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Feb 17, 2024

Riding with a Colostomy Bag - Seeking Advice and Support

This topic is about the possibility and practicality of horseback riding after undergoing colostomy surgery. The person sharing their story has recently bought a horse after a break from riding, only to be diagnosed with bowel cancer, leading to the need for colostomy surgery. They are understandably shocked and upset, and are seeking advice on whether riding with a colostomy bag is feasible.

Here are some helpful insights and advice shared by others:

1. Riding is possible after surgery. Many people with ileostomies or colostomies have returned to riding, driving carts, or participating in other saddle sports once they have fully healed.

2. It's important to allow time for healing. Wait until your surgical wounds and abdominal muscles have recovered. The timeline for this varies depending on the individual and the specific procedure.

3. Before riding, empty your pouch to reduce weight and movement. This might need to be repeated for longer rides.

4. For bag placement and security:
- Tuck the pouch inside your pants or under a snug shirt.
- Consider using a low-profile pouching system or a support garment like a Stealth Belt for added stability.

5. Monitor your activity level. Start slowly, listen to your body, and avoid over-exertion. Building abdominal strength can help prevent strain or hernia.

6. Be cautious with lifting, as the biggest risk might be lifting the saddle rather than riding. Get help or lift carefully to avoid herniation.

7. When it comes to riding gaits, walking and cantering are usually comfortable, while trotting or loping may jostle the pouch more.

8. Regarding fears about surgery, it's reassuring to know that modern stoma surgery is routine. Many people have shared that they also feared anesthesia but woke up fine and are grateful for the relief their stoma provides.

9. Comparable activities like motorcycling and bicycling generally pose no problems for those with an ostomy, suggesting that horseback riding is also safe.

10. If your abdominal strength is limited, prolonged jarring, even on equipment like a mower, can cause discomfort. Core conditioning can help with this.
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