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Dec 08, 2022

Tucking Ileostomy Bag Under Clothing - Thick Output Concerns

This topic is about finding ways to comfortably and safely tuck an ileostomy bag under clothing, especially when dealing with thick output. If you're considering tucking your pouch inside leggings or other clothing, here are some helpful tips and insights:

1. Lubricate: Apply a lubricant inside the pouch each time you change it. This helps thick output slide down more easily and reduces the chance of pancaking.

2. Monitor & "Pet" the Bag: Keep an eye on the pouch and gently guide the output downward with a light rub over the pouch if it starts to collect at the top.

3. Clothing Fit & Stoma Level:
- Choose pants or leggings with a waistband that sits either below the stoma or is high-waisted and slightly loose to avoid squeezing the stoma or pouch.
- Low-rise or high-rise underwear can comfortably hold the pouch end. Some people tuck the bottom of a two-piece pouch into the right leg opening for extra support.
- Avoid waistbands that land directly on the stoma, as this can cause discomfort, pancaking, or damage.

4. Tucking Works for Many: Many people with ileostomies have successfully tucked their pouch for years without issues, even during exercise. Just remember to empty the pouch before workouts.

5. Tight vs. Loose Fabric: Tight spandex garments can impede flow, while looser or stretchy fabrics are usually fine. Experiment to find what works best for you.

6. Folding Option: If the length of the pouch is an issue, you can fold it to shorten it before tucking.

7. Support Gear:
- Diagonal support pouches or belts can keep the appliance above the beltline and reduce tugging when the pouch is heavy.
- Decorative covers allow you to wear the pouch outside clothing if you prefer not to tuck.

8. Hygiene on the Go: Carry a small pack of flushable wet wipes, as they are easier to use than toilet paper when you need one hand to manage the pouch.

9. Expect Trial & Error: Be prepared to adjust your routine as output consistency, clothing styles, and daily activities vary. Accept that occasional accidents can still happen.
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