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Feb 12, 2024

Ballooning and Air Travel Concerns After Ileostomy

This topic is about dealing with ballooning issues in an ileostomy pouch, especially when traveling by air. Ballooning happens when excess gas fills the pouch, causing it to expand. Here are some helpful tips and advice to manage this situation:

1. Identify common causes of excess gas:
- Avoid carbonated drinks, drinking through straws, skipping meals, or eating only 2–3 large meals.
- Be cautious with foods like milk, dairy products, corn, and other typical "gassy" foods.
- Keep a detailed food and ostomy log to track what you eat and when ballooning occurs.

2. Modify eating habits:
- Try eating 5–6 smaller meals instead of three big ones.
- Before flying, choose low-residue, low-gas snacks. Some people find that snacks like Keebler six-pack peanut-butter crackers don't cause ballooning.

3. In-flight management techniques:
- If ballooning starts, go to the aircraft lavatory to "burp" or vent the pouch, which usually resolves the issue quickly.
- Be prepared for tight spaces in the lavatory. The small, round, motion-sensing toilets might flush unexpectedly, so position yourself carefully before opening the pouch tail and hold it firmly.
- Plan for multiple restroom visits on long flights, and consider booking an aisle seat for easier access.

4. Additional practical tips:
- Consider whether a one-piece or two-piece system works better for you; some travelers find two-piece appliances easier for venting.
- Stay hydrated, but be aware that milk, while hydrating, can produce a lot of gas for many people.
- Try eliminating or reducing foods that trigger gas several days before traveling to prevent ballooning.
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