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Jul 10, 2022

Beach Bound with an Ileostomy - Tips & Concerns?

If you're considering a beach day and have an ileostomy, you might be wondering about how to manage your pouching system while enjoying the sun and sea. Concerns about bathroom access and the effects of saltwater on your appliance are common, but with a little preparation, you can have a great time. Here are some helpful tips and insights:

- Swimming in saltwater or chlorinated pools is generally safe for ostomy appliances. Most people find it similar to showering, with no adverse effects.

- Wear-time for your appliance might not change, although some people notice a slight reduction if they spend a long time in the ocean. Adhesive performance can vary depending on the product. For instance, one person reported getting a 6-day wear-time with a Hollister one-piece convex flange, even with regular pool use.

- For extra security:
1. Use 2-inch 3M Micropore Surgical Paper Tape to seal the wafer edges. Apply half on the wafer and half on your skin along all four sides.
2. Place a short piece of the same tape over the pouch’s Velcro-style tail closure. It re-sticks even when wet, providing a 10-minute window to reach a restroom if needed.
3. Before swimming, ensure the Velcro tab is securely closed by giving it a gentle tug.

- Swimwear options to conceal or support your pouch include:
1. Tankini tops, swim-dresses, ruffle-front suits, or monokinis.
2. High-waisted or “super high-waisted” bikini bottoms, which can be purchased separately. Look for styles with ruching to help disguise the pouch.
3. Cover-up shirts or rash guards if you prefer more coverage.
4. Consider commercial ostomy swimwear lines like Ostomy Secrets for specialized options.

- Practical tips for a successful beach day:
1. Bring tape strips and a spare pouch in case you decide to change after swimming.
2. Stay hydrated, as dehydration poses a greater risk for ileostomates than swimming.
3. Be mindful of foods and drinks that increase output, and plan your meals to keep the pouch less active while at the beach.
4. Locate the nearest restroom or porta-potty; most beaches have them available.
5. Confidence is key. With the right appliance and preparation, you can focus on enjoying the water rather than worrying about your ostomy.
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