This topic is about navigating the challenges of cruising with an ostomy, particularly when it comes to managing frequent bag emptying during shore excursions. The person sharing their experience is new to having an ostomy and is currently on a cruise in the Sea of Japan. They are feeling anxious about finding bathrooms onshore and are hesitant to leave the ship. Here are some helpful tips and advice to make the experience more enjoyable and less stressful:

1. General Encouragement
- Don't let having an ostomy keep you from enjoying your cruise and shore excursions. Many people find that traveling becomes easier and more enjoyable after surgery.
- Confidence will grow with each outing, and many have reported having trouble-free holidays post-surgery.

2. Bathroom Availability in Japan and Beyond
- Japan is known for its exceptionally clean public toilets, and many ports have facilities designed for ostomates. Look for the symbol of a torso with a cross on the abdomen.
- Cruise staff can often guide you to accessible toilets.
- Similar facilities are available in South Korea, and some countries have cards or laws that allow you to request restroom access from any business.

3. Products and Carrying Supplies
- Consider using two-piece snap-on systems, which allow you to change pouches quickly.
- Use dark disposal bags for used pouches, and carry them in a small backpack until you can dispose of them properly.
- Pack a small day-pack with extra pouches, wipes, disposal bags, and a bottle of water for excursions.
- A Stealth Belt can provide support and concealment, especially useful when swimming or going shirtless.

4. Slowing and Thickening Output
- Over-the-counter Imodium (loperamide) can help manage output; consult your physician for the correct dosage.
- Fiber thickeners like Metamucil can make output denser and easier to manage.
- Eating low-residue foods like marshmallows or eggs with toast before long outings can help.
- Opt for small meals and sip fluids throughout the day to stay hydrated without increasing output volume.

5. Food and Drink Tips
- Avoid gassy or high-fiber foods right before excursions.
- Eating bread or other binding foods in the morning can be beneficial.
- Use hydration powders or electrolyte mixes to maintain fluid levels while sipping, not chugging.

6. Useful References
- For a detailed account of an ostomate touring Japan, you can refer to pages 6-8 of this document: https://www.ostomynsw.org.au/docs/2019_Nov/Ostomy_Summer_2018.pdf

7. Mind-set Reminders
- High-output situations can be managed with planning. Many people successfully engage in activities like offshore fishing or long flights by timing meals and carrying necessary supplies.
- Focus on the freedom gained post-surgery, as travel often becomes easier than life before surgery for those who had severe bowel disease.