Swimming with a Colostomy
Patients with a colostomy can safely swim once the stoma site has properly healed, typically after a few weeks, using a waterproof cover over the stoma when swimming in public pools. 1
When Swimming is Safe After Colostomy Surgery
Swimming is an important activity that contributes to quality of life and physical well-being for patients with a colostomy. The timing for when swimming can be safely resumed depends on proper healing:
- Initial healing period: Wait until the stoma site has properly healed, typically after approximately one week 1
- Full activity resumption: Swimming can be safely resumed after a few weeks when the exit site is well healed 1
- Protective measures: When swimming in public pools, it is advisable to cover the stoma site with a waterproof dressing 1
Practical Recommendations for Swimming with a Colostomy
Before Swimming:
- Ensure the colostomy appliance is securely attached with a good seal
- Consider using waterproof tape around the edges of the barrier for extra security
- Empty the pouch before swimming to minimize bulk and reduce risk of leakage
- Consider using a smaller or lower-profile pouch designed for swimming/active wear
During Swimming:
- Use a waterproof cover or specialized swimming cap for the stoma when in public pools 1
- Avoid very strenuous swimming activities initially until confidence with the appliance is established
- Be mindful that deep diving might create pressure differentials that could affect the appliance seal
After Swimming:
- Check the appliance seal after swimming
- Rinse the stoma area with clean water after swimming in chlorinated or salt water
- Dry the area thoroughly
Benefits of Swimming for Colostomy Patients
Swimming provides multiple benefits for patients with a colostomy:
- Improves cardiovascular health
- Maintains muscle tone and strength
- Enhances psychological well-being
- Promotes normal social interaction
- Provides low-impact exercise that doesn't strain the abdominal area
Common Concerns and Solutions
Appliance Security
Many patients worry about leakage or the appliance coming loose during swimming. Modern colostomy appliances are designed to be waterproof and secure. Using additional waterproof tape around the edges can provide extra security.
Visibility Concerns
Patients may be concerned about the visibility of their appliance. Specialized swimwear with higher waistbands or patterns can help conceal the appliance. Some companies make specific swimwear designed for ostomates.
Infection Risk
The risk of infection from swimming with a properly healed stoma is minimal. Chlorine in pools actually helps reduce bacterial contamination. After swimming in natural bodies of water, thorough cleaning of the stoma area is recommended.
Special Considerations
- Recent surgery: Patients who have very recently undergone colostomy surgery should wait until cleared by their healthcare provider before swimming
- Skin irritation: If there is any sign of skin irritation or infection around the stoma, swimming should be postponed until resolved
- Appliance changes: Consider the timing of regular appliance changes in relation to swimming activities
Swimming is an important part of maintaining quality of life after colostomy surgery. With proper precautions and timing, patients can safely return to enjoying water activities without significant limitations.