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Sep 29, 2020

Managing Intimacy with an Ostomy - Tips and Tricks for Privacy

This topic is about managing intimacy when you have an ostomy, specifically using support belts and high doses of Imodium to quiet the stoma. Here are some insights and advice shared by individuals on this topic:

1. To keep the ostomy discreet during intimate moments or events, some people use a stretch "weight-loss" Velcro belt to flatten and hide the pouch.

2. To quiet the stoma, large doses of antidiarrheal tablets like loperamide (Imodium A-D or its generic) are used. The suggested regimen is to start 6 hours before intimacy by taking 5 pills, repeating 5 pills 3 hours later, and then continuing with 5 pills every 3 hours until the encounter is over. This can slow down the stoma for up to a day, and a mild laxative might be needed the next day to restart output.

3. When asked, some people simply tell their partners that they had intestinal surgery and need to take pills regularly.

4. This technique is also used for long trips, flights, weddings, funerals, and similar events.

5. It's important to remember that everyone's digestive system is different, so experimenting to find the right dose for you is key.

Additional insights include:

- Honesty and Timing: Many suggest being open about having an ostomy before becoming intimate, as hiding it can lead to stress and trust issues. Confidence in oneself often leads to acceptance from partners.

- Health Concerns with Antidiarrheals: Regular high-dose use of loperamide or Lomotil for sexual encounters is potentially unsafe and can harm your health. Always consult with a physician, as some may not approve of such dosing.

- Medication Clarifications: Imodium (loperamide) slows intestinal movement, while Lomotil (diphenoxylate/atropine) serves a similar purpose but requires a prescription. Lamictal (lamotrigine) is unrelated and does not affect intestinal output.

- Support Garments: Compression or ostomy support belts can help keep the pouch flat during sex, but wearing them constantly might raise questions with a new partner. There are also purpose-made ostomy wraps available.

- Relationship Perspectives: For casual encounters, some might prefer more preparation, while for long-term relationships, open conversation is recommended. Stress from hiding the ostomy can reduce enjoyment, while confidence can enhance the experience.

- Individual Variation: Since everyone’s digestive system is unique, if you try to quiet the stoma, start with smaller doses of loperamide and test well before any planned encounter.
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