(14-18yrs)
Bathing with an Ostomy
You can bathe with the pouch on or off. Most ostomy pouches are water resistant so you can change the pouch after you take a bath or shower.
- Empty the pouch prior to bathing
- Dry the pouch after you bathe using a towel or a blow dryer on the cool setting.
- If you are bathing with the pouch off, ensure that you are rinsing the skin off thoroughly to ensure that all soap and shampoo are off the skin because these can interfere with getting the new pouching system to adhere.
Swim Confidently with an Ostomy
Having an ostomy does not mean your child cannot go swimming. Using similar strategies as described for bath time are also helpful for swimming, including emptying the pouch beforehand. Framing the wafer with waterproof tape or elastic barrier strips help to prevent the edges from lifting. Clothing such as a swim shirt or water-resistant shorts can be helpful and can add extra support. There are commercially made “swim bands” or bathing suits designed for ostomates, but these generally are not as widely available for smaller children.
I’m afraid that my pouch will leak or my wafer will loosen while I’m in the water.
Remember, your pouching system is resistant to water and with a proper fit, it is designed not to leak. If you have output concerns, eat a few hours before swimming. A good habit is to empty your pouch before taking a dip. If you are hesitant about how your wafer will hold, take a practice soak in your bathtub. It is best to avoid applying a new skin barrier/wafer or pouch right before swimming. The WOCN Society recommends allowing 12 hours for proper adhesion. Using waterproof tape or water-specific barrier strips are not necessary for most, but can provide peace of mind. There are a wide variety of ostomy supplies on the market for swimming and you should be able to find a solution that works best for you. If your pouch has a vent, use the provided sticker over the air hole so that the filter remains effective.
What can I wear or do to help conceal my pouch and keep it secure?
Wearing a patterned or darker color is less transparent than a light-colored swim garment. Options for women include patterned and boyleg one-piece suits. For a two-piece suit, consider a mix and match of tankini tops, high-waisted bottoms or boy shorts. You can also look for a suit with a concealing ruffle or skirt. Men often favor a higher cut waist for trunks, or suits with longer legs. Stretch fabric undergarments and swim or surf shirts also provide support. Ostomy bands and wraps are also commonly used. On the beach or poolside don’t be surprised to know that some ostomates are comfortable with simply wearing the swimsuit of their choice- with swim fabric pouch covers or just an opaque pouch. There is also swimwear and accessories specifically made for ostomates by a variety of manufacturers.
What do I do if I am approached by pool personnel concerned that my ostomy is an open wound or believe ostomy pouches are not allowed in pools?
The best approach here is to stay calm and try to educate. However, unless you or another person tell pool personnel, no one should know you have an ostomy. Contact UOAA Advocacy Manager, Jeanine Gleba (advocacy@ostomy.org) if this is a recurring issue at your swim location. The Americans with Disabilities Act ensures your right to pool access and most disagreements can be solved through education before exploring any legal recourse. Some scuba diving operations also incorrectly list having an ostomy as an exclusion on pre-dive paperwork. Contacting PADI (800) 729-7234 can help educate them that there is no reason to avoid diving if you have an ostomy pouch.
Meet with a WOC nurse for questions about what supplies may work best for you and stop by your local UOAA Affiliated Support Group or visit our discussion board at ostomy.org to ask what your peers do to feel confident and secure while swimming.
Get yourself a bathing suit and start swimming!
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