Summer is a season we all look forward to. Longer days and warmer weather allowing us more opportunities for outdoor activities, holiday aways and spending time with family and friends. But for ostomates, the warmer months can be a real challenge. Higher temperatures and increased humidity can cause frequent sweating, leading to skin irritation, reducing the effectiveness of stoma appliances, and can cause discomfort or leaks. The heat can also impact your stoma bags and accessories, but don’t worry! With careful planning, you can protect your skin, products and enjoy the season confidently.
How does warm weather affect peristomal skin?
The skin around your stoma, known as peristomal skin, is particularly vulnerable during summer. Healthy peristomal skin is essential for a good seal and preventing complications like rashes, infections, or ulcerations. In hot weather, sweat and moisture can start to break down the skin barrier or affect the adhesion of your appliance, increasing the risk of leaks and discomfort. It can on occasions cause the glue from the adhesive to stick to your skin, so gently wiping it away with some adhesive remover spray on a dry wipe can help.
Being proactive about skin care in the heat helps ensure you stay comfortable and free from skin issues.
The impact of sweat under your baseplate
Hygiene is your first line of defence in preventing skin irritation. When changing your stoma bag wash the skin around your stoma using warm water and a soft wipe. Avoid any soaps with fragrances, oils, or moisturisers, as these can interfere with the adhesive. After washing, gently pat the area dry thoroughly before applying any stoma products. Ensuring the skin is dry helps the adhesive stick better and reduces the chance of leaks.
In the summer, you may need to clean the area more frequently, especially after intense sweating or physical activity.
When to change your pouch?
Summer heat can affect the wear time of your stoma appliance. Perspiration may cause the adhesive to break down sooner than usual. If you notice lifting edges from your flange, any itching, or a compromised seal, it may be time to change the appliance. Sticking to a flexible changing schedule during summer can prevent leaks and skin irritation.
Choosing the right skin barrier products
Skin barrier products such as wipes, sprays, or barrier rings can provide a protective layer between the adhesive and your skin. These products help reduce irritation and improve the seal of your appliance. In hot weather, look for barriers designed to be sweat-resistant such as the silicone range. If your skin tends to become moist, consider using a stoma powder to absorb excess moisture and prevent skin breakdown. Be mindful not to overuse barrier products, as this can cause layering and reduce adhesive performance. A light, even application is usually enough. Don’t forget to try and keep these accessories out of direct sunlight and heat.
Tips for maintaining a secure seal
To maintain a secure seal, always apply your stoma appliance to clean, dry skin. Avoid lotions or oily soaps, as they can interfere with adhesion. Use a flat or convex ostomy seal or an option seal to fill uneven skin areas and enhance protection. Consider using barrier wipes or skin barrier sprays for added security. After applying your pouch, press firmly around the flange for 30–60 seconds to create a good seal. Wherever possible, try to avoid strenuous activity immediately after application. Regularly check the seal, especially after sweating or swimming, and replace your appliance at the first sign of it loosening.
Is it safe to apply sun cream near your stoma?
Sun cream should be used with caution near your stoma. While it’s important to protect your skin from harmful UV rays, applying sunscreen directly on or under the area where your stoma appliance adheres can interfere with the adhesive and compromise the seal. To stay protected, apply a gentle, fragrance-free sunscreen around the edges of your flange, not under your appliance. Let it absorb fully before getting dressed. Covering the area with clothing or a swim wrap can also help shield it from the sun. For exposed peristomal skin, use sun cream sparingly and avoid greasy formulas that may affect the appliance’s adhesion.
How to prepare your stoma for a beach or pool day
Before heading to the beach or pool, ensure your stoma bag is freshly applied to maximize adhesion. Our Curvies range of flange extenders (standard, plus, and hydro) if you feel you need some additional security. If you are wanting something more discrete there is always the hydrocolloid stoma cap with which is very discrete. Wear a supportive swim wrap or high-waisted swimwear to keep your appliance discreet and secure. Pack extra supplies in a waterproof bag, including a spare pouch, wipes, and disposal bags. Avoid applying sunscreen under the appliance area. After swimming, check the seal and dry the area thoroughly. With a little preparation, you can confidently enjoy your time in the water.
Waterproofing tips and what to pack in your stoma kit
To waterproof your stoma appliance, try waterproof flange extenders such as Genii Silicone Flange extenders. Empty your pouch before swimming and wear a support band or swim wrap for added security. Don’t forget to cover your filter with the filter covers. After water activities, gently pat the area dry and check the seal, removing the filter cover again.
Pack a stoma kit with extra pre-cut pouches, adhesive remover wipes, skin barrier wipes, stoma powder, scissors (if needed), disposal bags, and a clean towel. Include a change of clothes and a waterproof bag for wet items. Being prepared ensures comfort and confidence during beach or pool outings.
What clothing can boost your confidence?
Wearing a stoma doesn’t mean you have to sacrifice confidence at the beach or pool. Specialised swimwear, like high-waisted bottoms or one-piece suits with inner pockets, offers discreet coverage and support. Swim wraps and ostomy bands help secure your pouch, reducing movement and visibility. Support belts provide additional stability during water activities or active outings. Choose darker colours or patterned fabrics to help conceal your appliance. Waterproof covers and flange extenders add peace of mind. Finding comfortable, stylish options that suit your body, and lifestyle can make a big difference, allowing you to enjoy summer with confidence and freedom.
Signs of sweat rash or skin breakdown
Sweat rash or skin breakdown around a stoma can develop quickly in hot, humid conditions. Early signs include redness, itching, stinging, or a burning sensation around the stoma. You may also notice small bumps, blistering, or weeping skin. In more severe cases, the skin may appear raw, broken, or ulcerated. If your appliance is no longer sticking well or leaks become frequent, it could indicate underlying skin irritation. Pay close attention to any changes in colour, texture, or sensation. Promptly address any issues with proper skin care and consult a stoma care nurse if irritation persists or worsens.
Cooling techniques (without harsh sprays or powders)
Staying cool with a stoma is important to prevent sweating and protect your skin. Wear lightweight, breathable fabrics like cotton or moisture-wicking materials to reduce heat buildup. Use a handheld fan or cooling towel on hot days, avoiding direct contact with the stoma area. Stay in shaded areas when outdoors and take regular breaks in air-conditioned spaces. Drink plenty of water to stay hydrated, especially if you have an ileostomy. Avoid applying ice packs directly over the stoma or appliance. If sweating affects adhesion, use sweat-resistant barrier products and change your appliance more frequently to maintain a secure fit.
