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May 01, 2020

Tips for Traveling with an Ileostomy

Traveling with an ileostomy can feel a bit daunting, especially if you're new to it and planning a trip to Europe. It's natural to have concerns about airport security, using the bathroom on the plane, eating and drinking, and just staying calm throughout the journey. Here are some practical tips to help ease your mind and make your travel experience smoother:

1. Airport Security
- You can choose to carry a travel card for ostomates, but most people just inform TSA or airport staff about their ostomy.
- You might experience a brief hand swab or a discreet pat-down, but you won't need to expose your pouch.
- Remove any hernia or support belts before going through the X-ray to avoid additional screening.
- Scissors will be confiscated if packed with your supplies, so use pre-cut flanges or pack scissors in your checked luggage.
- Calmly explaining your situation to staff can help, and some travelers find that using humor or a simple explanation can make the process easier.

2. Packing & Supplies
- Bring at least twice the amount of ostomy supplies you think you'll need. Keep some on you, in your carry-on, and in your checked luggage.
- Pack a full change of clothes, deodorizing odor drops, small trash bags, 3-ounce toiletries in a clear zip-lock bag, hand sanitizer, a mask, and gloves.
- Research where you can buy more pouches at your destination by checking local pharmacy or medical supply shop websites in advance.
- Gorilla Tape and a small laminated sign saying "Ostomy client – may be some time" can be useful for emergencies or reserving a restroom.

3. Seating & Restroom Strategy
- Book an aisle seat and inform the gate agent that it's for quick bathroom access.
- Empty your pouch right before boarding and then every 3–5 hours or when it's one-third full.
- Practice using a tight bathroom at home. On the plane, use seat covers, sit if it's easier, or stand and let it drop. Small cups of water can help rinse the pouch tail.
- If you're worried about taking too long, ask a flight attendant to let you know when a lavatory is free or to temporarily post an "out of order" sign.

4. Diet & Hydration
- Stay hydrated by drinking plenty of water, as dehydration is a bigger risk than frequent bathroom trips.
- Eat normally and at regular intervals, as skipping meals can cause excess gas or froth.
- Some travelers stop eating and drinking 6-8 hours before the flight to minimize output, while others just avoid gas-producing foods, sweets, beer, and wine. Choose what works best for you.

5. Pouch Management
- Start your travel day with a fresh barrier and pouch. Many people change daily when traveling, especially if they're active or sweating.
- Occasionally massage the pouch to ensure output drops to the bottom and doesn't clog the filter. Quickly vent gas in the lavatory if the pouch balloons.

6. Mindset
- Confidence is key: practice, plan, and then focus on enjoying your trip. Remember, every passenger has personal needs—yours just happen to involve a pouch.
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