People with a long history of ulcerative colitis often require removal of the colon. This may result in an ileostomy, where the small bowel empties out through the abdominal wall.

Part of ostomy care includes learning how to fit and care for the drainage bag, or ostomy appliance. An ostomy nurse can help greatly in this process. Basic ostomy teaching includes daily activities, diet, exercise, stoma cleaning, appliance care and management of various problems.

Home care of and prevention of ostomy problems includes:

• Diet: increased fluids and avoiding certain foods is usually helpful.
• Ostomy appliance and skin care: daily care to protect the skin and stoma.
• Prevention and treatment of bowel problems: constipation, diarrhea and excessive gas may require corrective measures.
• Medications: the absorption of certain medications may be affected by an ostomy.