As the seasons change and the temperature starts to drop, it is a good idea to prepare for winter by recognising the effects of cold weather on your skin. Noticing changes in how your stoma behaves, how your skin reacts, and how your stoma appliances perform in response to the colder weather can help you stay comfortable, confident, and healthy through the winter months. In general, the cold weather is a much more ideal environment for ostomates, no more melting bags or sticky skin from the heat of summer but instead, the cold weather may help the ostomy products to adhere and perform better.
However, the cold weather may pose a few challenges for stoma care, but with some preparation and a bit of extra attention, you can stay comfortable and confident all winter long. Listen to your body and try to keep your skin protected.
Here are some tips to find out how you can look after yourself and your stoma in the upcoming months.
Understanding how the seasonal changes affect the body
Winter can be particularly challenging for ostomates. The cold air, dry indoor heat, lower humidity levels and the harsh winter wind can be dehydrating. For our skin. We all recognise this with dry hands and faces, and chapped lips which are exposed to the elements. Although your stoma and peristomal skin are not directly exposed to the cold weather, you may still find your skin is drier than normal. Dry skin can cause flaking and irritation, which can be especially troublesome around the stoma area. Although the stoma bag should still adhere with no issue, this may become uncomfortable.
Protective wipes:
You could try using a protective wipe to the skin around your stoma (peristomal) after you have washed and dried your skin and before you apply your next stoma bag.
The colder weather may affect stoma bag adhesion
We know that low temperatures can affect adhesive performance, making it harder for baseplates to stick properly etc. You may need to look at the times of day you change your stoma bag and make some adaptations. It’s important to check that your current product is working for you and is kind to your skin.
Look at different types of flanges:
All bags have a baseplate, which is the adhesive part that attaches the bag to your skin around your stoma. There are many types of different baseplates available now. If you are finding your skin is becoming dry and irritated, or more sensitive than usual, you may want to try an alginate product which you may find helps alleviate any discomfort and help to soothe your skin through the winter months.
Warm up your bag:
You may find in the cold weather that the adhesion of the bag becomes hard and may benefit from being warmed up before application. Try popping it under your arm before changing your bag and you will find your own body heat will help make the adhesive stickier.
Look at where you are storing your supplies:
Try to keep your supplies somewhere in the house over winter, rather than in a garden shed or garage, as it may be too cold for them. If you are storing them in your home, again make sure they are not stored next to a boiler or radiator as the extreme heat may dissolve the adhesive on the baseplate.
Clothing and comfort.
Wrap up warm over the next few months. We are all worried about our fuel bills, so an extra layer of clothing will help you to stay nice and warm. Make sure the layers are not too tight around both your stoma and bag, so that it restricts it in any way. It’s also important to watch out for leaks, which may be difficult to identify if you are wearing lots of layers, so try and check your stoma regularly. You may find your output is colder during the winter months so, again try additional layers or a stoma protective cover.
Hydration and digestion in winter
People tend to drink less water in winter, but hydration is especially important for those with a stoma (especially ileostomy). Aim for steady fluid intake throughout the day. Warm drinks like herbal teas or diluted fruit juice can help. Or warm soups can be a way of getting nutrients, (make sure you blend any vegetables down, so it is not lumpy).
Continue to eat a balanced diet, including soluble fiber (like oats or bananas) to keep your output manageable (if advised by your stoma care nurse). In winter, the air tends to be drier, which can lead to dehydration of the skin. It’s crucial to stay well-hydrated by drinking plenty of water throughout the day. Proper hydration helps maintain the elasticity of the skin and prevents it from becoming dry and flaky.
Outdoor activities and cold weather care.
It can be hard to find the motivation to keep exercising during the winter months when it is very cold, and the weather is icy. Try to stay active during this period as it is good for the mind, body and soul. Take a gentle stroll or walk with friends to get out and about and take in some fresh air and beautiful wintery scenery. Don’t forget to wrap up warm, layer your clothing and don’t forget a good pair of walking boots and off you go! It’s a great way to socialise.
If you had a regular exercise plan before your surgery, there is no reason why you cannot return to this again, with time. Make sure you have had the green light from your surgeon before you return to exercises if you are recovering from your stoma surgery.
Emotional and lifestyle Impact
Winter can be a challenging season for ostomates, both physically and emotionally. The colder months often bring shorter days, less sunlight, and limited social interaction, which can contribute to feelings of isolation, low mood, or even seasonal depression. For ostomates, these emotions may be intensified by body image concerns, discomfort from clothing layers, or fear of stoma leaks when venturing out.
Maintaining emotional well-being during this season starts with connection. Joining an ostomy support group, either in person or online, provides a safe space to share experiences and receive encouragement from others who truly understand. Talking openly with loved ones about your needs and boundaries can also reduce anxiety and promote confidence.
Self-care is equally important. Gentle exercise, such as indoor walking or yoga, boosts mood and circulation. Keeping warm without constricting the stoma area—by layering breathable fabrics—can improve comfort. Planning for social gatherings or travel helps minimize stress and build reassurance.
Mindfulness practices, journaling, or counselling can help process emotions and strengthen resilience. For those struggling with negative self-image, reminding yourself that the ostomy is a symbol of survival and adaptation can shift focus from loss to empowerment.
Ultimately, emotional support in winter means allowing yourself space. It’s normal to have difficult days, but reaching out for help, nurturing your body and mind, and staying connected can make this season one of reflection, renewal, and strength for ostomates
When to seek advice.
Reach out to your Stoma Care Nurse if you are experiencing issues with your stoma or stoma bag. She/he can help you with advise and support.
Support groups like Colostomy UK, Ileostomy and Internal Pouch Association, or Urostomy Association often provide winter care advice and emotional support.
Consider ordering extra supplies via your delivery company. There is always the chance that adverse weather conditions will affect the ability to have your supplies delivered. It can also prevent you from being able to head out to pick up more in person. We would always recommend making sure you have more products than you need just in case.
