This topic is all about getting back into distance running after having an ostomy surgery. The person is just three weeks post-operation and is eager to start training again. However, they are facing some challenges and have a few concerns. Here are some helpful tips and advice for managing these issues:

- Concerns include:
1. Leaks under the wafer due to sweating.
2. The pouch detaching or bouncing during long runs.
3. The pouch becoming heavy with sweat.
4. Finding a reliable hydration belt for longer runs.

- The person is currently using irrigation but is unsure if a regular schedule will develop due to severe colonic slow-motility, which means it takes about 10 days for food to pass through the colon. They are looking for products and strategies to handle this variability.

Here are some suggestions and insights:

1. Irrigation & Scheduling:
- Give irrigation at least a month to see if output stabilizes with practice.
- Try to time irrigation so that runs happen well after a completed flush to minimize output during the run.
- Keep a detailed food diary to identify foods that trigger faster output and avoid them before running.
- Be prepared to drink 2-3 times your normal water intake on running days since irrigation can reduce fluid absorption.

2. Pouching Systems & Accessories:
- The Hollister 1796 Stoma Cap is a good option for those who achieve predictable empty bowels, as it offers minimal bulk for running.
- Coloplast one-piece systems with Coloplast Elastic Barrier Strips provide extra edge security, and a separate rubber ostomy belt can help limit pouch bounce.
- Wax rings (convex rings) and sports/athletic tape around the wafer can offer extra adhesion during heavy sweating.
- Most modern wafers are waterproof, so rain or sweat alone usually won’t loosen them.

3. Training Timing & Strategy:
- Early-afternoon runs might coincide with a naturally quieter stoma, while early-morning sessions may see more output.
- Delay returning to true long-distance running until surgical healing is further along. Start with short indoor-track or treadmill sessions where bathrooms are nearby.

4. Hydration Belts:
- No specific brands were recommended, but some runners limit pre-run food and drink to reduce pouch fill. Others carry standard running belts once output becomes predictable.

5. Additional Resources:
- Contact your pouch manufacturer’s product-support line (Hollister, Coloplast, Convatec, etc.) for advice on high-activity configurations. They may also provide samples.

These tips aim to help manage the challenges of running with a new ostomy, making the experience more comfortable and enjoyable.