This topic is about swimming in salt water with an exposed stoma and the concerns related to skin irritation and adhesion of the pouch afterward. Here are some insights and advice shared by others:

1. Many people suggest keeping the pouch on while swimming in the ocean. Salt and sand can irritate the skin, and any leaks could contaminate the water. If you choose to swim with a pouch, consider using barrier extenders for added security.

2. For those who swim with a pouch, some recommended support garments include:
- Ostomy Secrets swim/active wrap
- Stealth Belt, which should be tightened firmly for use in hot tubs or open water

3. Some individuals with ileostomies believe that exposing the stoma is risky because:
- The stoma does not have pain sensation, so irritation might go unnoticed.
- Microbes from the sea could enter the small intestine, and stool could impact the marine environment.

4. A long-time cruiser with an ileostomy has been swimming in the ocean with an exposed stoma for 40 years without any skin or stoma issues.

5. Another swimmer with a colostomy uses a thin silicone nipple cover over the stoma when wearing a suit to reduce friction but swims uncovered at other times without problems.

6. An English Channel swimmer with an ileostomy reportedly completed the crossing without a bag and experienced no adverse effects.

7. Practical tips include:
- Avoid exposing the stoma if the skin around it is raw or blistered.
- Rinse and dry the skin thoroughly before reapplying a wafer to ensure good adhesion.
- Consider using a sealed stoma cap or plug (for colostomies) instead of going completely uncovered.