Swimming with a colostomy bag is entirely possible and common. Having a colostomy does not prevent participation in activities like swimming, relaxing in a hot tub, or engaging in most water sports. Modern colostomy bags are designed to be water-resistant and, when properly attached, they are secure and leak-proof. With careful preparation, swimming can remain a comfortable and enjoyable experience for individuals with a colostomy.
Preparing for Your Swim
Before entering the water, it is beneficial to take several practical steps to ensure comfort and security. Begin by emptying the colostomy pouch completely to reduce its bulk and minimize the risk of leaks. This also helps prevent the pouch from becoming too noticeable while swimming.
Next, confirm that the seal around your stoma is secure and well-adhered. Allowing the wafer to set for at least an hour, or ideally 12 hours, before getting it wet can enhance adhesion. For added security, some individuals use waterproof medical adhesive tape, barrier rings, or water-specific barrier strips around the edges of the wafer. If your pouch has a deodorizing filter, apply a filter cover sticker over it to prevent water from entering and compromising its function.
Regarding swimwear, opt for choices that provide both support and discretion. High-waisted bottoms, one-piece suits, or tankini-style tops can help secure the pouch and offer coverage. Darker colors or patterned fabrics can also help conceal the bag’s outline under wet material. Some specialized ostomy swimwear is available with internal pockets to hold the pouch in place. If it is your first time swimming with a colostomy bag, a short test swim in a controlled environment, such as a bathtub or shallow pool, can help build confidence in the pouch’s seal and your comfort level.
While You’re in the Water
Modern colostomy bags are engineered to withstand water exposure, remaining sealed and secure during swimming. The pouching system’s design ensures water will not enter the stoma, which is a common concern. The stoma itself is a surgically created opening and not an open wound, so it is not susceptible to water harm once healed.
Movement in the water should not be significantly restricted by the presence of the colostomy bag. The pouching system is designed to be flexible and move with the body, allowing for various swimming strokes and activities. Both chlorinated pools and natural bodies of water, such as oceans and lakes, are generally suitable for swimming with a colostomy bag. However, maintaining good hygiene practices is always recommended regardless of the water source.
While the bag’s integrity is maintained in water, avoid excessively long periods of submersion. This recommendation is primarily for the health of the peristomal skin, rather than concerns about the bag failing. Prolonged moisture exposure can lead to skin irritation, so being mindful of duration contributes to overall skin health.
After Your Swim
Immediately after exiting the water, focus on drying the pouch and surrounding skin. Use a soft towel to gently pat dry the outside of the pouch and the peristomal skin. Some individuals find using a hand dryer or a hairdryer on a cool setting helpful for thorough drying, especially in accessible changing rooms. Ensuring the area is completely dry helps prevent skin irritation and moisture-related issues.
After drying, inspect the skin around your stoma for any signs of redness, irritation, or moisture. Maintaining healthy peristomal skin is important. If any irritation is noted, appropriate ostomy-safe skin care products, such as barrier creams, can be applied without compromising the adhesive seal.
A pouch change after swimming is often optional, depending on individual comfort and the adhesive seal’s condition. If the seal feels secure and the skin is dry and healthy, a change may not be necessary. However, if the adhesive feels compromised, or if you prefer a fresh pouch, changing it is a reasonable choice. Always carry extra supplies when swimming, in case a change is needed.
Addressing Concerns and Building Confidence
Concerns about the bag being noticeable or body image are common. With proper swimwear and preparation, the bag can be discreet, and most people are unlikely to notice it. Patterned or darker swimwear aids concealment, and specialized ostomy swimwear often includes features to keep the pouch secure and out of sight. Focusing on others’ preoccupation with their own activities can alleviate self-consciousness.
The fear of leakage is a common concern, even with proper preparation. While practical steps like ensuring a secure seal and using reinforcement products help prevent leaks, managing this anxiety is also helpful. Modern pouching systems are highly reliable and resist water, making leaks rare when correctly applied. A trial run in a private setting, such as a bathtub, can reduce this anxiety by demonstrating the pouch’s security in water.
Swimming with a colostomy bag contributes to an active lifestyle and overall well-being. Not allowing a colostomy to limit life experiences, such as enjoying water activities, can enhance quality of life. Engaging in activities that bring joy and freedom, like swimming, is an important part of adjusting to life with an ostomy.