Traveling with an ostomy can feel a bit daunting, especially when you're planning a flight from London to the USA. The thought of managing your ostomy pouch in-flight and finding the right travel insurance can be overwhelming. Here are some helpful tips and insights to make your journey smoother:

1. Managing Your Ostomy Pouch During the Flight:
- Many travelers with ostomies report that their pouches do not automatically fill with air due to cabin pressure changes.
- To minimize any issues, empty your pouch just before boarding the plane.
- Avoid eating gassy foods and large meals before your flight.
- Plan to empty your pouch during the flight and again before landing.
- Always carry your ostomy supplies in your cabin baggage. Consider using something like the Greenlite Gear “Ostomy Briefcase” for organized storage.

2. Eating Strategies:
- Eating light, such as a slice of buttered toast, can help calm your bowel before boarding.
- Some travelers prefer to eat only after their first in-flight pouch emptying to reduce output.

3. Finding Suitable Travel Insurance:
- Use comparison sites like MoneySupermarket, where you can declare an ileostomy. Some travelers have found single-trip coverage for as low as £15 without an increase in premium.
- Make sure your policy specifically covers medical treatment related to your stoma while in the USA, as healthcare costs can be high.

4. General Travel Reassurance:
- Many people with ostomies have successfully flown on long-haul flights, such as from the UK to New Zealand, without any pouch problems.
- If you encounter any issues while in the USA, the United Ostomy Associations of America (UOAA) website is a great resource for local support and information.

With a bit of preparation and the right resources, you can enjoy your trip with peace of mind. Safe travels!