Managing an ostomy appliance in extreme heat and humidity can be a concern, especially if you live in a hot and humid place like New Jersey. The worry is that sweating might cause the appliance to loosen or detach during outdoor activities or even while just sitting in the heat. However, with the right strategies, you can keep your appliance secure. Here are some tips and insights from others who have faced similar challenges:

- One person found success using C-strip extenders, a 5-inch support wrap, and an additional appliance belt. They also took cooling breaks, which helped keep everything in place even after hours of yard work in 90°F+ weather.

- If you're curious about how others manage in even hotter or more humid places like Arizona or Florida, some have shared their experiences. Many report that heat alone doesn't always shorten wear time when using products like Coloplast SenSura Mio or standard Hollister systems.

- To avoid peak-heat sweating, try doing outdoor chores early in the morning or keep your task list short.

- It's a good idea to carry an emergency change kit in your car for quick fixes. Using C-strip or Convatec extenders, Hollister elastic belts, and protective sheets can give you added confidence.

- Appliance covers, available in various materials and patterns, can absorb sweat and odors. Some people even play summer tennis in Florida with a cover on.

- Wearing moisture-wicking tank tops with a stoma hole under a light shirt can keep belts off your skin and reduce sweating. However, be cautious with tight wraps as they might trap heat and promote leaks. Letting the pouch "breathe" with just a bag cover and an elastic Hollister belt can help.

- Some have noticed that Hollister’s newer ceramide-infused hydrocolloid flanges may soften faster in humidity, but pairing them with Convatec extenders can improve hold. Others have found that their Coloplast SenSura Mio wafer looks degraded in heat but stays on when reinforced with paste and barrier strips.

- When it comes to swimming or using hot steam rooms, many SenSura Mio users report no reduction in wear time. However, one person in Arizona did experience flange lifting in a pool, so it's wise to check the seal frequently.

- Body factors like flat stomas, urostomies, high BMI, or scarred, uneven abdomens can shorten wear time in humid climates. In such cases, more frequent changes, perhaps every two days, might be necessary.

- Even if leaks are rare, high temperatures can affect your confidence. Layering the right products, such as extenders, belts, and covers, and having a backup kit can help maintain peace of mind.