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Jul 22, 2023

Clothing and Hiding Your Ostomy - Tips and Experiences

This topic is about finding comfortable and practical clothing options for people who have high-output ileostomy or jejunostomy bags. The discussion centers around how to manage the visibility of the pouch and make everyday clothing choices more comfortable. Here are some helpful tips and insights shared by others who have experience with this:

1. Wraps and Belts
- Consider using a Stealth Belt, which comes in vertical and horizontal models, to keep the pouch flat and out of sight. Some people wear these belts most of the day, even while sleeping.
- Try elastic wraps from Ostomysecrets or generic options, tube tops from Amazon, or create a DIY sleeve using cut-out underwear or spandex scraps.
- If using a Hollister New Image 12" drainable pouch, experiment with different belt orientations or try a horizontal model for a better fit.
- Standard ostomy belts can provide support and help reduce leaks, pancaking, and hernias.

2. Positioning the Pouch
- Angle the pouch or wear it sideways so the tail or clip sits at the hip, keeping it inside your underwear without needing a belt.
- Many people tuck the pouch straight down inside high-waisted underwear, yoga pants, leggings, jeans, or elastic-waist trousers. Loose or stretchy waistbands help avoid pressure on the flange.
- For very high stomas, some let the bag hang and cover it with longer shirts, tunics, or bib overalls, which also make emptying easier.
- While some leave the pouch outside their clothing, be cautious of snagging, as it can lead to accidents.

3. Clothing and Shapewear Tips
- High-waisted leggings, Spanx, control-top pantyhose, shapewear briefs with Lycra, and high-rise men's underwear can help keep the pouch flat.
- Long, untucked T-shirts, tunics, tube tops under blouses, suspenders instead of tight belts, and loose layers can hide the pouch's outline.
- For form-fitting outfits, a strong elastic wrap or a Stoma Cloak cloth cover can mask bulges and reduce noise.
- Swimsuits like one-piece suits with a light water-vest, tankinis, or high-waisted bikini bottoms can effectively conceal the pouch.

4. Output Management
- Empty the pouch frequently, about every 3–4 hours, to prevent bulging and leaks, especially with high output.
- Balance your diet: foods like pretzels and potatoes can thicken output, while soups and fluids may make it more liquid. Pair thickening foods with yogurt for a smoother consistency.
- Some colostomates use irrigation (an enema every few days) to manage output, which can make concealment easier.

5. Confidence and Dealing with Comments
- Many people choose to ignore or kindly educate those who are curious about their pouch. Others may respond firmly to unsolicited advice, viewing it as bullying.
- Remember, "Do what suits you—there is no normal." Your comfort, stoma height, and personal style will guide whether you choose to hide or display the pouch.

6. Miscellaneous
- Some products mentioned include the Hollister New Image 2-piece drainable 12" pouch, Stealth Belt, Ostomysecrets wraps, Spanx, Stoma Cloak covers, and Venus Swimwear.
- At night, some people keep wraps or belts on under pajamas for added security.
- New ostomates are reassured that early worries about visibility often lessen with experience and the right gear.
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