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Does A Colostomy Help In Treating Nocturnal Diarrhea?

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Posted on Tue, 15 Nov 2016
Question: mY FATHER-IN-LAW IS 93 YEARS OLD. hE HAS MILDIMENTIA AND HE IS UNDER HOSPICE CARE AS HE HAS CANCER THAT HAS MATASTISED FROM HIS PROSTATE. HIS WIFE IS GOING TO THE HOSPITAL TO CORRECT A STUD IN HER FEMUR THAT IS HITTING SOFT TISSUE. NURSING CARE WOULD COST ABOUT $250/DAY AT HOME AND $300 IN HOSPITAL. hE HAS A FLOEY, BUT, SOMTIMES HE HAS ACCIDENTS OR DIARHEA DURING THE NIGHT. wOULD A COLOSTOMY SOLVE THE CARE PROBLEM DURING THE NIGHT AND THUS LIMIT NOIGHT TIME CARE TO BEING AVAILABLE FOR EMERGENCIES? i HOPE MY QUESTION IS NOT TOO COMPLICATTED?
doctor
Answered by Dr. Noble Zachariah (8 hours later)
Brief Answer:
A cheaper and less complicated option available

Detailed Answer:
Hello,
Welcome and thanks for your query.
I understand your concern.
Colostomy is a surgery , would be expensive, will require post operative, colostomy bags are expensive and you would require training in colostomy care. These would cost quite a bit.
A simpler and cheaper option would be to try using adult diapers for him.
Do get back to me if you have further questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (1 hour later)
I don't believe the diaper would hold him through the night and I believe medical insurance would cover most of the costs you outlined. Care could be handled on a daily basis. Without requiring all night duty from a nurse. The follow-up question. Am I wrong?
doctor
Answered by Dr. Noble Zachariah (1 hour later)
Brief Answer:
Discussion follows

Detailed Answer:
Theoretically it is possible to have a solution like colostomy. But I wonder if a gastrointestinal surgeon, who is to do the colostomy, would consider nocturnal diarrhoea as an indication for colostomy.
No harm done in trying out the diaper. Get the largest you can find in the market and put it on just before he retires to bed. If it does not work, one can think of more invasive approaches.
Best wishes,






























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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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Does A Colostomy Help In Treating Nocturnal Diarrhea?

Brief Answer: A cheaper and less complicated option available Detailed Answer: Hello, Welcome and thanks for your query. I understand your concern. Colostomy is a surgery , would be expensive, will require post operative, colostomy bags are expensive and you would require training in colostomy care. These would cost quite a bit. A simpler and cheaper option would be to try using adult diapers for him. Do get back to me if you have further questions.