Jeans Recommendations for Ileostomy Users

Apr 22, 2024 9:22 pm

I have an ileostomy and am wondering if anybody would have ideas on jeans. I wear Lees 32-32, but they're tight around the bag. The jeans are fine on the legs and waist.

Apr 22, 2024 10:27 pm

Some stores carry elastic-around-the-waist pants for men. Know anyone who would custom-make you a few pairs?

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Mysterious Mose
Apr 22, 2024 11:34 pm

I've ditched my jeans in favor of high-waisted elastic pants. 32 Degrees makes some that fit pretty well except they are a tad short for my 34" inseam. That problem is quickly becoming moot as shorts season is here in Colorado. Most of my long pants get relegated to the cedar chest this time of year. :-)


Apr 23, 2024 2:34 am

I am trying to visualize "tight around the bag"... how your jeans or belt possibly is right up against the bag.

First, how are you wearing your bag? Vertical or horizontal?

Sounds like vertical. Please confirm and the appliance? One piece or two?


Apr 23, 2024 6:33 am

Duluth Trading Post flex pants/jeans. I wear them every day for work; they stretch just enough.

How to Manage Ostomy Leaks with LeeAnne Hayden | Hollister
Apr 28, 2024 4:56 am

I find the length of the rise to be the most important part of the fit now that I have an ileostomy. This may be seen more in women's jeans. High rise works much better than low or mid rise. So it may be necessary to try a different cut of the same brand, e.g., Levis 505 vs 511.

Apr 28, 2024 1:06 pm


Look up Stoma Dome. I use my Stoma Dome to protect against any tight elastic or belt, and it has given me the freedom to wear tight jeans, compression shorts, etc. I use it to play football (soccer) as well, and I feel safe and secure and do not worry about tight clothing or elastic going over my ileostomy.

Hope this helps. I love the options it has given me for clothing.

Apr 28, 2024 1:56 pm
Reply to nick19

Thanks for this suggestion, Nick19. Because of where his ileostomy is, we've had issues with waistbands being too tight. But if we go larger at the waist, the legs look like clown pants. I'm looking into the dome today.


Berkeley Grad
Apr 28, 2024 2:55 pm

Have you thought about consulting a local tailor or seamstress? They may be able to incorporate an elastic extender (an inch may do it) into your waistband that can be concealed by a belt. I am a committed jean wearer and also have found that a larger waistband is not necessarily the solution.

Apr 28, 2024 3:18 pm

I understand this problem. I have not been successful with finding jeans but wear cargo pants mostly, especially at work. I have found that at Amazon the "Match Men's Wild Cargo Pants" are higher waisted and fit well for us with the bag issue. They run a bit long so you can have them hemmed for a good fit. Last, I agree with Mysterious Mose, shorts weather is pretty much here in Colorado. Good luck and I hope you find something that works for you.

Apr 28, 2024 4:31 pm

Hi gpeterson2,

I use the 10” long drainable pouches with my ileostomy, and I just roll them up from the bottom and tuck it under the elastic of my underwear… and I can then wear skinny jeans.

Mysterious Mose
Apr 28, 2024 5:34 pm
Reply to Ravna666

I tried to visualize what that looks like. Then I realized that women's underwear and pants tend to have higher waistlines than men's. The problem most of us males face is that our pants and underwear, for the most part, have the waist either crossing right over the stomach or slightly below. This cuts off the flow when you wear a belt or wear pants that fit your hips. I am not saying it is easier for women, just a bit different due to the hips difference.

Or maybe I visualized incorrectly? :-)


Apr 29, 2024 12:32 am

Look into Public Rec pants and jeans. A bit pricey, but they look like Levis but wear like sweatpants.

May 02, 2024 10:10 am

My friend cut out a small piece of the waistband and replaced it with elastic. It works. I do not have to buy new pants or jeans.