It’s important to consider your ostomy supply needs when planning a trip.  Arrive early to allow time to screen medical items and for excessive lines.  How many pouches, skin barriers, and accessories will you need until you return home?  What about if you experience some kind of emergency and exhaust your supplies? Do you know how to get more (either locally or from a mail order supplier)?  These are some questions you should consider when planning your trip.  Also, the Transportation Security Administration (TSA) has guidelines regarding travelers with ostomy appliances.  You should familiarize yourself with them in case you get an officer who is not familiar with an ostomy.

Tips to Plan Your Trip

• Arrive early.
• Request a passenger support specialist for assistance going through TSA.
• Communicate your needs to the TSA officer (verbally or with TSA notification card).
• 3-1-1 liquid rule does not apply to “medically necessary liquids” in specific situations.
• Request a pat down if you don’t want to walk through a screening machine.
• If you have a pat down, ask for a private screening and to be accompanied by a companion of your choosing.
• Separate medically necessary liquids/equipment for quick screening.
• Ostomy product suppliers. Know where you can get items locally and the telephone/website of a supplier that can ship directly to you.
• Know what hospitals are nearby in case of emergency.
• Always carry more supplies than you might need in both carry-on bags and checked luggage. You could even ship some to the hotel you are staying at in advance.

TSA Contact Information

www.tsa.gov      Toll Free Helpline 1-855-787-2227   

(Available for passengers with disabilities and medical conditions to get the latest screening information).

1. Optional: With a pin, create 1 or 2 holes in the "shoulders" of the liner, to allow gas to escape.
2. With dry hands, insert the liner into the pouch opening.
3. Spread open the liner within the pouch by inserting two fingers into the liner opening and spread the liner out.
4. Position the opening of the liner over the pouch ring, with about 1" of liner remaining outside the pouch.
5. Blow into the liner to open it up, and smooth out any wrinkles around the pouch ring.
6. Attach the pouch with the liner inserted onto the flange/wafer. The exposed portion of the liner should be sandwiched between the flange/wafer and the pouch.

Instructions for Removing the Liner:

1. Pull the liner slightly, but not completely out of the pouch.
2. Grab one corner of the liner and pull it out. The rest of the liner should easily come out now.
3. Flush the liner and its contents down the toilet.

Notes: Not for use in septic tanks. With some weak flushing toilets or toilets with low water, you may have trouble flushing the liner - in these cases empty contents of the liner into the toilet and discard the empty liner. Keep out of reach from children and animals.

Questions not answered here? Contact the manufacturer directly!

https://www.ostomyessentials.ca/contact-us/

Buy Attiva Ostomy Pouch Liners Today! Click HERE

2. Regularly measure your stoma size especially in the initial months post-surgery to ensure the correct barrier opening size.

3. Address any folds, hair, or creases with appropriate products such as paste or seals. If excessive hair is present, shaving in the direction of hair growth can prevent irritation.

4. Practice meticulous skin care to prevent peristomal skin irritation, which can compromise pouch adhesion. Seek immediate assistance from your ET nurse (WOCN) if any issues arise.

5. Correct the angle of your pouch to ensure it hangs vertically, preventing uneven pull on the wafer and potential leakage.

6. Empty your pouch frequently to avoid overfilling and potential leakage.

7. Be mindful of extremely warm temperatures or sweating, as they may cause wafer 'melt-out' leading to leakage. Consider more frequent pouch changes or a change in wafer material if necessary.

8. Regularly assess the condition of your pouch to avoid wear and tear issues. If stretching your wear times, consider more frequent changes to prevent leakage.

Take a look at our page of OSTOMY ACCESSORIES to assist you with any issues you might face.

Prioritize Preparedness: Assemble a bag with essentials for a complete stoma pouching system change and spare clothing. While rarely needed, having an "emergency kit" on hand can offer reassurance. Know the product reference numbers and descriptions of the ostomy products you depend on. Keep contact information for a few ostomy suppliers in case you have difficulty getting supplies.

Hydration is Key: Keep a water bottle handy to maintain hydration levels. Adequate hydration is fundamental for overall health, particularly post-ostomy surgery.

Manage Odor and Flatulence: Initially, concerns about pouch odor or sound in public settings may arise. Utilize a layer of toilet paper in the bowl to minimize splashing during pouch emptying. Consider incorporating ostomy deodorizers for flatulence and stool deodorizing products into your ostomy supply arsenal such as liquids

Dress for Comfort: Prioritize comfort in attire selection, without fretting over the visibility of the pouching system. While ostomy presence may feel prominent to you, it typically goes unnoticed by others.

Strategize Return to Work: Commence work on a Thursday to ease back into a shortened workweek, allowing for ample rest before a full week. Evaluate restroom facilities at work and plan accordingly, including provisions for pouch changes if necessary.

Take Necessary Breaks: Ensure to allocate time for stoma pouch emptying amidst work tasks. Recognize the importance of self-care during the workday.

Avoid Experimentation: Refrain from trying new products or dietary adjustments right before returning to work. Save such trials for the comfort of home.

Disclosure Considerations: It's a personal decision whether to disclose your ostomy to colleagues or employers. However, informing your manager or trusted peers may be beneficial for scheduling frequent breaks if needed.

Know Your Rights: Familiarize yourself with your rights under the American Disabilities Act, which safeguards against employment discrimination. Seek support from resources like the United Ostomy Associations of America (UOAA) if encountering workplace challenges.

While colostomy can significantly improve the quality of life for individuals with certain medical conditions, it can also bring about unique challenges and complications. One such challenge is the occurrence of pancaking, which refers to the accumulation of stool in the colostomy bag, resulting in a blockage and preventing the free flow of waste material.

When stool accumulates in the colostomy bag, it forms a pancake-like shape, hence the term "pancaking." This blockage can occur due to several reasons, including the consistency of the stool, inadequate lubrication within the bag, or poor gas release. The stool may adhere to the inner walls of the bag, creating a vacuum effect and obstructing the proper flow of waste.

Pancaking can cause significant discomfort and inconvenience for individuals with a colostomy. It may lead to leakage or overflow, necessitating frequent bag changes and interfering with daily activities. Moreover, the pressure resulting from the accumulation of stool can cause the bag's filter to become ineffective, leading to increased odor and potential embarrassment.

To address pancaking and its associated issues, various strategies and products have been developed to improve the management of colostomy. One common approach involves using specific pouching systems designed to reduce the occurrence of pancaking. These systems may feature integrated filters to enhance gas release and prevent the vacuum effect. Some pouches have deodorizing properties to minimize odor, while others include lubricating materials to facilitate the movement of stool within the bag

In addition to specialized pouching systems, certain techniques can help individuals prevent or manage pancaking. These techniques include regular irrigation, which involves flushing the colon with water to stimulate bowel movements and maintain regularity. Irrigation can help regulate stool consistency and reduce the likelihood of pancaking. Additionally, adjusting dietary habits, such as increasing fluid intake and incorporating high-fiber foods, can promote regular bowel movements and prevent stool from becoming too thick or sticky.

It is crucial for individuals with a colostomy to work closely with healthcare professionals, such as stoma nurses or enterostomal therapists, who specialize in stoma care. These professionals can provide guidance on proper bag selection, fitting, and maintenance, as well as offer advice on managing pancaking and other potential complications. They can also educate patients on lifestyle adjustments, dietary modifications, and techniques to enhance stoma care and overall well-being.

Moreover, support groups and online communities can serve as valuable resources for individuals with a colostomy. Also, The Phoenix Magazine is a patient focused quarterly publication centered around all things ostomy. They can be found online or by calling 1-800-750-9311. These platforms provide opportunities for individuals to share their experiences, exchange tips, and seek emotional support from others who can relate to their challenges.

In conclusion, pancaking is a term used to describe the accumulation of stool in the colostomy bag, resulting in a blockage that impedes the flow of waste material. It can cause discomfort, inconvenience, and potential leakage for individuals with a colostomy. However, through the use of specialized pouching systems, dietary modifications, and techniques like irrigation, pancaking can be managed effectively. Collaboration with healthcare professionals and seeking support from relevant communities can further enhance the overall management of colostomy and improve the quality of life for individuals living with this condition.

Understanding Your Ostomy The first step in caring for your ostomy is to understand what type of ostomy you have. There are three main types: colostomy, ileostomy, and urostomy. A colostomy is created from the colon, a part of the large intestine. An ileostomy is created from the small intestine. A urostomy is created from the urinary tract. Each type of ostomy has its own unique characteristics and care requirements.

Caring for Your Stoma The stoma is the opening on the abdomen that allows waste or urine to exit the body. It is important to keep the stoma clean and dry to prevent infections or skin irritation. Cleaning the stoma should be done with mild soap and water, and drying it thoroughly with a soft cloth. It is also important to inspect the stoma regularly to look for any signs of irritation, bleeding, or discharge.

Caring for Your Ostomy Appliance The ostomy appliance is the device that collects waste or urine from the stoma. It is important to change the appliance regularly to prevent leaks and skin irritation. The frequency of changing the appliance will depend on factors such as the type of ostomy, the amount of output, and the type of appliance used. Some people may need to change their appliance daily, while others may only need to change it every few days. It is important to follow the manufacturer's instructions for changing the appliance and to use the proper technique to ensure a secure fit.

Managing Leaks and Skin Irritation Leaks and skin irritation are common problems for people with ostomies. Leaks can occur when the ostomy appliance does not fit properly, when the stoma changes in size or shape, or when there is too much output. Skin irritation can occur when the skin is exposed to urine or fecal matter for prolonged periods of time. To manage leaks and skin irritation, it is important to use a properly fitting ostomy appliance and to change the appliance regularly. Skin barriers and ostomy powders can also be used to protect the skin and prevent irritation.

Odor from your ostomy or ostomy appliance is not unusual. It affects some more than others and it also depends on the type of ostomy (urostomy, ileostomy, and colostomy) as well as the types of foods ingested.  To some degree everyone experiences stool odor when having a bowel movement and even urine can have an odor. Deodorants to manage stool and flatulence odor are many and include those that go into the pouch and one that is ingested. Some popular ones are: Devrom and many types of liquid drop/tablets to go into the pouch.

Diet and Hydration For people with ostomies, it is important to follow a healthy diet and stay hydrated to prevent complications such as constipation or dehydration. The type of diet and fluid intake will depend on the type of ostomy. For example, people with a colostomy may need to avoid foods that can cause blockages, such as nuts or popcorn, while people with an ileostomy may need to increase their fluid intake to prevent dehydration.

Daily Activities Having an ostomy does not mean that you cannot live an active and fulfilling life. However, it is important to be mindful of your ostomy when engaging in certain activities. For example, contact sports or activities that involve a lot of bending or twisting may require extra protection for the ostomy appliance. You may consider some type of ostomy support belt. It is also important to have a plan in place for emergencies, such as carrying extra supplies or knowing where to find a restroom.

Working with Your Healthcare Provider Finally, it is important to work closely with your healthcare provider to manage any complications or concerns related to your ostomy. Your healthcare provider can help you select the right type of ostomy appliance, provide guidance on how to care for your stoma and more.

1. Beans and legumes - Beans and legumes are high in fiber, which is not fully digested in the small intestine and is instead broken down in the large intestine by bacteria, producing gas. Beans and legumes such as lentils, chickpeas, and kidney beans are known to cause flatulence.
2. Cruciferous vegetables - Vegetables such as broccoli, cauliflower, and Brussels sprouts are part of the cruciferous family, which contain a carbohydrate called raffinose that is difficult for the body to digest. This can lead to increased gas production in the large intestine.
3. Dairy products - Some people are lactose intolerant, meaning that they have difficulty digesting lactose, the sugar found in milk and other dairy products. This can lead to excess gas and bloating.
4. Fruits - Certain fruits such as apples, pears, and peaches contain high amounts of fructose, a natural sugar that can be difficult for the body to digest. This can lead to increased gas production.
5. Carbonated drinks - Carbonated drinks such as soda and beer contain carbon dioxide, which can cause gas to build up in the stomach and intestines.
6. Artificial sweeteners - Artificial sweeteners such as sorbitol and xylitol are commonly found in sugar-free gum and candy, and can cause excess gas and bloating.
7. Whole grains - Whole grains such as wheat, oats, and barley contain high amounts of fiber, which can be difficult for the body to digest and can lead to increased gas production.
8. Fatty foods - Foods high in fat take longer to digest and can cause food to sit in the stomach for longer periods of time, leading to increased gas production.
9. Spicy foods - Spicy foods can irritate the lining of the stomach and intestines, leading to increased gas production and discomfort.

While these foods are known to cause flatulence, it is important to note that everyone's digestive system is different, and what causes flatulence for one person may not affect another. Additionally, many of these foods are important for a healthy diet and should not be eliminated entirely. Instead, it may be helpful to limit consumption of these foods or to eat them in moderation. It may also be helpful to eat smaller, more frequent meals and to chew food slowly to aid in digestion.

In addition to dietary changes, there are other lifestyle factors that can contribute to flatulence, including smoking, stress, and certain medications. If excessive flatulence is a concern, it may be helpful to talk to a healthcare provider to determine the underlying cause and to develop a plan to manage symptoms.

1. Determine what products you need - Before you start shopping, make a list of the products you need, including the type and size of your ostomy pouch, adhesive products, and any ostomy accessories you may need such as deodorants, ostomy rings,strips, skin barrier wipes or ostomy support belts. If you are unsure of what products you need, talk to your healthcare provider or an ostomy nurse.
2. Research online suppliers - There are many online suppliers of ostomy products, so it is important to research and compare them to find the best one for your needs. Look for suppliers that offer a wide range of products, competitive pricing, and reliable shipping options. You may also want to read reviews from other ostomy patients to get an idea of their experiences with different suppliers.
3. Check insurance coverage - If you have insurance coverage for ostomy products, check to see if the online supplier is in-network with your insurance plan. Some suppliers will work directly with your insurance company to submit claims and process payments. Most "out of pocket" options offer staggering savings as an option to those who do not use insurance.
4. Compare prices - Compare prices of the products you need across different online suppliers to find the best deal. Keep in mind that some suppliers may offer discounts for bulk orders.
5. Read product descriptions and product reference numbers- Read the product descriptions carefully to ensure that you are getting the correct type and size of product. If you have questions or concerns about a product, contact the supplier's customer service team for assistance.
6. Consider shipping options - When ordering online, consider the shipping options available to you. Some suppliers may offer free shipping for orders over a certain amount, while others may offer expedited shipping for an additional fee. It is also important to consider the shipping time, especially if you are running low on supplies and need them quickly.
7. Check return policies - Before placing an order, check the supplier's return policy in case you need to return or exchange a product. Some suppliers may offer a money-back guarantee, while others may have a limited return window.
8. Contact customer service - If you have any questions or concerns about ordering online, contact the supplier's customer service team for assistance. They can help you navigate the ordering process, answer questions about products, and address any issues with your order.
9. Stay organized - Once you have placed an order, keep track of the products you have received and when you will need to reorder. You can set up reminders or alerts on your phone or calendar to ensure that you never run out of supplies.

In conclusion, ordering ostomy supplies online can be a convenient and efficient way to ensure that you always have the products you need. By following these tips, you can find a reliable supplier, compare prices, and set up a schedule to reorder to make the process even easier. If you have any questions or concerns, don't hesitate to contact the supplier's customer service team for assistance.

Before applying an ileostomy pouch, it is important to gather all necessary supplies and ensure that the skin around the stoma is clean and dry. Supplies needed for applying an ileostomy pouch include the pouch itself, adhesive rings or paste, scissors, a skin barrier wipe or spray, and a measuring guide (if using a two-piece pouch system).

Here are the steps to apply an ileostomy pouch:

Step 1: Clean and dry the skin around the stoma

Use mild soap and warm water to clean the skin around the stoma. Avoid using any products that contain oils, lotions, or perfumes as they can interfere with the adhesive properties of the pouch. Rinse the skin well with water and pat dry with a clean towel.

Step 2: Measure the stoma (if using a two-piece pouch system)

If using a two-piece pouch system, measure the stoma with the measuring guide provided by the manufacturer. Place the measuring guide around the stoma and note the size of the opening needed for the pouch.

Step 3: Prepare the adhesive ring or paste

Adhesive rings or paste help to create a seal around the stoma and prevent leakage. If using an adhesive ring, remove the protective backing and mold the ring to fit the size and shape of the stoma. If using paste, squeeze a small amount onto your finger and spread it evenly around the stoma.

Step 4: Apply the skin barrier wipe or spray

A skin barrier wipe or spray helps to protect the skin around the stoma from irritation and damage caused by the adhesive. Apply the wipe or spray to the skin around the stoma and allow it to dry completely.

Step 5: Apply the ileostomy pouch

If using a one-piece pouch, remove the protective backing from the adhesive and carefully place the pouch over the stoma. Press firmly around the edges of the pouch to ensure a secure seal.

If using a two-piece pouch, attach the pouch to the adhesive ring by pressing the two pieces together. Then, carefully position the pouch over the stoma, ensuring that the opening in the pouch is aligned with the stoma. Press the adhesive ring firmly against the skin to create a seal.

Step 6: Cut the opening in the pouch (if using a one-piece pouch)

If using a one-piece pouch, use scissors to carefully cut the opening in the pouch to the size of the stoma. Be sure to leave enough space between the stoma and the edge of the pouch to create a secure seal.

Step 7: Check for leaks and adjust if necessary

After applying the pouch, check for any leaks by gently pressing around the edges of the pouch. If there are any gaps or areas where the seal is not secure, adjust the pouch as needed or apply additional adhesive rings or paste to create a better seal.

It is important to monitor the pouch regularly and empty it when it is about one-third to one-half full to prevent leaks and skin irritation. With time and practice, applying an ileostomy pouch can become a manageable and routine part of daily life. If you have any questions or concerns about applying an ileostomy pouch, talk to your healthcare provider or a trained ostomy nurse.

To use Marathon Liquid Skin Protectant, follow these steps:

1. Clean the skin around the stoma with soap and water, and pat dry with a clean towel.
2. Shake the bottle of Marathon Liquid Skin Protectant well before use.
3. Apply a thin layer of the protectant to the skin around the stoma, using the applicator tip or your finger. Be sure to cover the entire area where the appliance will be attached.
4. Allow the protectant to dry completely before attaching the appliance. This may take a few minutes.
5. Follow the manufacturer's instructions for attaching the appliance to your skin, making sure it is secure and there are no leaks.

It is important to follow the manufacturer's instructions for using Marathon Liquid Skin Protectant, and to talk to your healthcare provider if you have any questions or concerns. Be sure to reapply the protectant as needed, or as recommended by your healthcare provider. Here are some other popular skin protectant wipes and sprays used by ostomates.

Some customer testimonials on Marathon protectant are as follows:

"Far and away the best skin protectant for problematic peristomal skin breakdown! God bless my WOCN for telling me about Marathon."

"This product is awesome! It protects my peristomal skin while the healing takes place underneath. Thanks to the

Wound Care team in the hospital it saved me from more pain and suffering. Insurance should take a good look at this product and start covering it. I highly recommend this product for Ostomy care."

"I love Marathon. it's one of the best skin protective type products i've used. i wish it were in a wipe or spray form, that's my only complaint."