Diversion Colitis
After ostomy surgery, many people develop a condition, called diversion colitis. It is a state in which ostomate complains about burning/inflammation in the large intestine (colon and rectum). This disease appears in patients who have gone through the colostomy surgery. Moreover, another reason for this inflammation is inflammatory bowel disease (IBD). Due to IBD, the infection appears in the rectum section of the large intestine, called diversion proctitis.
Symptoms of Diversion Colitis
Diversion Colitis is a common disease that appears in many ostomates after the surgery of colostomy or inflammatory bowel disease. But, there are no specific reasons for this disease. Moreover, not every colostomy patients need to develop inflammation in the colon and diversion colitis.
Some common symptoms for diversion colitis or inflammation are:
1. Pain in the abdomen.
2. Discharge from the rectal canal.
3. Bleeding from rectum.
4. Tenesmus – it requires an urgent drainage treatment of bowel.
Types of Ostomy Operations

Ostomy operations happen in the digestive section of the human body. It eliminates any kind of disease, infection, cancer, birth defect, problem, blockage, or injury in the colon, rectum, ileum, bladder, or urinary tracks. But, it also happens because of ulcerative colitis. It is a treatment for this disease also.
- Ileostomy
- Urostomy
- Colostomy
The Procedure of Ulcerative Colitis
An ostomy operation, a usually stoma or ostomy happens to treat ulcerative colitis. Ostomy surgery can remove inflammation in the colon section. During operation, doctors remove the infected part of the large intestine. They create a stoma on the left side, the same that appears in the condition of colostomy. During the ulcerative colitis operation, surgeons can remove the part of the bowel if it has any kind of burning or inflammation. Moreover, doctors reverse the diversion of the internal organs to treat the inflammation, also called takedown of the colon.
In some cases, where the entire colon burns and creates a sensation in the digestive canal of the patient, doctors will remove the whole colon, thus they create a stoma from the ileum, called an ileostomy. In this type of incision, the stoma appears on the right side of the abdomen. Well, in the case of colostomy, surgeons usually create a loop colostomy to treat ulcerative colitis.
Pouching System for Diversion Colitis

Well, the treatment for the diversion requires ileostomy and some times colostomy. Thus, the pouching system depends on the type of treatment, and stoma doctors will fabricate. In the case of ileum stoma creation, a patient must wear the drainable pouching system. Well, it is appropriate to wear a stoma bag, an ostomate can empty at any time and easily. It will also release the tick or thin waste material, not urine, it will be stool but not in the original texture. Therefore, a drainable pouching system will be perfect for ostomates. When it comes to replacing or changing of the ostomy bags and other appliances, and ulcerative colitis patient must not need to wear it for more than three days. It is appropriate to wash the stoma and take medicines for the inflammation problem.
Care for Diversion Colitis
There is no special care or any specific rule for diversion colitis patients. They can live an ileostomy or colostomy life. Merely, the diet changes are necessary according to the formation of stool. It a diversion colitis ostomate is releasing loose stool, it is good to eat dry fruits, meat, and pasta. However, in the case of constipation, the person can have pulses and fresh fruits in their diet. But, there is no change in physical activities, dressing style, daily routine, cleanliness habits, or work.