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Jul 28, 2022

Need help finding pants for midline colostomy

Finding the right clothes after having a colostomy can be a bit of a challenge, especially if you have a stoma located midline, above the navel. If you're someone who loves wearing jeans and T-shirts, you might be concerned about waistbands pressing on your stoma or compressing the pouch, which could lead to discomfort or issues with the pouch filling properly. Here are some practical clothing ideas to help you dress comfortably and stylishly without risking blockages or leaks:

1. Consider colostomy irrigation, but only after your surgeon or stoma nurse gives the go-ahead, usually around six weeks post-surgery. Successful irrigation can reduce daytime output, allowing you to wear a small cover, plug, patch, or even nothing at all, making it easier to wear any clothes, including those with tight waistbands.

2. High-waisted or "super high-rise" jeans are a great option as they avoid cutting across a midline stoma. Some recommended brands include:
- Gloria Vanderbilt "Amanda" line
- Express high-rise styles
- Levi’s high-rise bootcut or straight-leg jeans

3. Stretchy, form-fitting bottoms like skinny jeans, leggings, jeggings, bike shorts, mesh basketball shorts, and even men’s boxers for sleeping can be comfortable and accommodating.

4. Modern skorts, which are shorts with a skirt panel, offer both freedom and concealment.

5. Casual linen or cotton pull-on pants with a ruffled elastic waist are fashionable, adjustable, and keep pressure off the stoma.

6. Dresses can be a comfortable choice, with many people preferring simple styles like empire-waist or A-line dresses that hang loosely over the pouch.

7. Overalls or dungarees with one strap fastened can keep pressure off the abdomen while maintaining a casual look.

8. Mid-rise jeans can still be worn; just make sure to empty the pouch when it starts to feel tight.

9. Support garments and accessories can be very helpful:
- OstomySecrets.com offers wraps, high-waisted undergarments, small/no-spout pouches, and other concealment items.
- Stretchy briefs, light elastic wraps, long-line bras, or custom Velcro wraps can help hold the pouch close to the body.
- Hernia waistbands or belts can be layered over a plug or cover if you eventually irrigate.

10. If you have tailoring skills or access to a seamstress, consider modifying pants or creating a custom support band that accommodates a midline stoma.

11. A general tip is to wear whatever you like, just keep an eye on the pouch fullness and empty it as needed. Many long-term colostomates comfortably wear jeans and T-shirts every day.
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