A stoma (or ostomy) is a surgically created opening on the abdomen that allows waste to exit the body into a collection pouch, bypassing the diseased or damaged part of the digestive or urinary system. Many people wonder if showering will be forever changed. You can absolutely shower without the pouching system attached; this is generally considered a safe and refreshing practice. Showering without the appliance allows for a more thorough cleaning of the skin surrounding the stoma and provides a temporary feeling of freedom.
Understanding Water Contact and Stoma Safety
The tissue that forms the stoma is a mucous membrane, similar to the moist, pink lining found inside your mouth. The stoma itself will not be harmed by water or mild soap. Water from a shower, whether tap water or chlorinated, poses no threat to the exposed tissue.
A common concern is that water might enter the body through the stoma, but this is prevented by the natural pressure dynamics of the body. The digestive or urinary tract functions as a continuous system, and the internal pressure is sufficient to keep water out. Furthermore, the stoma has no sensory nerve endings, meaning that direct contact with water and cleansing will not cause pain.
Timing and Managing Stoma Activity
The primary logistical challenge of showering without the pouch is managing the body’s continuous function, which is why timing the shower is important. For those with a colostomy, the digestive rhythm is often more predictable. The ideal time is early morning before eating or long after a meal, minimizing the chance of an unexpected output.
Individuals with an ileostomy or urostomy have a more consistent and fluid output and must be prepared for some activity during the shower. The output will simply mix with the shower water and wash harmlessly down the drain. It helps to have a small towel or wipe nearby to quickly manage any larger, unpredictable output.
Pre-Shower and Post-Shower Care Routine
The process of changing the appliance in the shower requires careful steps to ensure the new pouch adheres securely and to protect the skin. Before stepping under the water, the old pouching system should be gently removed. The new system, including the wafer and pouch, should be set out and ready to apply immediately after drying. This preparation helps to streamline the post-shower routine.
While in the shower, use warm water and a small amount of mild, residue-free soap to cleanse the peristomal skin, which is the skin immediately surrounding the stoma. Avoid soaps that contain heavy moisturizers, oils, or perfumes, as these ingredients can leave a film that interferes with the adhesive. After cleansing, thoroughly rinse the area with clean water to remove all soap residue.
The most crucial step is ensuring the peristomal skin is completely dry before applying the new appliance, as moisture is the enemy of a secure adhesive seal. After stepping out of the shower, gently pat the skin dry with a soft towel, avoiding any rubbing motion that could cause skin irritation. A hairdryer set to a low, cool setting can also be used to ensure the skin is entirely free of moisture.
If you use skin barrier products, such as a protective wipe or powder, these should be applied after the skin is dry but before the new wafer is placed. These products create a thin film that protects the skin from output and improves the adhesion of the appliance. Finally, the new wafer should be applied carefully, ensuring a snug fit around the stoma to prevent leaks.