This topic is about enjoying a hot tub safely when you have an ostomy. The person who started the discussion is looking forward to a vacation near Niagara Falls and wants to enjoy the in-room hot tub without worrying about their ostomy appliance coming loose due to heat, water, or chemicals. Here are some helpful tips and insights shared by others:

1. General reassurance: Many people with ostomies have used hot tubs, hot baths, showers, swimming pools, and even the ocean for years without any issues. The main thing to keep in mind is that the wafer might not last as long as usual.

2. Reinforce the wafer:
- You can apply extra medical tape around the edges of the flange or wafer.
- Consider using Coloplast Brava elastic barrier strips or Coloplast half-moon adhesives to secure the wafer. Coloplast offers free samples if you request them.
- Some people also use Hy-Tape, which is a pink waterproof tape, outside the barrier strips for extra waterproofing.

3. Change to a fresh appliance first: It's a good idea to put on a new bag or wafer just before you get into the hot tub. This ensures the best adhesion and cleanliness.

4. Add support accessories for longer soaks:
- A support belt with a ring can help press the flange firmly against your skin.
- You can use two Brava elastic tapes (one above and one below) with a SenSura Mio one-piece pouch, then secure it with the belt. After about an hour, the adhesive should be well set, and you might be able to remove the belt.
- A swim wrap from OstomySecrets.com can provide extra security and help conceal the appliance.

5. After-soak care:
- Check the wafer later that day or the next morning. If it feels loose, it's better to change it to be safe.
- Be prepared for some edge lifting or reduced wear time after soaking, and plan to change the appliance sooner if needed.

6. Temperature and chemicals:
- Very hot water is usually not a problem, but the chemicals in hot tubs can sometimes soften wafers. Keep an eye on your skin and the adhesive, especially if the tub is heavily chlorinated or brominated.

7. Shower routine tip:
- Some people remove the pouch during a warm (not too hot) shower to rinse the stoma area, then reattach the pouch before leaving the shower. This can help clean the pouch and control odor, and it's been approved by a urologist for one of the members.