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Sep 30, 2018

Managing Ileostomy on Mexican Cruise - Tips for Swimming and Flange Security

Planning a 7-day Mexican cruise sounds like an exciting adventure, especially with the opportunity to swim in the ocean. If you have an ileostomy, you might be wondering how to manage your ostomy while enjoying the water. Here are some helpful tips to ensure your flange stays secure and you can swim with confidence:

- Pack more supplies than you think you'll need. It's a good idea to bring at least double, or even triple, the number of wafers, pouches, Eakin Seals, Adapt paste, and any other accessories you typically use. Ships and ports often don't have ostomy supplies available.

- Remember that heat and sweat can affect adhesion more than water. To help with this:
- Use barrier-extender strips like Coloplast Brava strips or Brava Y-strips around the wafer to strengthen the seal.
- Consider placing a folded paper towel or thin cloth between the pouch and flange to absorb sweat.

- Before you go swimming:
- Cover any integrated filter with the small adhesive tabs that come with your pouch, as ocean or pool water can damage the charcoal filter.
- If you use a two-piece system, many people find they can keep the same wafer for 6-8 days. Change it the night before days with lots of water activities to give the new seal time to set and dry.

- After spending time in the ocean, pool, or hot tub, check your wafer. Salt or hot water can soften the adhesive. If the tape or extenders are still wet, replace or reinforce them later in the day.

- For perimeter taping, consider:
- Coloplast Brava strips (regular or "Y").
- Scanpor paper tape, which dries quickly and feels like skin.
- Waterproof medical tapes if you plan to stay submerged for long periods.

- Think about using a supportive garment for extra security:
- Quick-dry swim wraps or everyday wraps from Ostomysecrets.
- Neoprene or Stealth Belt waterproof wraps/belts that fit snugly around the stoma area like a mini wetsuit.

- While traveling, keep these routine tips in mind:
- Carry an ostomy travel card to show security staff.
- Change your appliances at night so the adhesive can cure before morning activities.
- If you tend to experience leaks while sitting for long periods, like during car or coach rides, plan for extra checks or use additional barrier extenders.

- In very salty water, such as the Dead Sea, the pouch might separate from the wafer. Using perimeter tape can help prevent total loss and allow for emergency management.

- Lastly, stay hydrated, avoid overeating to prevent increased output, and enjoy your trip. Many people with ostomies have reported stress-free swimming in saltwater by following these precautions.
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