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Jan 10, 2019

Exercising and Swimming with an Ostomy - Need Advice!

This topic is all about helping someone with an ileostomy feel more comfortable and confident when returning to exercise and enjoying water activities like swimming. Here are some practical tips and product suggestions to make the experience smoother and more enjoyable:

- A good seal on your ostomy appliance is key. If it stays secure on land, it should hold up in water too. Water itself won't cause a well-adhered wafer to come off.

- To reinforce your appliance, consider using:
1. Coloplast Brava strips or Brava Y strips, which can be trimmed to fit.
2. Waterproof tape from any drugstore, applied in a picture-frame or criss-cross pattern.
3. Barrier extenders, a tube-top, tight tank top, or rash-guard over the appliance.
4. Ostomy swimming belts and binders; having two allows one to dry while using the other.
5. Compression pants/briefs or an ostomy belt, especially with Hollister 2-piece systems, to prevent the pouch from bouncing during activities like running or weightlifting.
6. Bathing suits with built-in pouch pockets, available from OstomySecrets.com.

- Managing sweat is important as heavy perspiration can reduce wear-time.
1. Use an antiperspirant like Mitchum roll-on on the skin around the stoma when changing the appliance.
2. Change the wafer or pouch after long exercise sessions, using a steam room, or spending a day in the pool.

- When it comes to exercise:
1. Start slowly and focus on building core strength to reduce the risk of hernia at the stoma site.
2. Many people successfully engage in running, weightlifting, using cardio machines, and doing isolated arm/leg and core exercises, but it's important to monitor the intensity.
3. Some prefer to skip food before workouts to minimize output and put on a fresh pouch the night before gym day.

- For swimming:
1. Limit long soaks only if your wafer starts to lift at the edges; otherwise, swim as long as you like.
2. Empty your pouch beforehand and eat lightly to keep it flat.
3. Carry an emergency kit with spare supplies like a flange, pouch, and wipes in your gym or beach bag, and rotate stock to keep supplies current.

- Product experiences shared by others include:
1. Coloplast SenSura Mio with a Brava moldable seal provides a strong hold, even in hot climates like Florida.
2. Cymed pouches are designed for triathletes and perform well in water.
3. Hollister 2-piece systems with an ostomy belt offer extra security during weight training.

- Wear-time expectations can vary:
1. Some people find they lose a day of wear in hot, sweaty months, but generally, swimming or ocean water doesn't cause failures.

- For travel and heat:
1. Bring plenty of extra supplies for trips to places like Cancun or the Caribbean.
2. Stay hydrated and use shade; heat alone typically won't cause the wafer to detach.
See full discusison
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