
Sleeping with a stoma bag can be challenging, especially after surgery when your body is still adjusting. To ensure a good night's sleep, it is recommended to change or empty your bag before going to sleep to prevent leaks. Eating a heavy meal before bedtime can also make your stoma more active, so it is advised to eat earlier in the evening or have a smaller meal before bed. The best sleeping positions for people with stoma bags are on their back or side, with pillows for support. It is also important to make sure that your stoma bag is properly secured and fits well to avoid leaks.
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What You'll Learn

Sleeping positions
Sleeping with a stoma bag can be challenging, especially in the initial days after surgery. Here are some tips for sleeping positions to help you get a good night's rest:
Sleeping on your back is often recommended, especially after stoma surgery. This position can help with neck and spine alignment and reduce the risk of putting pressure on your stoma. It is also a safe option to prevent leaks and ensure the mattress supports the ostomy pouch as it fills.
If you prefer sleeping on your side, that is generally fine too. If you sleep on the same side as your stoma, the mattress will support the pouch as it fills. Sleeping on the opposite side is also an option; you can hold a pillow against your abdomen or place your pouch on a pillow next to you to support the weight as the bag fills. Using a pillow or body pillow can also help keep your body in place and prevent you from rolling onto your pouch.
Sleeping on your stomach is possible but may increase the chances of leaks as the night progresses and your bag fills. If you choose to sleep on your stomach, consider modifying your position by bending the leg on the side with your stoma to create space underneath your abdomen for the bag to fill.
Additionally, using pillows can enhance your comfort and support your body. For example, placing a pillow between your legs or under your back can help you get into a comfortable position.
Remember, it is essential to find a sleeping position that works best for you and ensures the support and security of your stoma bag.
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Pillow placement
If you are sleeping on the same side as your stoma, your mattress will also support your pouch as it fills. If you are sleeping on your side, you can try placing a pillow under your stoma bag for extra support. If you are worried about rolling onto your stoma, you can place a pillow against your abdomen or between your legs. This will help to keep your body in place and prevent you from rolling over onto your pouch.
If you are sleeping on the opposite side to your stoma, you can place a pillow next to your abdomen so that you can set your pouch on it as it fills. This will help to prevent the weight of the bag from waking you up. You can also try hugging a pillow to keep your body in place and prevent you from rolling onto your stoma.
If you are used to sleeping on your front, it is best to get used to sleeping on your back or side. Sleeping on your front can put pressure on your stoma and cause problems, especially if you have recently had surgery. However, if you do choose to sleep on your front, be aware that this increases the chances of leaks as your bag fills. To reduce the risk of leaks, you can modify your sleeping position by bending the leg on the side with your stoma. This creates space underneath your abdomen, allowing the bag to fill without putting pressure on your stoma.
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Emptying/changing the bag
Emptying and changing your stoma bag is an important part of your nighttime routine. It is advisable to wash your hands before and after changing your bag. Firstly, draw the template of your stoma onto the adhesive of the bag, then cut it out. To remove the stoma bag, carefully release the adhesive, working from the top down while supporting the skin. If you choose to use an adhesive remover, spray a small amount as you peel away the adhesive to help with removal. Once you are in your preferred position for emptying the stoma bag, undo and unroll the outlet to open it. When empty, clean the outlet with toilet tissue or a dry wipe. Roll the outlet back up to its original position and secure. Some stoma bags allow you to tuck the outlet up into the bag for extra discretion.
Once removed, fold the adhesive section of the used bag in half so that it seals. Place the majority of the pouch into a small disposal bag. As you spray around the pouch with the adhesive remover, gently remove the bag, peel it off slowly and let it drop straight into your disposal bag. Do not flush a used bag down the toilet unless it is described as a "flushable" bag, as it will cause a blockage.
When your skin is completely dry, fit the new bag (or base plate), making sure it is secure all the way around. When fitting a one-piece bag, it helps to bend the top half of the flange away from your body, so that you can see to fit the bottom half around the stoma. Then, with the flat of your hand, press the remainder of the flange in position. The warmth of your hand will ensure that it adheres snugly. Take time to ensure there are no creases in the adhesive and use the warmth of your hands to mould the bag to your skin, making sure it is well stuck.
It is important to spend some time making sure that the pouch is fully secured so there is no chance of leaks overnight. If you are changing your bag before going to bed, try to eat your main meal before 7 pm to allow your stoma to do all its work before you settle down. Be careful with your food choices. Try to avoid anything fizzy or fibrous in your last meal before bed.
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Food and drink to avoid
To ensure a good night's sleep with a stoma bag, it is important to pay attention to your eating habits and how different foods affect your stoma. Here are some foods and drinks to avoid when sleeping with a stoma bag:
Avoid heavy meals close to bedtime: Eating a heavy meal before bedtime will increase your stoma's activity during the night, resulting in more frequent trips to the bathroom to drain or change your stoma bag. It is recommended to eat your main meal before 7 pm to allow your stoma to do its work before you go to bed. Eating smaller meals throughout the day instead of three large ones can also help keep your stoma activity manageable.
Avoid fizzy and fibrous foods before bed: Consuming fizzy or fibrous foods in your last meal before bed can cause excessive gas, leading to an inflated stoma bag. It is advisable to leave at least two hours between eating and going to sleep to reduce the risk of a full stoma bag leaking overnight.
Avoid foods that cause diarrhoea: Certain foods can trigger diarrhoea, which can be problematic with a stoma. Common triggers include certain fruits, starchy foods like white rice and bread, and medications. If you experience diarrhoea, it is recommended to use a drainable bag that can be emptied to reduce skin irritation.
Avoid foods that cause gas and odour: Some foods can increase gas and odour, which can be unpleasant and embarrassing. These include leafy green vegetables, especially in the early days after surgery. If you experience problems with gas, talk to your healthcare provider about taking an over-the-counter medication before meals to help prevent it.
Maintain adequate hydration: While not directly related to food and drink avoidance, staying properly hydrated is crucial for people with stoma bags. Aim for 8 to 10 glasses of liquids per day, preferably water. Salt helps with fluid absorption, so consider adding an extra teaspoon of salt to your diet daily, unless advised otherwise by a medical professional.
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Dealing with leaks
A leaking stoma bag can be caused by several factors, including:
- Poor fit of the appliance: If the barrier or skin wafer isn't properly sized, output can seep under it.
- Skin irritation or moisture: Wet or irritated skin prevents the adhesive from sticking correctly.
- Ballooning and pressure buildup: Gas accumulation inside the bag can push output towards the barrier.
- Physical activity and movement: Excess movement can cause the seal to loosen, especially during exercise or sleep.
To deal with leaks, there are several strategies you can employ:
- Choose the right stoma bag and accessories: A larger-capacity bag or one specifically designed for nighttime use can reduce the risk of leaking by accommodating more output while you sleep.
- Adjust your evening routine: Empty or change your stoma bag before going to bed to prevent it from filling up too much overnight. Eating a heavy meal before bedtime will make your stoma more active through the night, resulting in more frequent drainage or bag changes. Aim to eat your main meal before 7 pm, or opt for a lighter evening meal.
- Ensure a secure fit: Make sure your stoma bag is properly secured before getting into bed. Check that the seal is secure, and consider using additional support products like ostomy belts, barrier rings, or sealants to provide extra security and help prevent leaks.
- Consult a healthcare professional: If leaks are a recurrent issue, consult a stoma nurse or healthcare provider. They can assess the fit of your appliance, suggest alternative products, and provide tailored advice to manage your stoma more effectively.
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Frequently asked questions
The best sleeping position is on your back or your side. If you sleep on your back, the mattress will support the bag as it fills. If you sleep on your side, you can place a pillow under your stoma bag for support. Sleeping on your stomach is not recommended as it can put pressure on your stoma and cause leaks as the bag fills.
To prevent leaks, always empty or change your stoma bag before going to sleep. Avoid eating a large meal before bedtime, as this will increase output and cause the bag to fill up more quickly. Avoid fizzy or fibrous foods at your last meal before bed, as these can cause excessive gas and inflate your bag. Make sure your bag is fitted properly and securely, and that the hole for your stoma is the right size and fits snugly.
Keep a change of pyjamas, stoma supplies, and spare bed sheets on hand. Sleep on top of an incontinence sheet, puppy pad, or dark towel to catch any leaks. Use a waterproof mattress cover. Consider using dark fitted sheets and patterned duvet covers to disguise stains.











































