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Aug 04, 2022

Stoma cover and intimacy advice for ileostomy

This topic is about finding comfortable solutions for stoma protection and managing intimacy for someone with a low ileostomy. The person has been living with an ileostomy for 10 months and is looking for ways to reduce discomfort from clothing and to feel more at ease during intimate moments. Here are some helpful suggestions and insights:

1. Stoma Guards and Shields
- Consider using a rigid or semi-rigid guard that comes with a belt to help absorb pressure from clothing.
- Some products to explore include the "Stoma Protector" and add-ons like the "Stoma Dome" and "Stoma Guard" from Stealth Belt.

2. Support and Concealment Belts
- The Stealth Belt is made of neoprene, is washable, and has slip-in pads to soften the edges of the pouch. It works with both 1- and 2-piece systems and can also protect against seat-belt pressure.
- Another option is a custom-sized belt available from "mrcolitiscrohns" on Instagram, designed for stomas at or below the waist.

3. Waistband and Clothing Adjustments
- Opt for elastic-waist or high-rise pants and skirts to position waistbands above the stoma, allowing the pouch to hang comfortably between underwear and pants.
- Loose, flowy dresses paired with soft men’s boxers can help eliminate pressure.
- Keeping a little air in the pouch can prevent pancaking and reduce contact with clothing.

4. Underwear and Wraps for Everyday and Intimacy
- High-waisted cotton briefs, Ostomysecrets panties, lace wraps, or using two pairs of underwear (a bikini brief under the stoma and "granny panties" over) can support and smooth the bag.
- High-waisted lace thongs or crotchless versions can offer minimal pressure while adding an intimate touch.

5. Pouch Covers and Custom Solutions
- Explore off-the-shelf covers available on Amazon and Etsy, with many sellers offering custom sizes.
- A DIY mini-cap can be made by cutting an existing two-piece bag to a minimal size and resealing it with a FoodSaver, useful for showering or intimate moments.

6. Additional Intimacy Tips
- If modesty is a concern, lay a small hand towel over the pouch area during intimate moments.
- Choose covers or garments that boost your confidence, as most partners focus on other aspects.

7. General Product Recommendations
- Consider products from Ostomysecrets, which offer wraps, panties, and underwear for both men and women.
- Coloplast pouching systems are known for being soft and flexible, with free samples available for trying out.
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