The answer is yes: modern ostomy systems, consisting of a pouch and a skin barrier (wafer), are designed to get wet without compromising function. The materials used in both the pouch and the adhesive skin barrier are water-resistant, allowing individuals to maintain normal hygiene and participate in water activities. Water will not flow into the stoma, the surgically created opening on the abdomen, nor will it harm the pouching system when securely applied. This ability ensures that life with a colostomy bag is not significantly restricted.
Daily Routines Showering and Bathing
Incorporating the ostomy system into daily showering and bathing is straightforward. A person can choose to shower with the pouch on or remove it entirely, as water does not damage the stoma itself. If the pouch is worn, ensure the skin barrier is well-adhered before stepping under the water. The adhesive is engineered to be waterproof and will not immediately detach.
When using soaps, select mild, residue-free cleansers that do not contain heavy moisturizers, oils, or fragrances. These additives can leave a film on the peristomal skin and interfere with the adhesion of the next skin barrier. Water temperature should also be considered; excessively hot water can loosen the adhesive bond prematurely. Lukewarm water is the best choice to prevent compromising the seal.
If the pouch includes a charcoal filter, which allows gas to escape and deodorizes output, it must be covered before showering. Manufacturers provide small, adhesive filter covers to prevent water from entering the charcoal, which would render the filter ineffective and potentially lead to pouch “ballooning.” The filter cover should be removed once drying is complete to restore the venting function.
Submersion and Recreational Water Use
Submersion in water for recreational activities like swimming is safe and encouraged for individuals with an ostomy. The pouching system’s water resistance extends to prolonged exposure, including the effects of chlorine and saltwater. Before entering the water, empty the pouch to prevent ballooning and ensure the appliance is discreet under swimwear.
To maximize security during extended submersion, some individuals apply a fresh pouching system before swimming, allowing the adhesive a few hours to fully cure and create a robust seal. Using specialized accessories, such as waterproof barrier strips or medical tape, can provide extra protection against water intrusion. These measures help prevent lifting or rolling of the skin barrier.
For those concerned about appearance, manufacturers offer smaller, “mini” pouches or stoma caps that are low-profile for water activities. Regardless of the pouch size, the filter must be covered, just as with showering, to maintain functionality. Chlorine and salt water will not harm the stoma, but they can irritate the peristomal skin if the barrier seal is compromised and water lingers.
Post-Water Care and Skin Protection
Immediate and thorough post-water care is important for maintaining the adhesive seal and protecting the peristomal skin. Upon exiting the water, the pouch and wafer should be gently patted dry with a soft towel. Aggressive rubbing can cause the adhesive edges to lift or roll, creating a pathway for moisture or stoma output to reach the skin.
A handheld hairdryer set to a cool or low-heat setting can be used to ensure the pouch material and skin barrier are completely dry. Avoid using high heat, as this can weaken the adhesive bond or cause discomfort to the skin. Once dry, carefully inspect the entire perimeter of the skin barrier, checking for signs of wrinkling, lifting, or separation.
If the seal appears compromised, or if there was prolonged exposure to chemically treated or salty water, a full appliance change should be considered soon after the activity. This prevents sustained moisture against the skin, which can lead to moisture-associated skin damage or peristomal dermatitis. A healthy peristomal skin area should look just like the skin on the rest of the abdomen. Diligent drying is a preventative measure against moisture-related complications.