Common Mistakes in Ostomy Care and How to Avoid Them

Key Points:

• Improper pouching techniques, skin care neglect, and product misuse are common issues in ostomy care.
• Knowing how to recognize and respond to leakage, irritation, and signs of infection is essential.
• Proper education and professional support can significantly reduce discomfort and prevent complications.

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Caring for an ostomy can feel overwhelming—especially in the beginning. Whether you’re new to it or supporting a loved one, it’s normal to worry about doing things “wrong.” The good news? With the right information, ostomy care services, and some wound care guidance, most mistakes are preventable—and you’re not alone in figuring it all out.

Understanding the Importance of Proper Ostomy Care

Ostomy care plays a critical role in a person’s comfort, hygiene, and overall health. Whether it’s a colostomy, ileostomy, or urostomy, proper daily maintenance reduces the risk of complications and improves quality of life. 

Mistakes are common but preventable, and becoming aware of these missteps is the first step toward better care. Let’s take a closer look at the most frequent errors in ostomy care—and how to avoid them.

Mistake #1: Poor Skin Care Around the Stoma

The skin around the stoma, or peristomal skin, should remain healthy and intact. Unfortunately, one of the most common problems is irritation or breakdown caused by leakage, improper product use, or neglect.

Why It Happens:

• Appliance leakage allowing waste to contact skin.
• Infrequent appliance changes.
• Not thoroughly cleaning or drying the skin before applying a pouch.

How to Avoid It:

• Cleanse the skin gently with warm water—avoid soaps with oils or fragrances.
• Dry the skin completely before attaching a new pouch.
• Consider using skin barrier wipes or powders for added protection.
• Check for signs of redness, bumps, or peeling during each change and seek help early if something seems wrong.

Mistake #2: Incorrect Pouch Sizing or Cutting

Getting the fit right is critical. A pouching system that doesn’t match the stoma size can cause leaks, skin issues, or discomfort.

Why It Happens:

• Stoma size can change, especially after surgery.
• Templates are used for too long without updating.
• Improper measuring tools or rushed cutting.

How to Avoid It:

• Measure the stoma regularly, especially in the first 6–8 weeks post-op.
• Use a measuring guide each time until the stoma size stabilizes.
• Ensure the opening is snug—about 1/8 inch larger than the stoma.
• If in doubt, consult a certified wound, ostomy, and continence nurse (CWOCN).

Mistake #3: Waiting Too Long to Change the Appliance

Delaying changes can lead to odor, leakage, and skin irritation. It may seem like a time-saver, but waiting too long can cause bigger problems.

Why It Happens:

• Fear of removing a “good seal.”
• Lack of supplies.
• Underestimating the risks of prolonged wear.

How to Avoid It:

• Stick to a routine—typically every 3–5 days unless otherwise advised.
• Change the pouch sooner if you feel itching, notice odor, or see signs of wear.
• Always keep extra supplies on hand for emergencies or travel.

Mistake #4: Ignoring Signs of Leakage or Odor

Even minor leaks can cause major discomfort and skin damage. Odor can also affect confidence and mental well-being, yet many people live with it longer than they should.

Why It Happens:

• Difficulty recognizing early signs.
• Belief that “some leaking” is normal.
• Reluctance to change in public or during work hours.

How to Avoid It:

• Check the seal visually and physically during changes.
• Use deodorizing drops or odor-barrier pouches.
• Carry a discreet emergency change kit when out of the house.
• If frequent leaks occur, it might be time to switch to a different system.

Mistake #5: Skipping Regular Stoma Checks

Like any part of the body, the stoma can change. A normal stoma should be moist, red or pink, and slightly protruding. Regular checks are crucial for early detection of problems.

Why It Happens:

• Lack of training or fear of “what to look for.”
• Focus is placed more on the pouch than the stoma itself.

How to Avoid It:

• Examine the stoma during every change.
• Watch for color changes, bleeding, retraction, or bulging.
• Take photos and track any changes over time to share with healthcare providers.

Mistake #6: Using the Wrong Products

Not all ostomy products are created equal—or suitable for every person. Using the wrong product can cause leaks, skin irritation, or poor adhesion.

Why It Happens:

• Over-reliance on samples without professional guidance.
• Choosing products based on convenience rather than fit.

How to Avoid It:

• Work with a CWOCN or a specialist to find the right system for your body and lifestyle.
• Try new products cautiously and observe how your skin reacts.
• Avoid switching brands too often without a clear reason.

Mistake #7: Poor Hydration and Diet Choices

Ostomy surgery changes the way your body processes food and fluids. Certain choices can make managing your ostomy harder.

Why It Happens:

• Lack of guidance post-surgery.
• Not understanding the impact of food on output.

How to Avoid It:

• Stay hydrated, especially with an ileostomy, to avoid dehydration.
• Avoid gas-producing foods if odor is an issue.
• Chew food well and introduce new items slowly.
• Keep a food journal to track how specific foods affect your output.

Mistake #8: Not Seeking Help Early Enough

Sometimes problems are obvious—but fear, embarrassment, or uncertainty can keep people from asking for help.

Why It Happens:

• Not knowing who to call.
• Hoping the issue will resolve itself.
• Feeling ashamed or isolated.

How to Avoid It:

• Know your support network: CWOCNs, home health agencies, and ostomy support groups.
• Don’t wait until the skin breaks down or the pouch fails multiple times.
• Early intervention often means easier solutions.

Avoid Isolation: Emotional Support Matters Too

Ostomy care isn’t just physical—it’s emotional. Many people struggle with body image, confidence, or anxiety after surgery.

How to Get Help:

• Connect with others through ostomy support groups.
• Talk to a therapist if you’re struggling with the adjustment.
• Share your experience with trusted friends or family—it helps.

Know When to Call a Professional

Some signs should never be ignored. If you notice the following, reach out to an in-home healthcare provider right away:

• Severe skin irritation or open wounds.
• Unusual bleeding or pain around the stoma.
• Pouch won’t stay on despite proper application.
• Drastic changes in stoma size, shape, or color.

Prompt medical advice can help you avoid infections and more serious complications.

Seek Support: Get Expert In-Home Ostomy Care in New York

When you’re juggling health concerns, healing from surgery, or managing new daily routines, having professional support at home can make all the difference.

Revival Home Health Care offers trusted, compassionate in-home ostomy care in New York, delivered by experienced nurses who understand your needs. Whether you’re new to living with an ostomy or need help managing chronic issues, their team provides personalized, respectful care in the comfort of your own space.

Don’t let fear or confusion hold you back from living well with an ostomy. Reach out to us today to learn how our services can help you manage your care with confidence and peace of mind.