Yes, swimming is safe and highly encouraged for individuals with a stoma bag. An ostomy is a surgically created opening that allows for the passage of waste into a collection pouch worn on the abdomen. Modern ostomy appliances are engineered to be water-resistant and leak-proof when properly applied. Proper preparation and post-swim care ensure the device secures reliably to the body.
Preparing the Appliance for Water Exposure
Securing the appliance begins with ensuring the pouch is completely empty before entering the water to minimize bulk or buoyancy that could strain the adhesive seal. A full bag could move significantly during swimming, increasing the risk of the wafer lifting from the skin. It is recommended to allow the wafer to adhere to the skin for at least an hour before submerging it, ensuring the adhesive has formed a strong bond.
For extra security, many individuals use waterproof medical tape or barrier strips around the edges of the wafer. These strips “picture frame” the adhesive baseplate to prevent the edges from peeling up when exposed to water or friction. Using a skin barrier wipe or adhesive spray beforehand can enhance the tackiness and longevity of the seal.
If the ostomy pouch features a charcoal filter, it is important to cover it with a filter sticker or waterproof tape before swimming. These filters can absorb water and become blocked, which may cause the pouch to “balloon” or inflate with gas upon leaving the water. The manufacturer often includes these stickers specifically for use during bathing or swimming.
Adding external support, such as a specialized ostomy belt or wrap, holds the pouching system close to the body. This support minimizes movement and strain on the adhesive seal during active swimming, which helps maintain a secure attachment. These wraps offer mild compression without overly restricting the stoma’s function, ensuring comfort.
Choosing Supportive Swimwear
Selecting the right swimwear is primarily a matter of comfort and personal discretion, as the appliance itself is waterproof. The goal of the garment is to provide gentle support to hold the bag in place and to conceal the device’s outline if desired. Many people find that their regular swimwear works well, but certain styles offer better support and camouflage.
For women, one-piece swimsuits or tankinis with high-waisted bottoms are frequently recommended because they cover the stoma site and provide a layer of fabric to secure the pouch. Swimsuits with features like ruching, busy patterns, or tummy control panels are effective at disguising the shape of the bag. Specialized ostomy swimsuits are also available that incorporate internal pockets or lining to tuck the pouch into, keeping it secure and discreet.
Men typically find that board shorts or high-waisted swim trunks with an elastic or drawstring waist offer sufficient coverage and support. Wearing snug, internal compression shorts or a specialized swim wrap underneath the outer layer can provide an added sense of security and help prevent the pouch from moving freely. Choosing quick-dry materials for any swimwear is beneficial, as it helps reduce the time the appliance is exposed to a damp environment.
Post-Swim Care and Skin Protection
After exiting the water, thoroughly dry the ostomy appliance and the surrounding skin immediately. Leaving a wet wafer or pouch in contact with the skin can weaken the adhesive bond and promote the breakdown of the skin barrier. The entire pouching system, including the cloth backing of the bag, should be patted dry with a towel, or a low-heat hairdryer can be used cautiously to ensure all moisture is removed.
Once the appliance is dry, a careful inspection of the adhesive wafer’s seal is necessary, paying close attention to the edges for any signs of lifting or wrinkling. Water exposure, especially in chlorinated or saltwater environments, can reduce the wear time of the appliance. If the seal appears compromised or if any water has tracked underneath the barrier, the entire system should be changed immediately to protect the skin.
Moisture trapped against the skin is a primary contributor to peristomal skin irritation. If the skin surrounding the stoma appears red, damp, or irritated after swimming, the application of ostomy barrier powder and a protective film can help. Consistent monitoring of the peristomal area and changing the appliance promptly upon signs of seal failure ensures the skin remains healthy and prevents complications.