This topic is all about finding ways to wear jeans or dress slacks with a belt while keeping an ostomy pouch discreet. The goal is to look neat and feel comfortable without the appliance being noticeable, especially when going out. Here are some practical tips and insights to help achieve this:

- Consider using suspenders or braces instead of a belt. These can be hidden under a vest, jacket, or zip-up hoodie.
- Opt for loose-cut or pleated jeans, cargo shorts, or lighter-weight pants. High-rise waistlines can look neater when shirts are tucked in.
- Look for pants like Dockers with an expandable waist and pair them with stretch belts for added flexibility.
- Stretch or braided-leather belts can help ease pressure on the pouch.
- For summer, try wearing Tommy Bahama camp shirts, and in winter, layer with jean or flannel shirts over a T-shirt.
- A layering trick is to tuck in a T-shirt and leave an outer shirt untucked for camouflage.
- For formal occasions, dress trousers fitted for button-on suspenders and a sport coat can help hide the pouch.

When it comes to underwear and support garments:

- High-waist or shapewear briefs can offer support. Brands like Comfiz and options from Walmart are recommended.
- Boxer-briefs or athletic compression shorts can help muffle noise, but avoid overly tight styles.
- Low-rise briefs keep the elastic below the flange, minimizing pressure.
- Omnigon support garments and OstomySecrets men’s ostomy wrap can help flatten the pouch under clothing.
- The Phoenix Ostomy Support System belt and Stealth Belt are options for holding the pouch in place.

For guards, inserts, and specialty belts:

- The Stomaplex Active Stoma Guard and Ostomy Armor provide protection and allow for shirt-tucking.
- The Coloplast "arch" device and Stomagear stoma protector prevent squeezing under a belt.
- Homemade solutions like a stainless steel "bowed" belt insert or a custom "ostomy bridge" can be effective.

Pouch handling tips include:

- Folding the top of the pouch down and taping it to itself to flatten the profile.
- Turning the bag sideways and tucking it into a support belt.
- Using paper medical tape for temporary "tuck & tape" during short periods.
- Hiding a urostomy leg bag in a cargo-short side pocket.

For skin care and adhesion:

- Nystatin powder and Skin Tac wipes can prevent fungal rashes and improve wafer adhesion.
- Cymed one-piece clear pouches are praised for flexibility and long wear-time.
- Tinactin or similar antifungal powders can be used as over-the-counter substitutes.
- Avoid using skin-prep spray under the wafer if it reduces adhesion.

Remember, body shape, torso length, stoma height, and weight changes can all influence what works best, so be prepared to experiment. Confidence and comfort are key, so wear what makes you feel secure.