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May 02, 2018

How do you handle bag expansion with fitted pants?

This topic is about finding ways to comfortably wear fitted pants, like jeans or dress pants, when you have an ostomy bag. The goal is to avoid crushing the pouch or having to empty it too frequently, while also not relying on long tops to cover it. Here are some helpful tips and insights shared by others:

1. High-waisted coverage
- Consider wearing high-waisted underwear, leggings, or pants so the waistband sits above the pouch, allowing it to expand freely.
- You can fold the pouch once and tuck it between your skin and the waistband to prevent it from being crushed.

2. Stretch or size-up garments
- Look for modern fabrics with some stretch, even in denim, to accommodate the pouch.
- Opt for pants with elastic waistbands or buy a size larger and wear a loose belt.
- Maternity pants with a stretchy front panel can comfortably support a filling pouch, and you might find affordable options at second-hand stores.

3. Support garments and wraps
- Use ostomy wraps or support belts with internal pockets to hold the pouch flat and distribute pressure under fitted clothing.

4. Clothing alteration
- A tailor can adjust waistbands or alter pants so the band sits below the stoma, allowing the pouch to hang freely.
- You can also try DIY methods like adjusting elastic waistbands or folding the pouch to fit inside altered clothing.

5. Alternative clothing styles
- Consider wearing boiler suits, overalls, or layered tops over hip-length pants to hide the pouch without compressing it.
- Longer or looser tops are always a reliable option for concealing any bulge.

6. Output and gas management
- Schedule regular times to empty the pouch to reduce unexpected trips.
- Loperamide can help thicken or slow colostomy output, and colostomates might consider daily irrigation (not suitable for ileostomies).
- Pouches with filters or valves can help release gas to prevent clothes from ballooning.

7. Hernia or "ant mound" bulge
- If there's a protrusion around the stoma, a hernia belt or belly band can help flatten it. Persistent or large hernias might require surgical attention.

These strategies can help you wear fitted pants comfortably while allowing your pouch to expand naturally.
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