Topic Explanation:

The discussion centers around a person who is new to living with an ostomy and is currently on a cruise in the Sea of Japan. They express concerns about leaving the ship for excursions due to the need to empty their ostomy bag every 90 minutes and the uncertainty of finding suitable bathroom facilities. They are seeking advice and support to overcome their fears and enjoy their trip.

Advice and Insights:

1. General Encouragement and Preparation:
- Don't let having an ostomy define your experience. Carry extra pouches if using a two-piece system and enjoy the excursions.
- Build your confidence by preparing adequately and knowing that many have traveled successfully with an ostomy.

2. Japan-Specific Advice:
- Japan has clean and sanitary public toilets, some designed for ostomates with large sinks and hand-held shower heads. Look for the symbol with a cross on the abdomen for ostomy-friendly toilets.
- Consult with the cruise director for information on available facilities at each port.

3. Practical Tips for Managing Ostomy:
- Use a two-piece system for quick changes. Carry a small backpack with disposal bags and new pouches for easy management during excursions.
- Consider using a thickening agent like Metamucil or Imodium to slow down output and make it denser.
- Eat small meals with little liquid and sip water throughout the day to manage hydration and output.

4. Product Recommendations:
- Consider using a Stealth Belt for support, especially if you have a hernia or plan to go shirtless.

5. Dietary Adjustments:
- Avoid gassy foods and consider eating foods that help slow down and bulk up output.
- Some users recommend taking Imodium to slow things down, with specific dosages mentioned (e.g., 2 Imodiums 4 times a day).

6. Personal Experiences and Reassurance:
- Many have traveled with an ostomy without issues, including cruises and flights. Sharing personal success stories can provide reassurance.
- Some have used marshmallows to slow down output before activities like swimming or long flights.

7. Additional Resources:
- A PDF article from an ostomate who visited Japan is available for more insights on public toilets and experiences.

8. Alternative Strategies:
- Manage intake volume and timing, especially before activities with limited bathroom access, like offshore fishing