This topic is all about enjoying baths, pools, and hot tubs when you have a permanent colostomy. If you love soaking in a tub or swimming but are unsure about how to do it with an ostomy, here are some helpful tips and insights:

1. **Length and Temperature**
- Many people with ostomies enjoy soaking in very hot baths or hot tubs for 60 to 120 minutes, or even longer, without any issues with their wafer. Heated pools, saunas, and the ocean are also generally leak-free.

2. **Pouching System Security**
- Most people bathe or swim with their usual appliance uncovered. The warmth can actually help the adhesive stick better. For extra security, you can use flange or wafer extenders, or simply tape around the baseplate.

3. **Swimwear**
- A snug one-piece swimsuit can help hold the pouch flat and prevent it from dragging. Both one-piece and two-piece ostomy systems work well in water.

4. **Activity Duration**
- Engaging in pool exercises or dancing for about an hour typically causes no issues, and no special covering is needed.

5. **Going Appliance-Free in the Tub**
- Some people choose to remove the bag or the entire appliance for baths or showers. Keep some tissue or a dipper handy for any unexpected output, and rinse or shower afterward to remove any oils or salts.

6. **Irrigation Option for Colostomates**
- If you have a colostomy, evening irrigation can provide predictable freedom during the day. It's a good idea to discuss this with a stoma nurse and watch some YouTube demonstrations before trying it.

7. **General Tips**
- After bathing or swimming, change or re-apply the pouch in the shower for a clean surface and better adhesion.
- Make sure any surgical wounds are completely healed before using pools, hot tubs, or the sea.
- Confidence is key—get in the water and enjoy yourself, it won’t hurt anything.