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Nov 04, 2010

Swimming with an Ileostomy: Tips and Advice Needed

This topic is about finding reliable ostomy appliances and tips for swimming, especially during the hot Australian summer. The person is experiencing challenges with their ileostomy due to the heat, such as itching, irritation, and leaks, and is looking for advice on how to manage these issues while enjoying swimming.

Here are some helpful suggestions:

1. Consider trying different pouch brands or appliances:
- The Dansac Nova Fold-Up pouch is good in water but may not hold up well in extreme heat.
- ConvaTec Active Life is a one-piece option that works well in hot weather and is available in larger quantities through the Australian scheme.
- ConvaTec 2-piece Sur-Fit systems are secure for swimming, with users typically changing every two days.
- Coloplast Sensura offers both regular and extended-wear wafers; the extended-wear absorbs less moisture.
- Braun Biotrol Petite is a small, low-profile option for swimming or intimate occasions.

2. Use stoma caps for short water activities:
- Dansac round caps and small oblong caps are discreet and popular for swimming.

3. Reinforce the seal for added security:
- Wearing a hernia or support belt over the wafer can help during swimming.
- Applying a skin-prep or barrier wipe to the wafer before swimming can improve adhesion.
- Perma-Type Security Strips and Sure Seal Rings can help reduce edge lift, though prolonged hot-tub use may still affect the tape.

4. Manage supplies and samples:
- Download the Australian Stoma Appliance Scheme list to review available products and request free samples to test fit and adhesion.
- Contacting companies directly can provide extra trial pouches, which is useful for frequent changes in summer.
- Hospitals and stoma nurses can assist in obtaining samples.

5. General tips for dealing with heat and water:
- Be prepared for more frequent changes, possibly every other day or even three times daily, during intense heat or frequent swimming.
- Rinse or pat dry the wafer after swimming and replace it if the edges start to break down.
- Understand that long hot-tub sessions may reduce wear time, so plan to change sooner afterward.
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