An ostomy bag, or pouching system, is a medical device worn externally to collect waste from a surgically created opening called a stoma. For individuals with an ostomy, maintaining personal hygiene, including showering, is an important aspect of daily life. Showering with an ostomy is a routine and safe activity, whether you choose to keep the pouching system on or remove it.
Showering with Your Ostomy Bag On
Showering with the ostomy bag attached is a common method, as ostomy pouches are designed to be waterproof. The adhesive wafer secures the pouch to the skin, forming a seal that prevents water from reaching the stoma or the skin underneath. Water exposure will not harm the stoma itself, as it lacks nerve endings and is composed of tissue similar to the inside of the mouth.
Before stepping into the shower, it is advisable to empty the ostomy bag to prevent it from filling with water and becoming heavy or buoyant. Ensure that the skin barrier or wafer is securely sealed around the stoma to maintain its integrity during water exposure. If your pouch has a filter, which helps with gas release, covering it with a protective sticker is recommended to prevent water from compromising its function.
During the shower, a mild, residue-free soap can be used to clean the skin around the pouch and the pouch itself. Avoid harsh scrubbing directly over the adhesive. The steam and warmth from the shower can sometimes even enhance the adhesion of the wafer to the skin. After showering, gently pat the pouch and the surrounding skin dry with a towel. For the pouch, especially if it has a fabric cover, a hairdryer on a cool setting can be used to ensure it is completely dry, which helps maintain comfort and prevent moisture-related issues.
Showering with Your Ostomy Bag Off
Showering without the ostomy bag is a safe and preferred option for many individuals, particularly during a scheduled pouch change. This method allows the skin around the stoma to be thoroughly cleaned and air-dried.
To shower without the bag, first empty the existing pouch and carefully remove the entire pouching system, including the skin barrier. Having all new supplies, such as a fresh pouch and skin barrier, readily accessible in the bathroom is beneficial for a smooth transition after the shower. Individuals often choose to shower without the bag during times when their stoma is less active, such as first thing in the morning before eating or drinking.
While showering, allow the water to gently wash over the stoma and the surrounding skin. It is generally recommended to avoid directing a strong stream of water directly onto the stoma. Use plain water or a mild, residue-free soap to cleanse the area, ensuring no oily or moisturizing residues are left behind, as these can interfere with the adhesion of the new pouching system. After showering, the skin around the stoma must be completely dry before applying a new pouching system to ensure a secure and long-lasting seal.
General Tips for Showering with an Ostomy
Regardless of whether the ostomy bag is kept on or removed, several general practices can enhance the showering experience. Using lukewarm water is advisable, as excessively hot water can affect the adhesive properties of the wafer over time. Avoid using soaps, lotions, or body washes that contain oils, fragrances, or heavy moisturizers directly on the skin around the stoma. These substances can leave a residue that compromises the adhesion of the ostomy appliance, leading to leaks or reduced wear time.
Ensuring good ventilation in the bathroom can assist in drying the pouch and skin afterward, which is important for skin health and appliance security. Having all necessary ostomy supplies within easy reach before starting the shower can streamline the process and reduce stress. Some individuals find that using a handheld showerhead offers greater control over water flow, preventing direct high-pressure spray on the pouch or stoma. Listening to your body and understanding your stoma’s activity patterns can help you choose the most convenient and comfortable time for showering.