Friday, December 29, 2006

Blood

I have never really had a problem with blood or other bodily fluids. That is a good thing where Gut Girl is concerned since any given day may give us poop, urine, blood, ostomy output, barf, spit and an assorted other bunch of liquids that we can't quite identify.

These all need to be found, cleaned up and thought about before we go on to the good parts of Ellie's day.

Stool, urine and ostomy output (think greenish milk) all get weighed and logged to make sure that neither too much or too little is coming out which could mean dehydration. Dehydration is very bad, even though we have extra IV bags to give her fluids.

Barf, even though it has been rare in the last few months, does make an appearance every now and then. If she barfs we have to think about what it was, what and how she ate, and what it means for her next feeding.

Blood only shows up every now and then. Most often it is around her G-tube which is always angry (like a hole in your belly should be) and sometimes it bleeds a little bit. It is never red blood and mostly shows up as a dark splotch on a dressing.

Her ostomy also bleeds red blood a bit when we change bags or if Ellie has been lying in her belly a lot. It is unnerving to see red blood anywhere on her but we both realize that her bowel is naturally red because of all of the tiny blood vessels that line it and sometimes they will bleed a bit. Last night's bag change caught her in the perfect combination of situations with her really mad (the ostomy will swell if she gets angry, like the Incredible Hulk) and after a day of playing on the floor. Because of this her ostomy bled a good bit. We cleaned it up, but it was a new experience in the long line of things that we do every day.

I've gotta go and change the cotton balls in her ostomy. Again.

4 comments:

Martha Brogan said...

You do an amazing job teaching us but I'd like a video of Ellie being silly to go with the information. I've worn out yesterday's movies.

jack said...

Well, I'm all cheered up now that we've had the fluid report. What the report did was bring me down to earth where Ellie is concerned. I need that from time to time.

The thing is, I was there for two days at Christmas, and all I, saw was a funny, performing artist. She sang, she danced, she laughed at us. She even tamed that wild animal who lives at your house.

She sprinkled star dust all around the room all day. It was so easy to believe that the girl is without problems. Really, I'm glad you keep us grounded in the truth, the remarkable truth of what you do together to make her the delightful child she is.

Give her a hug from Grampa Jack.

Rhea said...

Ellie - you have the most wonderful grandparents. I don't even know them, except for the wonderful things that they say about you and your parents. Olivia has the same kind of grandparents - ones that love her unconditionally, even change her diapers - well except for my dad, but I'm working on him.

Anonymous said...

It really is amazing the things you learn to accept and deal with when you have a kid with different needs than the average kid.

When my son had his G-tube in we left it to air during the day and put neosporin and a split gauze pad on it at night. We never had any major issues with it. That might be something to think about to help with the angry redness.