Planning an international trip can be exciting, especially when it's for a special occasion like a 25-year wedding anniversary. If you're traveling from the USA to Jamaica and have a colostomy, there are a few things to consider to ensure a smooth journey. Here are some helpful tips and advice to get you started:

Air-port Security & Documents

- At most U.S. airports, the body scanner will detect your pouch. An agent will ask you to pat the ostomy area and then swab your hands for explosives. This process usually takes about 15 seconds. Similar procedures are reported in Canada, the U.K., Mexico, and other countries.
- It's a good idea to carry a traveler's communication card for ostomates, which you can download from the United Ostomy Associations of America (UOAA). You probably won't need to show it, but it's handy to have.
- A doctor's letter attesting to your medical condition can be kept in your carry-on as a backup, though it's rarely requested.
- You can request medical pre-boarding. Gate agents may only ask if you have a medical condition, without needing further details.
- TSA PreCheck can help minimize secondary screening, and metal detectors usually don't require a pat-down.
- Experiences outside the USA can vary. For example, Frankfurt might be challenging, while Amsterdam is efficient. It's helpful to learn or print the local word for "stoma" or "ostomy bag."

Packing & Supplies

- Keep all your ostomy supplies in your carry-on, as checked bags can sometimes be lost.
- Bring double the quantity of supplies you normally need for the trip.
- Pre-cut your wafers, as scissors, even blunt-tip ones, might be confiscated.
- Prepare a small in-flight emergency kit with 1-2 full changes, remover wipes, barrier rings, a precut wafer, disposal bags, and a chemical heat pack to warm the adhesive.
- Bring toilet paper sheets or tissue to line the bowl on the aircraft and flush liquid after emptying to help waste clear the vacuum system.
- Pack a change of clothing in your carry-on in case of leaks.

On-Destination Considerations

- All-inclusive resorts in Jamaica, like Bahia Principe, are generally safer and less stressful than off-resort shopping areas.
- Supplies can be hard to replace locally, so make sure to bring everything you need.
- Activities like swimming, snorkeling, and scuba diving are possible with an ostomy. There are special swimwear and clothing options available.

General Travel Tips

- A passport is required for international travel. Websites like TripAdvisor can be useful for non-medical planning.
- Avoid volunteering medical cards or lengthy explanations at security to keep the line moving and reduce stress.
- Be prepared for unexpected situations like flight delays or lost luggage by carrying essentials with you.

With these tips in mind, you can focus on enjoying your anniversary trip to Jamaica with peace of mind. Safe travels!