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Mar 09, 2021

Managing an ileostomy on a boat?

Managing an ileostomy while on a boat can be a unique challenge, especially if you're far from shore and without toilet facilities. Here are some practical tips and advice to help make your boating experience more comfortable:

- Consider switching to a two-piece system for quick and discreet changes. You can easily snap off a full pouch and snap on a fresh one in seconds. Some users recommend Convatec two-piece systems, including the Convatec Durahesive. Closed-end pouches are convenient, but drainable pouches can also be capped and stored.

- Seal the used pouch in an odor-proof container or bag. Options include a coffee can with a plastic lid, a butter tub with a snap lid, or a tall food-storage box with a four-way locking seal. You can also use ZipLock bags, freezer bags, or black double-seal bags available on Amazon. Adding paper towels or diapers inside the bag can help absorb liquid if the output is runny.

- Carry a compact "mobile kit" with essentials such as a spare wafer and pouches, wipes or toilet paper, Hollister M-9 deodorant drops (use four drops after emptying), hand sanitizer, odor-proof bags, and a small trowel for shore use.

- If space allows, use a portable marine toilet like the Thetford Porta Potty. These seat-height units are available in marine stores and come with chemicals to contain odor. You can place it on the deck or floor, and a towel or a friend can provide privacy.

- For discreet emptying on the water, position yourself down-wind or behind the steering console. A companion can hold up a towel if you need privacy. In warm, calm water, some people find it convenient to slip overboard for a quick swim-and-empty.

- Time your food and fluid intake by eating lightly or delaying meals so that output occurs after the trip. This technique is also useful for activities like waterskiing, dating, flights, and road travel.

- Always have enough supplies for a complete change as a general backup strategy. Keep a few odor-proof bags in your car or tackle box for unexpected situations like traffic jams, shore breaks, or kayak outings. Sometimes, a brief explanation to strangers is easier than dealing with a leak.

These tips should help you manage your ileostomy more comfortably while enjoying your time on the water.
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