About the author
Paul Russell-Roberts is OC Education Manager with Coloplast Professional. He has nearly 25 years experience in surgical nursing, becoming a Stoma Care Nurse Specialist in 2011. He is passionate about developing protocols, policies and digital platforms that make a real difference in the lives of ostomates.
Mucus is normal and healthy
The production of mucus is normal and healthy. It is part of living with a urostomy. This white, sticky substance can appear as ‘threads’ in the wee inside your bag, or you may notice it on your stoma when changing your bag. However, the overproduction of mucus can be problematic and is a common concern among urostomates, so it is important to understand what’s normal and what might require a trip to your GP or stoma care nurse.
Having supported many urostomates experiencing excess mucus, I hope to provide you with some insight into why it occurs and the steps you can take to manage it.
Causes of urostomy mucus
Your urostomy was formed using a segment of your small bowel, which naturally produces mucus. In its normal function, mucus helps protect the bowel lining and aids the passage of stools. When this piece of bowel is repurposed to create a urostomy, it continues to produce mucus, which can sometimes become problematic.
There are five possible causes of excess mucus:
Dietary irritants
Certain food and drink may irritate your bowel. Since the section of bowel used for your urostomy still behaves as though it is part of your digestive system, it may respond to these irritants by producing more mucus. It may be helpful to monitor your diet to identify any potential triggers.
Stoma trauma
Any irritation or minor injury to your stoma can result in increased mucus production as your body’s natural defence and repair mechanism. Think back to when you had your stents in when your urostomy was first formed. Can you remember how much mucus there was? One of the reasons is the stents irritated the bowel.
An over-production of mucus can occur if your stoma appliance is not properly aligned, or was cut too small, causing it to rub against the stoma. Consider when you last checked your cutting template. Your stoma may have changed in size or shape. If you’re experiencing leaks and increased mucus, this is most likely to be the cause. Don’t hesitate to reach out to your stoma nurse or other support services for assistance with checking your appliance fit.
Urinary tract infection (UTI)
Even a mild urinary infection can trigger more mucus production from your stoma. Be vigilant for signs of infection, such as unusual odours, changes in the colour of your wee, or discomfort. If you suspect an infection, contact your healthcare provider promptly and have your urine tested. (You can read more about UTIs here)
Medication side effects
Certain medicines can affect mucus production, though this varies from person to person. If your mucus production fluctuates, it’s less likely to be due to medication, but it is something to be aware of. Do not alter your medication regime without consulting your healthcare provider first.
Other factors
Sometimes, mucus overproduction occurs without a clear cause. If this is your situation, you may find that taking a vitamin C supplement helps to reduce the mucus. However, always consult your healthcare provider before starting any new supplements.
Managing mucus overproduction
Understanding potential causes of excess mucus will help you take steps to prevent it.
Regularly check the fit of your stoma appliance, monitor your diet, and look out for any signs of urinary infection.
Your stoma care nurse and healthcare team are there for advice and support when you need them, don’t be afraid contact them. This applies whether you are concerned about mucus or any another issue relating to life with your urostomy. Getting answers to your questions can help you find greater peace of mind.