Swimming with an ostomy can be a bit challenging, especially when it comes to keeping your pouch secure in the water. If you're looking to dive back into swimming but are worried about your pouch losing adhesion, here are some helpful tips and insights to consider:
1. **Explore Different Brands**
- Try out various brands until you find one that works well in water. You can request free samples from companies like Hollister, Coloplast, ConvaTec, Safe n Simple, Nu-Hope, Marlen, and Cymed. Your stoma nurse might also be able to provide samples.
- Some swimmers have had success with Hollister 2-piece drainable systems, reporting no lift-off issues.
- A daily swimmer recommends the ConvaTec 22771 pouch with an Eakin Cohesive Slim ring, changing it every other day without leaks for over three years.
2. **Enhance the Seal**
- Use flange or barrier extenders around the baseplate for extra security during showers or swimming.
- Consider applying an ostomy-specific extra adhesive, like Torbot bonding cement, over the wafer edge.
- Warm the wafer and ring with a hairdryer or by holding them against your skin, then press firmly for 1–2 minutes.
- Pre-heat barrier rings on your body before removing the backing.
3. **Prepare Your Skin Properly**
- Ensure your skin is completely clean and dry, avoiding any lotion, perfume, or adhesive-remover residue.
- Use dye- and fragrance-free soap, such as Cetaphil, and keep shampoo or conditioner rinse water away from the appliance area.
- Some people find that barrier wipes can weaken adhesion, so you might want to test applying the wafer directly to dry skin.
4. **Use Helpful Accessories**
- Consider wearing a flange belt or a StealthBelt neoprene swim belt for added support; it includes a zip pocket for the pouch.
- Ostomy Secrets swim wraps and neoprene covers from Amazon can help hold the bag close to your body.
- Remember, flange belts don't create a seal; they reduce the weight on the wafer. Fix adhesion first, then add a belt or wrap for extra confidence.
5. **Build Confidence Gradually**
- Test your setup by sitting in a bathtub for 30–45 minutes before heading to a public pool.
- If a wrap or swim belt feels loose, try ordering one size smaller or use a maternity "tummy sleeve."
- After swimming or showering, dry the wafer and pouch thoroughly. Some people let the cloth tape air-dry, while others prefer to pat it dry.
6. **General Encouragement**
- Many people with ostomies swim daily without special precautions once they find the right system.
- Remember, water alone cannot dissolve a properly applied wafer. If it lifts, consider adjusting your adhesion technique or product choice.
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