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Jan 13, 2018

Confidence

This topic is about regaining confidence and adjusting to life after having a colostomy. The person sharing their experience is physically healed but is struggling with self-confidence and body image. They miss the self-assurance they once had and are looking for ways to embrace their "new normal." Here are some helpful insights and advice shared by others who have been through similar experiences:

1. Adjustment & Mind-set
- Confidence tends to grow over time. Some people feel comfortable within a few months after surgery, though having "down days" is normal.
- Focus on gratitude, as the stoma is a lifeline that restores freedom once limited by illness.
- Remember that changes to your body don't change who you are. Celebrate life and accept the necessary adjustments.

2. Clothing & Swimwear Tips
- Baggy Bermuda-style swim trunks can easily hide a pouch, and many men wear them.
- Plus-size users often choose skirted swimsuits, and the concept applies to men with longer shorts.
- For workout clothing, opt for looser or higher-waisted gear. Confidence improves as you find what fits best.

3. Water Activities & Leak Prevention
- Many swimmers report no leaks during activities like daily laps, ocean snorkeling, or long-distance lake swims.
- Secure the flange with "picture-framing" using Hypafix tape, which is breathable and non-latex.
- SureSeal rings provide a waterproof barrier, though they may irritate sensitive skin.
- Coloplast SenSura Click 2-piece bags with Velcro closure are noted for feeling secure in water.

4. Irrigation – What It Is & Benefits
- The procedure involves introducing about 1 liter of warm water into the colostomy, which empties the colon via a drainage sleeve into the toilet.
- It is typically done once every 24 hours, often at night, taking 30–40 minutes.
- Between sessions, there is usually no output, which can eliminate the need for a bag or reduce it to a small stoma cap or plug.
- Benefits include no daytime output, increased confidence in various activities, and more time efficiency compared to multiple pouch changes.
- Many users irrigate in hotel bathrooms without issue, and partners appreciate fewer bathroom stops and no fear of public accidents.
- Irrigation is only suitable for colostomies, so consult a stoma nurse and watch YouTube demonstrations before starting.

5. Products & Brands Mentioned
- Hypafix tape (2-inch width)
- SureSeal ring (waterproof flange cover)
- Coloplast SenSura Click 2-piece pouches with Velcro opening
- Coloplast stoma plug (for post-irrigation coverage)

6. General Encouragement
- Many people regain their previous activities, such as going to the gym, traveling, and sailing, once their attitude shifts or after adopting irrigation.
- Seek professional guidance and peer examples, as confidence often returns when practical worries like leaks, visibility, and bathroom urgency are addressed.
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