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Jul 13, 2013

Pants with a bag - How to manage?

The topic is about finding ways to wear pants comfortably, securely, and discreetly with an ostomy bag. The person sharing their experience has an ileostomy located just below the navel on the right side and is looking for advice on managing clothing, especially at work where sweatpants are not allowed. Here are some helpful tips and insights:

1. **Waistband & Trouser Style**
- Consider high-waisted or maternity-panel jeans and pants, yoga pants with the panel up, stretchy-waist slacks, or bib overalls to position the waistband above the stoma and pouch.
- If the stoma is higher, low-rise or hip-hugger trousers can be worn with the pouch hanging outside, covered by a long top or camisole.
- Use loose belts or suspenders to avoid pressure on the pouch.
- Dark colors and long tops or sweaters can help conceal any mishaps.

2. **Underwear & Wraps for Day-to-Day Wear**
- Wearing two pairs of underwear (bikini briefs underneath and boxers or another brief over) can keep the bag close without needing a separate cover.
- Trunk-style boxer shorts with a deep rise can support the appliance.
- Consider commercial support garments like Ostomysecrets underwear, Awestomy wraps, Stealth Belt, CUI Wear briefs, Spanx, or Tommy Copper compression garments for added support.

3. **DIY Solutions**
- Create a handkerchief pouch on an elastic waistband to carry the bag outside trousers.
- Sew pockets inside boxer shorts to keep the plastic off the skin.

4. **Hernia/Abdominal Support**
- Use a Stealth Belt, wide maternity panels, Spanx, or dedicated abdominal support belts to reduce strain. Opt for a larger size if extra comfort is needed.
- Empty the pouch frequently to keep it light and reduce hernia risk.

5. **Gas & Ballooning Control**
- Choose pouches with vents and use deodorizing drops or sprays like Osto-Fresh to manage gas.
- Keep the waistband loose and empty the pouch often to prevent ballooning.

6. **Irrigation (for Colostomates)**
- Some people find that daily or every-other-day irrigation eliminates output during the day, allowing for smaller appliances and more clothing freedom. It's recommended to research "colostomy irrigation" and discuss it with a physician.

7. **Swimming & Sport**
- Use a Stealth Belt, Ostomysecrets bikini bottom, wraps, or a one-piece swimsuit with an attached skirt to conceal and support the pouch in water.
- For high-energy activities, combine a support belt with high-waisted athletic wear.

8. **Intimacy**
- Wraps from Awestomy or Ostomysecrets can keep the pouch flat and protect against accidental tugging. Humorous or themed covers can add a touch of fun.

9. **Web & Video Resources**
- Websites like www.ostomy.org and www.ostomyland.org offer general tips and product guides.
- The YouTube channel "OstomyStory" provides lifestyle demonstrations.

10. **General Tips**
- Keep the waist area loose or supported but not tight, and empty the pouch often.
- Experiment with different garment types or sizes to find what feels secure, comfortable, and appropriate for work, as every stoma position and body shape is unique.
See full discusison
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