Flying with an ostomy can be a bit nerve-wracking, especially if it's your first time. The main concern is whether the change in cabin pressure might cause your pouch to expand or lead to other issues. Here are some helpful tips and insights to make your journey smoother:

1. Pouch and Cabin Pressure
- Many frequent flyers with ostomies report that their pouches do not "explode." At most, you might notice a slight inflation, which is easy to manage.
- Empty or change your pouch just before boarding so it starts nearly flat.
- Wear your pouch loosely under your clothing to allow output to flow freely.

2. Seat and In-Flight Routines
- Book an aisle seat, preferably near the rear lavatory, to make bathroom trips more convenient.
- Stand and empty your pouch as needed. Let the flight attendants know you might need quick access to the restroom.

3. Food and Drink Strategies (Especially for Ileostomies)
- Eat lightly before the flight to reduce output. Consider having something like a soft-boiled egg, toast, and tea.
- Avoid gas-producing foods like pasta. Limit liquids if they increase output, but remember to stay hydrated. Be cautious with alcohol, as it can dehydrate you.

4. Packing and Supplies
- Carry all spare appliances, wafers, precut bags (3–4), tissues, and any adhesive accessories or medicated tape in your carry-on.
- Precut flanges can make an in-flight change quicker if adhesion fails.

5. Security Screening (TSA and International)
- Inform security agents that you have an ostomy if the body scanner flags a "dark area."
- Typically, you'll touch the ostomy area over your clothing, and they will swab your hands for explosive residue, which takes about 15–30 seconds.
- Occasionally, a private visual inspection may be requested.
- Bring documentation such as a TSA Disability Notification Card, which you can download from tsa.gov, and an optional restroom-access card.
- A doctor’s note can be helpful but is rarely needed.

6. General Reassurance
- Many people with ostomies fly regularly without serious issues.
- Being prepared and staying relaxed can make your travel experience much more enjoyable. Have a great trip!