Having an ileostomy does not prevent someone from enjoying swimming and various other water activities. With appropriate preparation and ongoing care, engaging in swimming is entirely possible and often encouraged. Modern ostomy appliances are designed to be water-resistant, allowing individuals to participate confidently in aquatic environments.
Preparing for Your Swim
Empty your ileostomy pouch completely before entering the water to prevent discomfort or bulging, which reduces volume and potential issues. Next, confirm the pouch is securely attached, ensuring a strong, leak-proof seal. Check for any lifted edges or compromise around the adhesive.
For added security, consider reinforcement options like barrier rings or adhesive extenders. Barrier rings fill uneven skin contours, creating a flatter surface for the adhesive and enhancing the seal. Adhesive extenders or waterproof tape, applied around the skin barrier’s perimeter, provide extra protection against water infiltration, reinforcing the bond. Some individuals also use a stoma guard for physical protection, keeping the pouch secure during movement.
Choosing appropriate swimwear contributes to comfort and confidence. High-waisted bottoms, one-piece swimsuits, or specialized ostomy swimwear offer discretion and support. These garments hold the pouch snugly against the body, reducing movement and visibility. Testing your chosen swimwear with your pouch at home, perhaps by sitting in a bathtub, builds confidence in how it feels and looks when wet.
During and After Your Swim
While in the water, stay hydrated, especially if swimming in chlorinated pools or saltwater, as these environments contribute to fluid loss. Engaging in light to moderate activity is fine, but overly strenuous movements that might dislodge the pouch should be approached with caution. Some individuals find strokes like breaststroke and backstroke minimize abdominal movement, which can be more comfortable.
Immediately upon exiting the water, gently pat the pouch and the surrounding skin barrier dry with a towel. This helps preserve the integrity of the adhesive and prevents prolonged moisture exposure to the skin. Re-check the adhesive seal to ensure it remains firmly in place.
Showering after swimming is recommended to rinse off chlorine or salt water from your skin and pouch. This helps maintain skin health and prevents irritation. The decision to change your pouch after swimming depends on the seal’s integrity and your comfort level. If the adhesive feels compromised or if any irritation is noticed, a pouch change is advisable. However, if the seal remains secure and comfortable, simply drying the system may be sufficient, as modern pouches are designed to withstand water exposure.
Addressing Common Concerns
A frequent concern about swimming with an ileostomy is leakage. Modern ostomy adhesives are water-resistant, making leaks rare with proper preparation. Ensuring the pouch is empty and the skin barrier well-adhered reduces this risk. Barrier rings and adhesive extenders further enhance seal security, providing additional peace of mind.
Odor management is another common worry, but a properly sealed pouch prevents odor from escaping. Ostomy pouches are closed systems, with the adhesive creating a tight barrier. While some pouches have filters for gas release, these can be covered with a special sticker before swimming to prevent water entry. However, many modern filters do not require covering for water activities.
Concerns about the appearance and discretion of the pouch are common. Swimwear choices, such as high-waisted options or specialized ostomy swimwear, can effectively conceal the pouch. Many individuals find the pouch far less noticeable than initially imagined, especially when wet or under patterned fabric. Focusing on the enjoyment of swimming and building confidence helps overcome self-consciousness. For added reassurance, having a small emergency kit with an extra pouch and wipes nearby is prudent, though rarely needed.
Important Considerations for Safety
Maintaining adequate hydration is important for individuals with an ileostomy, as they are prone to fluid and electrolyte imbalances. The large intestine, bypassed or removed, plays a role in water and electrolyte absorption. Active periods like swimming, especially in warm conditions, can increase fluid loss, making consistent hydration with water or oral rehydration solutions necessary.
Regarding water quality, public swimming pools are safe due to chlorination. However, caution is advised with certain natural water sources, like stagnant ponds, or hot tubs if there is any skin irritation around the stoma, due to potential bacterial exposure. Always inspect the peristomal skin for any signs of redness or breakdown before and after swimming.
Protecting the stoma from direct impact is a consideration. While swimming, avoid activities that might cause blunt trauma to the abdominal area, such as diving into shallow water or rough play. A stoma guard can provide physical protection during active water sports. Consulting with an ostomy nurse or other healthcare professional is recommended if there are specific concerns, persistent skin issues, or before engaging in new or more vigorous activities. They can offer personalized advice and product recommendations.