Stoma hemorrhage is a common complication in stoma nursing, and mild early bleeding often occurs within 72 hours after surgery, most of which are capillary and venous bleeding at the junction between the stoma mucosa and the skin.

What is the cause of stoma bleeding?

1. The ligature of the mesenteric venule falls off during the operation, and the stoma hemorrhage caused in the early stage.

2. Capillary oozing blood at the mucosa of the stoma.

3. Due to the improper cutting of the stoma baseplate, the mucosa at the stoma is rubbed.

4. There are systemic coagulation disorders.

5. Systemic medication is taking anticoagulants due to disease conditions.

6. Others Tumor recurrence, rupture of intestinal capillaries, severe diarrhea, radiotherapy, and chemotherapy can cause stoma hemorrhage when the intestinal flora is imbalanced, which usually occurs in the advanced stage of the disease.

What are the treatment measures?

1. Observe the stoma bleeding. If there is a small amount of stoma bleeding, a cotton swab, cotton ball or gauze can be used for a little pressure to stop the bleeding.

2. If the stoma has more bleeding and frequent bleeding, you can use gauze soaked with 1% epinephrine solution to compress the bleeding to stop the bleeding. You can also apply Yunnan Baiyao powder or stoma powder on the surface around the stoma to stop the bleeding.

3. If the stoma bleeding is more serious, inform the doctor to disassemble 1–2 stitches of mucosa and skin sutures, find the bleeding point, and then ligate again to stop the bleeding.

How to prevent stoma bleeding?

1. When cleaning around the stoma, avoid vigorous stimulation of the stoma.

2. The water temperature for cleaning the stoma should be low.

3. The opening of the stoma baseplate should be appropriate, not too small, and should be leveled by hand.

4. Prevent mucosal edema and prevent mucosal erosion and bleeding caused by mucosal edema and friction at the stoma

5. During radiotherapy and chemotherapy, pay attention to observe the reaction of digestive tract, and observe whether there is congestion of stoma mucosa, erosion and bleeding. The coagulation function indexes were observed, and the excrement was observed. Before wearing the ostomy bag, the color of the stoma and the color, shape and volume of the skin exudate and excrement around the stoma should be observed and recorded.