This topic is about finding the right support options for someone with a large stoma, specifically for a 100 mm (4-inch) one-piece wafer. The person is looking for a solution that provides good abdominal support, prevents sweating in the hot and humid climate of Central Florida, and is suitable for swimming. They are having trouble finding a product that fits their needs because their current pouch does not have belt tabs. Here are some suggestions and insights that might help:

1. Consider the Corsinel StomaSafe Plus support garment. You can modify the inner layer by cutting a slit to fit a larger wafer through it.

2. The Coloplast Brava Ostomy Support Belt might be a good option. It comes with a template to cut an opening to the exact size of your wafer. Keep in mind that the belt tends to run small, so it’s advisable to order 1–2 sizes larger than usual. For example, a person weighing 147 pounds and standing 5'4" might wear a size 2XL. For extra support while swimming, you can wear a generic maternity support wrap over the Brava belt. The Brava belt is known to be sturdier than the Corsinel.

3. Nu-Hope Corp. offers custom belts in various ring sizes, including 4 inches (100 mm). These belts are worn over the flange and under the pouch. They require a physician’s prescription through your ostomy supplier and are not covered by Medicare.

4. The Stealth Belt is another option, especially if you are looking for a sport-oriented belt that holds pouches securely. These are available online.

5. You can also explore additional online sources for belts with large openings, such as Amazon, Stomagear.com, and Stomagoggle, which offer many inexpensive options.

6. For dealing with the Florida heat and swimming, you might find it helpful to let a snug bathing suit provide support in the pool. After swimming, make sure to thoroughly dry the pouch and apply powder, like stoma powder or baby powder, underneath to reduce moisture and friction. Lightweight ¾-length tights or leggings paired with a long top can serve as everyday support and concealment when you’re not swimming.