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Apr 05, 2023

Thriving on Vacation - Post-Surgery Stoma Success in Costa Rica

This topic is about a person who, just three months after having surgery for ulcerative colitis, took a successful 7-day vacation to Costa Rica. They were initially nervous about the trip but found it went surprisingly well. Here are some key points and advice from their experience:

- The person experienced no nighttime ballooning and only needed to empty their pouch 2-3 times during the day. Their appliance worked well despite the heat, alcohol consumption, and walking 20,000 steps daily.
- They kept their diet simple, focusing on protein and bananas, and drank plenty of water. Alcohol was tolerated without issues.
- The first barrier lasted the entire trip. They brought five barriers and barrier strips as backups and had no leaks, even after swimming and an 8-hour rainforest hike.
- Airport security was straightforward, involving only a hand-swab for explosive residue, with no inspection of the appliance.
- They felt more freedom on vacation, not needing to search for bathrooms every 30 minutes.

Additional thoughts and questions from the traveler:

- They felt self-conscious and wore a T-shirt while swimming, feeling uneasy about showing the pouch.
- They are considering a future J-pouch and wonder if it is worth trying.
- They noticed that wearing a Stealth Belt tightly seemed to pause output flow and are curious if others have experienced this.
- Although life feels "essentially cured" and active again, they sometimes regret choosing surgery and still dislike the bag.

Advice and insights from others:

- Supplies & Wear Time: It's recommended to pack more barriers than one per day; five for a week is considered "brave." Many people achieve a 5-day or longer wear time, with good stoma construction and intact peristomal skin being important.
- Body Image & Confidence: Most people won't notice or care about the pouch. You can skip the swim-shirt if you want, as curiosity fades quickly and can even start conversations. Don't let the pouch define you; continue doing the activities you love.
- Considering a J-pouch: It's advised to talk with people who have both succeeded and failed with J-pouches to set realistic expectations, as outcomes vary. Alternatives like ileorectal anastomosis or staying with an end-ileostomy each have their own adjustment periods.
- Travel Tips: Airport security is usually uneventful, involving only a hand-swab. Know overseas distributors and carry extra supplies; irrigators can travel lighter. A laminated "Out of Order" sign in multiple languages can provide privacy for changes or irrigation in public facilities.
- Gear & Products: The Stealth Belt support belt may temporarily slow output when worn tightly. Barrier strips can provide extra edge security.
- Perspective & Motivation: A positive mindset is applauded, and trips like this show life can be "normal-ish." Comparing challenges with others, like stroke survivors or those with feeding tubes, can help keep the ostomy in perspective. Sharing success stories encourages others to "dare greatly" and travel.
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