This topic is about feeling confident and secure while using a jacuzzi during a romantic getaway when you have an ileostomy. The person sharing their experience has had an ileostomy for five years and is planning a weekend with their supportive boyfriend, which includes a private fireplace and jacuzzi. They are concerned about using the jacuzzi without the support of a swimsuit and are looking for practical advice to stay relaxed and prevent any leaks.

Here are some helpful insights and advice:

1. Emotional and Body-Image Tips
- Remember that most anxiety is internal, and caring partners generally accept an ostomy.
- Share as much or as little information about your ostomy as you feel comfortable; those who can't handle it will likely opt out early on.

2. Discreet Coverage Ideas
- Consider wearing a sexy, stretchy pair of black or red panties or a black elastic ostomy band/cummerbund into the tub. You can let your partner remove it once you're settled.
- Decorative abdominal coverage, like "pretty cumberbunds," can offer added confidence.

3. Securement and Leak Prevention
- Prolonged heat can soften wafers, so have a spare appliance ready and consider changing it before going to sleep.
- Use Coloplast elastic barrier strips, an ostomy belt, or a supportive band if desired. Many people report no issues with their standard setups in hot tubs.

4. Output Control and Pouch Management
- For those who irrigate, doing so before intimacy can keep the pouch empty.
- Ileostomates can slow output by fasting or having light meals beforehand, taking Imodium (after consulting a physician), or using absorptive pouch sachets like Parsorb.

5. Hydration and Heat Tolerance
- Some stoma nurses advise against using jacuzzis due to the risk of accelerated fluid loss from high heat. If you choose to soak, make sure to compensate with electrolyte drinks, either commercial or using the WHO-recipe.

6. Demonstrations and Resources
- A YouTube video titled "Hot tubbing with an ostomy" provides practical tips and real-world confidence for using a hot tub with an ostomy.