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Apr 26, 2017

Physical Activities After Ostomy Surgery - Roller Coasters & Weightlifting?

This topic is about navigating life after an ileostomy surgery, especially for someone who loves high-energy activities like roller coasters, weightlifting, and bowling. The person is concerned about how these activities might be affected by the surgery and is seeking advice on how to manage life with an ostomy pouch. Here are some insights and advice shared by others who have been through similar experiences:

1. Healing and Activity Timeline
- It's important to follow your surgeon's advice on lifting limits for the first 6-8 weeks to prevent hernias. Take it easy for about two months, then gradually rebuild your strength.
- Many people find they can return to their normal activities by six months, but it's crucial to listen to your body and progress at your own pace.

2. Roller Coasters
- Many people with ileostomies have enjoyed roller coasters without any issues. It's a good idea to empty your pouch beforehand, as the wafers are heat-activated and secure.
- For extra security, consider using an elastic ostomy belt, an Ace-type abdominal wrap, or a Nu-Hope belt.

3. Bowling
- You can continue bowling with 14 lb or 16 lb balls and maintain a high average. There's no need to take a year off if you rebuild your strength sensibly.
- Some professionals now prefer using 14-15 lb balls to reduce strain and improve performance.

4. Weightlifting and Ab Work
- Weight training is possible after full healing. Start with light weights and focus on proper form.
- Support gear options include standard weight-lifting or hernia belts, thin elastic wraps, and Nu-Hope ostomy belts.
- Abdominal exercises can be done once healed, and building core strength can help prevent hernias.

5. Appliance Security and Leak Management
- Leaks are rare, but they can happen due to a failed closure clip, over-inflated bag, or a manufacturing defect. Use skin-prep wipes and cut wafer holes accurately to protect your skin.
- Drain your pouch when it's one-third to half full, typically 3-6 times a day, and change it every 3-5 days.

6. Odor Control
- Commercial deodorizers may not always work well. Alternatives include using non-alcohol mouthwash, Tic-Tacs or Altoids in the bag, and frequent bag changes.
- The odor level is similar to normal stool and not specific to ileostomies.

7. Output Consistency and Diet
- Ileostomy output is often watery. To thicken it, try eating crackers, potatoes, cereal, pizza, or pot-pie.
- Bananas can help but might cause mild blockage for some, so eat them with other foods and chew well.
- Spicy foods are usually tolerated, and there's no burning sensation post-surgery.
- Stay well-hydrated with water or Gatorade, as the large intestine no longer absorbs fluids.

8. Mental and Quality-of-Life Insights
- Confidence tends to grow as pain, urgency, and medication dependence decrease. Many people return to activities like riding motorcycles, running, and sports.
- Support groups or online forums can help with the adjustment. If you experience depression, it's important to talk to your doctor.
- Remember, life isn't over after surgery. It can be a new beginning, allowing you to continue enjoying your favorite activities.

9. Manufacturers and Products Mentioned
- Hollister offers a 2-piece drainable pouch system with both clip and Velcro versions.
- Hollister also provides a thin elastic ostomy belt.
- Nu-Hope offers ostomy/hernia belts, which should be ordered to match the flange diameter if applicable.
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