Living with an Ostomy in Cold Weather: Challenges and Solutions

Cold weather brings unique challenges for everyone, but for those living with an ostomy, the winter months can bring challenges that require extra care and preparation. Things like, changes in stoma behaviour, skin irritation and managing appliances in chilly conditions. Understanding how cold weather impacts ostomy care is key to staying comfortable and confident.

In this blog, we explore the common challenges faced during cold weather and practical solutions to help you navigate winter comfortably

Skin Irritation and Dryness

Cold air and indoor heating can dry out your skin, which may exacerbate irritation around the stoma. Dry skin can make it harder for ostomy appliances to adhere properly, leading to leaks or discomfort.

Solutions:

• Hydrate Your Skin: Use a fragrance-free, alcohol-free moisturizer around the stoma area, but ensure it's fully absorbed before applying your appliance to maintain adhesion.
• Barrier Films: Apply a protective barrier film to shield the skin and promote better adhesion. Ask your nurse or ostomy supplier to recommend a suitable one for your needs.
• Humidify Your Home: Use a humidifier to maintain indoor moisture levels and prevent excessive skin dryness.

Appliance Adhesion Issues

Cold weather can make adhesives less effective, causing appliances to loosen or fail. This is especially problematic for those who engage in outdoor winter activities.

Solutions:

• Warm Your Appliances: Before application, warm your ostomy appliance by holding it between your hands or placing it in a warm (not hot) environment.
• Use Skin Preps: Consider adhesive pastes or barrier rings to create a more secure seal.
• Carry Extras: Always have spare appliances with you in case of unexpected issues while out in the cold.

Changes in Stoma Output

Cold weather can affect digestion, leading to changes in stoma output. For example, you may notice thicker stool due to dehydration or less frequent output due to reduced activity levels.

Solutions:

• Stay Hydrated: Drink plenty of water, especially warm beverages like herbal tea, to prevent dehydration and maintain regular output.
• Adjust Your Diet: Include high-fibre foods like oats, fruits, and vegetables to keep your system balanced.
• Monitor Your Output: Keep a close eye on any changes and consult your healthcare provider if you experience prolonged irregularities.

Cold Weather Clothing

Layering up in winter can be tricky when you have an ostomy. Tight clothing may press against your appliance, causing discomfort, while bulky layers can make access to the stoma difficult.

Solutions:

• Choose the Right Fabrics: Opt for breathable, stretchy fabrics that provide comfort without constriction.
• Plan Your Layers: Wear ostomy-friendly base layers that protect your appliance while allowing easy access if needed.

Invest in Specialized Clothing: Some companies offer ostomy-specific garments designed for comfort and discretion in all seasons. A popular favourite this time of year are the Super High Waist Ostomy Leggings, with bamboo fibres they are so soft and comfy (Comfizz have a special offer for January on these leggings

Outdoor Activities

Winter sports and outdoor activities can expose your stoma to cold temperatures, potentially affecting the function of your appliance or your overall comfort.

Solutions:

• Protect Your Stoma: Use a stoma guard or belt for additional insulation and protection during physical activities.
• Plan for the Cold: Keep a portable heat pack  in your pocket to warm your hands or appliances if needed. The warmth will improve adhesion of the bag to your skin.

• Take Breaks: Avoid overexertion and take regular breaks to check your appliance and ensure everything is secure.

Emotional Well-being

Winter months can bring shorter days and reduced opportunities for social interaction, leading to feelings of isolation or seasonal depression.

Solutions:

• Stay Connected: Join support groups, either online or in-person, to share experiences and tips with others living with an ostomy.
• Exercise Indoors: Physical activity can boost your mood and keep you physically fit. 
• Seek Professional Help: If you feel overwhelmed, don’t hesitate to speak to a therapist or counsellor.

• Conclusion

  Living with an ostomy in cold weather requires some adjustments, but with the right preparations, you can navigate the winter months comfortably and confidently. By prioritizing skin care, appliance management, hydration, and emotional well-being, you can ensure that the cold doesn’t hinder your quality of life.

  Remember, everyone's experience is unique. Consult your healthcare provider for personalized advice tailored to your specific needs. Winter may bring its challenges, but with a proactive approach, you can embrace the season with ease, maybe even build a snowman!