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Mar 05, 2024

Ostomy Inside or Outside Clothing? What Works for You?

When it comes to wearing an ostomy bag, people often wonder whether to position it inside their clothes, outside, or use a combination of both. Here are some insights and tips from others who have navigated this:

- Many people choose to keep their pouch inside their shirt, opting for longer or untucked tops to keep it discreet.
- Some let the pouch hang outside their trousers or skirts but still keep it under a shirt, jacket, or wrap so it remains hidden.
- A few prefer to wear the pouch completely outside their clothing when at home, sunbathing, or when comfort is a priority.

For those concerned about restricting the flow:

- Avoid tucking the pouch into pants, as waistband pressure can block output.
- If the stoma is high-placed, it might be difficult to position the pouch below the waistband. In such cases, shirts, dresses, or skirts are used to cover the appliance instead of pants.

Support garments can be very helpful:

- Wraps or elastic bands, similar to a "boob-tube," are popular for holding the pouch flat and reducing movement. Brands like Corsinel Tytex and OstomySecrets offer men's wraps.
- Nu-Hope support belts or vests, as well as generic support vests, provide extra security without hindering the flow.
- Some people use a Stealth Belt or similar products to hold a two-piece pouch horizontally.
- An older fabric wrap with a built-in horizontal pocket was mentioned as effective, and repairing worn wraps at shoe-repair or sewing shops was suggested.

For clothing tricks and accessories:

- The IGGIE Clip can shorten a long shirt when tucking it in.
- Wearing two pairs of underwear (one under and one over the pouch) can stabilize the bag, though some prefer specialized ostomy underwear to avoid extra layers.
- Cutting a hole in an inner T-shirt, tucking it in, and wearing a second longer shirt or jacket over it allows the pouch to hang freely while staying covered.

For those who prefer horizontal pouch wear:

- Turning a two-piece pouch sideways can make drainage easier and keep the profile flatter. A wrap or Stealth Belt can help keep it in place. Some people use thin belts that clip to the wafer, while others rely solely on the wrap.

Adjustments based on activity:

- People often switch between wraps, belts, or no support depending on whether they are at home, working, exercising, or dressing up. The key is to prioritize comfort and confidence in whatever method you choose.
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