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May 14, 2025

Flying for the First Time with a Stoma: Tips Needed

Flying for the first time with a stoma can feel a bit daunting, but with some preparation and practical tips, you can make the experience much smoother. Here are some helpful suggestions from others who have been in your shoes:

- Documentation and Security:
- Carry an ostomy travel or medical communications card to show to security staff. This can help explain your situation and make the process easier.
- Let the screeners know about your stoma, either verbally or by showing the card. This usually results in a quick pat-down or a hand swab.
- Consider using TSA Pre✓ or express lanes to reduce the need for extra scans. You can also request a private room if that makes you more comfortable.
- If you need scissors, pre-cut your wafers at home. Blunt-tip scissors are generally allowed in carry-ons.
- Some airlines may allow extra weight for medical supplies if you have a doctor’s certificate.

- Packing and Carry-On Strategy:
- Keep all essential supplies in your hand luggage, including a full change kit and several extra pouches.
- Use small, discreet organizers to keep everything tidy and accessible.
- Bring wet wipes and paper towels, as airplane lavatories might run out of tissue.
- Pack oral rehydration powders or sports drinks to stay hydrated, especially if you have an ileostomy.

- Seating and Boarding:
- Request or pay for an aisle seat near the lavatories for easy access.
- Board early with passengers needing assistance to ensure your carry-on supplies are not gate-checked.

- Eating, Hydration, and Output Control:
- Eat lightly before and during your flight, opting for low-fiber, low-gas foods. Some people prefer to fast or snack on simple foods like yogurt or peanut butter.
- Consider using anti-motility medication an hour before departure if it suits you.
- Stay hydrated with water or electrolyte drinks, even if it means needing to empty your pouch more often.

- In-Flight Management:
- Empty your pouch right before boarding. Many find they only need to empty once on long flights if they eat lightly.
- Gas expansion is usually not an issue with new pouches that have unclogged filters.
- Carry pouch deodorant drops or sprays for odor control in the lavatory.
- Wear dark, loose clothing and pack spare underwear for emergencies.

- General Reassurance:
- Many people have flown both domestically and internationally without significant issues. The key is preparation: bring spare supplies, stay hydrated, eat lightly, and communicate confidently with security staff.
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