You can swim with a stoma bag. Modern ostomy appliances are water-resistant, making swimming a safe and common activity. The adhesive barrier secures the pouching system to the skin, creating a watertight seal capable of withstanding submersion. Water will not enter the stoma itself. Proper preparation and post-swim care are key to maintaining the appliance’s security.
Preparing the Appliance for Water Activities
Before entering the water, preparatory steps ensure maximum security and adhesion. Use a newly applied pouching system that has been in place for at least an hour, allowing the adhesive to fully bond with the skin. Some users wait several hours, or even change the day before, to ensure the seal achieves its strongest tack. The most critical step is to empty the pouch completely just before swimming to reduce weight and minimize the risk of the bag pulling away.
For added security, consider specialized accessories to reinforce the skin barrier. Waterproof tape, barrier strips, or adhesive extenders can be placed around the wafer edges to prevent lifting and rolling, which is common when adhesive is exposed to water. If the pouch has a filter, apply a small filter cover sticker to prevent water from entering the bag and compromising the filter’s function.
Addressing Concerns About Water Types and Security
Different water environments do not compromise the integrity of modern ostomy adhesives. Both chlorinated pool water and saltwater are tolerated well by water-resistant barriers. However, prolonged or frequent exposure can still cause the adhesive edges to soften and potentially lift over time.
Hot tubs present a unique consideration because the elevated temperature can cause the adhesive to loosen more quickly than in cool water. If using a hot tub, be mindful of the duration and plan for a quicker check of the appliance afterward.
To address discretion and movement, many individuals opt for high-waisted swimwear, specialized ostomy wraps, or a tight-fitting swimsuit. These options provide gentle compression and keep the pouch snug against the body during physical activity. A supportive ostomy belt can also offer additional security, especially during active swimming.
Post-Swim Skin and Appliance Care
Immediately after exiting the water, rinse the appliance and surrounding skin with fresh water to remove chlorine, salt, or other contaminants. The appliance must then be dried thoroughly to maintain the adhesive integrity and protect the peristomal skin. Patting the pouch and barrier dry with a towel is the first step, followed by air drying or using a hairdryer set to the coolest or lowest heat setting.
Applying heat can melt the adhesive, so use a cool setting when using a hairdryer to expedite the drying process. After drying, visually inspect the edges of the adhesive barrier for any signs of lifting or a compromised seal. If the wafer edges have lifted or the appliance feels less secure, change the pouching system sooner than the normal wear time to prevent leakage and skin irritation.