and that might take up to two months. If you have a temporary ileostomy, you will probably have reversal or closure surgery.

What is the difference between a colostomy and ileostomy?

A colostomy is an operation that connects the colon to the abdominal wall, while an ileostomy connects the last part of the small intestine (ileum) to the abdominal wall.

Can you still poop with an ileostomy?

Since the ileostomy has no sphincter muscles, you will not be able to control your bowel movement (when stool comes out). You will need to wear a pouch to collect the stool. The stool coming out of the stoma is a liquid to pasty consistency.

Do you urinate with an ileostomy?

Your urine will now exit from a new opening called a stoma and be collected in a pouch. You won’t be able to feel or control your urine as it leaves your body through the stoma, so you will need to wear an ostomy pouching system at all times. Urine on the stoma will not cause any problems.

Which is worse colostomy or ileostomy?

Conclusion: A loop ileostomy has a number of advantages over a colostomy. However, in patients with an increased risk of dehydration or compromised renal function, colostomy construction should be seriously considered given the higher complication risk if a high-output stoma develops.

Does a stoma reduce life expectancy?

In the most common cases, ostomies are needed due to birth defects, cancer, inflammatory bowel disease, diverticulitis, incontinence, and more2. This type of surgery is done when needed and at any age, but in no way lowers your life expectancy.

What happens to the colon after an ileostomy?

After the colon and rectum are removed or bypassed, waste no longer comes out of the body through the rectum and anus. Digestive contents now leave the body through the stoma. The drainage is collected in a pouch that sticks to the skin around the stoma.

What is the life expectancy of ileostomy patients?

The studies revealed the average age of a person with a colostomy to be 70.6 years, an ileostomy 67.8 years, and a urostomy 66.6 years.

Article first time published on

How often should an ileostomy bag be changed?

Change your pouch every 5 to 8 days. If you have itching or leakage, change it right away. If you have a pouch system made of 2 pieces (a pouch and a wafer) you can use 2 different pouches during the week. Wash and rinse the pouch not being used, and let it dry well.

How often do you empty an ileostomy bag?

You will need to empty your pouch about 6 –8 times per day. Never let a pouch become more than half full. It is best to empty the pouch when it is 1/3 full. A full pouch is heavy and can loosen the seal on the wafer causing a leakage.

What's a loop ileostomy?

A loop ileostomy is a type of stoma (your bowel opening onto your skin) and was made with two ends of your small bowel. It was expected that this would be only temporary and that your bowel ends would be put back together. Your bowels will then open in the usual way.

What special problems does a person with an ileostomy have?

  • Obstruction. Sometimes the ileostomy does not function for short periods of time after surgery. …
  • Dehydration. …
  • Rectal discharge. …
  • Vitamin B12 deficiency. …
  • Stoma problems. …
  • Phantom rectum. …
  • Pouchitis.

Is an ileostomy a disability?

Out of the 259 people who answered the chronic illness poll, 55% of them categorised their illness (the majority being IBD) as a disability. Out of 168 people who answered the stoma bag poll, 52% of them defined their stoma bag as a disability. These numbers are pretty close.

Can you eat chocolate with ileostomy?

Try introducing chocolate in small amounts and in conjunction with other starchy foods ie by chocolate chip cookie or cakes, or chocolate within other foods such as cereals, which may counteract the laxative effects a little by thickening your output.

Can you eat banana with ileostomy?

Don’t eat more than 1 small ripe banana per day for the first 3 to 4 weeks after your surgery. Eating more than this may cause an ileostomy blockage.

Does a ileostomy hurt?

Your abdomen will feel very sore initially during your recovery, but eventually settles down. You may also experience excessive gas (flatulence) and unpredictable discharge from your stoma during the first few weeks of recovery. This should start to improve as you recover from the effects of the operation.

What kind of stool comes out of an ileostomy?

Stool that comes from your ileostomy is thin or thick liquid, or it may be pasty. It is not solid like the stool that comes from your colon. Foods you eat, medicines you take, and other things may change how thin or thick your stool is.

What is a bag for urine called?

To use the sharing features on this page, please enable JavaScript. Urostomy pouches are special bags that are used to collect urine after bladder surgery. Instead of going to your bladder, urine will go outside of your abdomen. The part that sticks outside your abdomen is called the stoma.

Is colostomy and stoma the same?

A colostomy is an operation to divert 1 end of the colon (part of the bowel) through an opening in the tummy. The opening is called a stoma. A pouch can be placed over the stoma to collect your poo (stools). A colostomy can be permanent or temporary.

Does having a stoma affect your immune system?

It’s important to understand that having an ostomy, or not having a colon or rectum, does not negatively affect your immune system, nor does it increase your risk for getting COVID-19.

Is an end ileostomy permanent?

End ileostomies and ileo-anal pouches are usually permanent. Loop ileostomies are usually intended to be temporary and can be reversed during an operation at a later date. Read more about how an ileostomy is formed and reversing an ileostomy.

Do you irrigate ileostomy?

Most people who have had an abdominal perineal resection have a sigmoid colostomy. People with an ileostomy should never irrigate because it can cause dehydration. You also can’t irrigate: If you have a stomal hernia (bulge around the stoma).

Can you still poop if you have a stoma bag?

Unlike your anus, your stoma doesn’t have muscles or nerve endings. So you can‘t control when you move your bowels. Instead, a pouch, called a colostomy bag, goes over the stoma to collect your poop when it comes out.

Can carers change stoma bags?

Patients – and/or their carers when appropriate – should be encouraged to learn to change the stoma bag themselves so they are eventually able to care for their stoma independently. If the patient is still in hospital, this can also facilitate their discharge.

Why does stoma output smell so bad?

An ostomy bag that’s too heavy with output can loosen that seal, which may cause odor and leakage. Talk to your doctor or a WOCN (Wound, Ostomy, and Continence Nurse) regarding your personal changing and emptying times.

What foods should I avoid with a stoma?

  • Nuts.
  • Coconut.
  • Celery.
  • Mushrooms.
  • Sweetcorn.
  • Raw fruit skins.
  • Bean sprouts and bamboo shoots.
  • Dried fruit such as currants and raisins.

How do you sleep with an ileostomy?

The recommended sleeping posture is either on your back or side. For side sleepers, resting on your ostomy side shouldn’t be a problem. If you want to sleep on the opposite side, place your pouch on a pillow so the bag isn’t weighed down and pulling away from your abdomen as it fills.

Why is my stoma so active at night?

Eating and drinking directly before bed can cause your stoma to be more active overnight and will result in a full bag. If you find that, regardless of what you do, your stoma is very active at night, you can try taking something like Imodium to slow down your output.

Can you use baby wipes to clean a stoma?

Do not use alcohol or any other harsh chemicals to clean your skin or stoma. They may irritate your skin. Do not use baby wipes or towelettes than contain lanolin or other oils, as these can interfere with the skin barrier adhesive and may irritate your skin.