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Sep 14, 2024

Showering Tips for Keeping a Stoma Dry

The topic is about showering without your ostomy bag and how to keep your stoma quiet, your skin healthy, and your bathroom clean. Here are some helpful tips and insights:

- Your stoma can safely get wet. Water and mild soap won't harm it, and many people find that showering without the bag makes them feel cleaner and benefits their skin. Common soaps used include Ivory, Irish Spring, and Dial Anti-bacterial. Some prefer not to use soap directly on the stoma, only around it.

- Timing is important. Understanding your natural output cycle can help. Many people with an ileostomy fast for 10–12 hours or wait 2 hours after eating before showering. Early morning or other low-output times can reduce the chance of unexpected output.

- Prepare everything before you shower. Have a new wafer, pouch, adhesive wipes, and other supplies within easy reach. Some people keep the new appliance on the counter, while others place it on a towel on the toilet lid.

- If you only remove the pouch, be careful with the seal. Warm water can loosen the flange, so most people remove the entire appliance on change day.

- Drying techniques are crucial for good adhesion. Blot around the stoma with folded toilet paper, a washcloth, or a Kleenex hand-towel. You can also create a TP "tee-pee" over the stoma while drying the rest of your body. Use a hair-dryer on low/cool, fan with cardboard, or air-dry while lying on a towel for 15–60 minutes. A longer bag-free interval allows the skin around the stoma to recover from adhesives.

- Manage drain/output in the shower by standing sideways or keeping the spray off the stoma to discourage output. If output occurs, push it toward the drain, rinse well, and flush with extra water. To prevent odors and buildup in the drain, occasionally pour baking soda followed by vinegar, then a bucket of hot water down the shower drain. Dog-waste bags or paper towels can be used to pick up thicker stool.

- Be mindful of water temperature. Some people find that hot, steamy showers can weaken adhesion if the skin isn't thoroughly dried afterward. Others have no issues with very hot showers. The key is ensuring the skin is completely dry before applying the new appliance and, if needed, using a bathroom fan or leaving the door open.

- Consider extra gadgets and ideas. A painter’s handheld cup secured with an ostomy belt can act as a "guard" for added confidence. Hair-dryers, TP "tee-pees," and folded paper towels are inexpensive and effective drying aids.

- Many people find "naked showers" and brief bag-free time to be the most liberating part of the week. Don't let fear of leaks stop you from enjoying activities like swimming or hot showers. With practice and the right routine, most problems can be eliminated.
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