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Oct 24, 2023

What Types of Covers/Belts Do You Use or Recommend?

This topic is about finding the right everyday ostomy bag covers, belts, and support options for someone who is about to have an end ileostomy. The person asking for advice is a choir teacher who spends a lot of time standing and sitting, and is also plus-sized. She remembers that pregnancy belly bands used to roll into her abdominal folds, so she's looking for practical solutions. Here are some helpful suggestions and insights shared by others:

1. Hollister System
- Use a Hollister elastic belt clipped to a Hollister pouch.
- Consider a "tummy sleeve" or belly band, or even a simple bandeau (stretch tube-top) over mini-bags for extra support.

2. DIY / Sewing
- If you can sew, making your own cloth covers is a straightforward option that many would consider if they had the skills.

3. High-waisted Clothing Instead of Belts
- Loose, high-rise elastic-waist pants or leggings can hold the pouch without needing a belt.
- For tighter, belted trousers, a StomaShield from StomaGear can be effective until the pouch gets too full.
- A StomaDome can protect the stoma but may be harder to keep in place under a waistband.

4. Stealth Belt & OstomySecrets Wraps
- A vertical Stealth Belt is good for day use, while a horizontal model provides horizontal support but may clog the filter faster and trap gas, especially overnight.
- OstomySecrets fabric wraps can be more comfortable for sleeping.
- Both companies often offer coupon codes, so ask your stoma nurse. Shipping can be slow, so order early.

5. Timing Your Purchases
- Wait 3–4 weeks after surgery before spending more than $30, as your abdomen size and belt preference may change as swelling subsides.

6. Shower & Water Protection
- There are purpose-made waterproof pouch covers available, though delivery can be slow.
- A temporary fix is to use Glad Press’n Seal plus plastic wrap around the pouch.

7. Amazon Budget Option
- The JRAIYBZ Ostomy Support Cover/Belt is thicker and more supportive than clip-on belts. You can find it on Amazon.

8. Managing Leaks & Skin Folds
- Extra weight and skin folds can increase the risk of leaks. Eakin Cohesive rings and ostomy paste can help improve the seal.
- Maintain an upright posture, as bending forward can stress the wafer and cause leaks.

9. Simple, Inexpensive Hold-in Method
- Use one size-up, brief-style cotton underwear to tuck the pouch inside for gentle support without putting pressure on the stoma.

10. Hernia-grade Support
- The Nu-Hope Hernia Belt, custom-sized to the flange opening, provides firm support, keeps the stoma upright, and helps prevent or control parastomal hernias. It can be worn continuously, even while swimming and showering.
- Hollister clip-on belts may not provide much support for heavy abdomens as they tend to twist.

11. General Living Tips for Ileostomates
- Expect to empty the pouch 6–8 times in 24 hours; diet timing and content can strongly influence the volume and frequency.
- Overalls or loose dungarees can help avoid waistband issues while healing.
See full discusison
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