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Feb 26, 2014

Showering with an Open Bag after Surgery?

The topic at hand is about showering with a new ostomy, specifically whether it's safe or advisable to shower with the ostomy bag on or off. This is a common question for those who are adjusting to life with an ostomy, especially in the early weeks after surgery. Here are some helpful insights and advice:

- General Safety:
- Many people with ostomies find it perfectly safe to shower without the bag. Warm water can aid in healing and maintaining hygiene.
- It's important to consult with your stoma nurse or surgeon before making any changes to your routine, especially in the early weeks post-surgery.

- Managing Output:
- For those with a colostomy, output can often be timed. Some choose to shower during quieter periods or remove the pouch in the shower, rinse, dry, and then apply a new one.
- For those with an ileostomy, where output is more frequent, it might be best to shower first thing in the morning or before eating, or to keep the pouch on.

- Techniques for Showering Without a Pouch:
- Some people place gauze or cotton over the stoma and secure it with gentle, skin-friendly tape.
- Others may keep the flange on and just remove the bag.
- Avoid using soap, body wash, moisturizers, and baby wipes on the skin around the stoma, as residues can affect how well the pouch sticks. Use warm water or a dedicated non-oily cleanser instead.
- After showering, gently pat the area dry or use a hairdryer on a low setting with a diffuser, treating the stoma with care.

- Products and Accessories:
- Hollister Ostomy Clean solution is a non-oily cleanser that may be available in your region.
- Coloplast Alterna Minicap is a small cap that can be used for showering, swimming, or for discretion after irrigation.
- Primapore tape is gentle and can be used to secure gauze.
- Ocean brand alcohol-free body wipes and larger bath bags are available online for sponge-bathing.

- Early Healing Considerations:
- A new stoma, around 10 days old, might be sore, weep, or bleed slightly, which is usually part of normal healing.
- If the skin is raw, using ostomy powder and keeping the appliance on can help the area heal.
- A purple stoma is a sign of poor circulation and requires immediate medical attention.
- Using warmth, like a hot-water bottle over the pouch, can help ease discomfort.

- Diet Tips for Controlling Consistency:
- Foods like potatoes, pumpkin, yogurt, bananas, and marshmallows can help thicken output.
- High-sugar foods can make the output looser.

- Encouragement:
- Many people have shared their experiences of enjoying years of trouble-free, bag-free showers or baths, highlighting the liberating feeling of having "ten minutes without the bag.
See full discusison
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