An ostomy is an opening that is surgically created on the body for the discharge of wastes from the intestines or bladder. A stoma is created when part of the intestine or ureter is brought through the abdominal wall. You can still exercise, play sports and swim with an ostomy. You may be nervous to swim with an ostomy because of body image and appliance issues. With some planning, however, you should be able to swim with ease.
Types
There are several types of ostomies depending on the condition being treated. Swimming can be done with each ostomy type. A colostomy can be temporary or permanent and is a surgically created opening of the large intestine. Part of the large intestine or rectum is removed and the remaining part is brought through the abdominal wall for waste removal. An ileostomy is a surgical opening in the small intestine and may involve removal of part or the entire large intestine. The small intestine, usually at the ileum, comes through the abdominal wall for waste removal. A urostomy is an opening created surgically to remove urine when your bladder is defective. The most common urostomies are the ileal or cecal conduit procedures. A urostomy may include removal of a defective bladder.
Psychosocial Issues
It is normal to feel a sense of loss after an ostomy procedure. Your body has changed, you may have self-care concerns and you may falsely believe that you will no longer be able to pursue a normal relationship or daily activities. Once you adapt to the change, life will resume normalcy. All the activities that you once did can be done again with some planning. According to the United Ostomy Associations of America, almost every individual goes through four phases of recovery following an ostomy. These are shock, denial, acknowledgment and resolution. People go through these phases at different times following surgery -- but you should always talk to your doctor if you are having trouble living physically or psychologically with this type of procedure.
Swimming
Once you are fully recovered, swimming is a good exercise because it is an excellent cardiovascular workout that doesn't stress your joints. You can do water aerobics or simply swim laps while you are supported by the water. According to the American Cancer Society, water won't hurt your ostomy and you can swim with your pouching system in place.
Recommendations
You may be afraid to swim because of fears that your pouching system will leak or come off, or concerns about your physical appearance. The American Cancer Society recommends using a stick-on pouch when you swim for sanitary reasons. You can also leave on a support ostomy belt if it makes you feel more comfortable. If you are worried about people seeing your pouching system under your swimsuit, choose a dark suit with a busy pattern. Women can consider choosing a suit with a skirt and men can get suits with high waist bands. Eat and drink lightly and empty your pouch before you swim.
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