Posted by: Emily York | May 21, 2009

Traveling With An Ileostomy

Over my years of illness with Crohn’s colitis, traveling became more and more difficult. I’ll never forget what I thought at the time was my last overseas flight. I had recovered from a two-week hospital stay, and though I was still on Prednisone, I was feeling relatively good and I decided to visit a dear friend in Italy. The flight home convinced me that I was done with international travel. First, I almost missed my flight because I was stuck in the bathroom when they were boarding. I made it onto the flight, but over the course of it, which unfortunately involved two transfers, my energy level plummeted and I was feeling worse and worse. By the time I got home, I felt like I could just go lay in my coffin and die. And it didn’t stop there. I experienced a headache every single day for one month after that flight, and I flared, and it took me a couple of months to feel like I had recovered. Not worth it! And I took one last look at my passport, with stamps in India and Germany and Panama, and tucked it away into the drawer full of memories and tokens of my past life. Cross one more thing off the list.

After recovering from Ileostomy surgery, I was anxious to find out what it would be like to travel. Although I have not yet traveled overseas, I am now convinced that it will be no problem, and I can’t wait to visit places I love and places that are new to me.

What I have done is traveled domestically, in a plane and otherwise. I had read some things about what to watch out for when flying, but so far I haven’t had any technical difficulties. For example, changes in air pressure don’t appear to affect my pouch at all, as I had read somewhere. The one thing I did experience several times is airport security searching my emergency bag. I had already removed the scissors, but the first time I went through security they searched me and they told me it was because my ostomy powder was a liquid and should have been in my liquids bag. The second time I flew, I had neither powder or paste or scissors in my emergency bag, and I still got searched. I’m convinced that the items in my emergency bag are just unfamiliar to the security people; they are strangely shaped objects that suggest further investigation might be prudent. In both cases, once the security person actually opened my emergency bag and saw what it was, they were very kind and quick to send me on my way.

Whenever I travel, I calculate how many days I will be gone, I plan on a worse-case scenario of having to change my pouch every other day, and then I throw in a few extra sets of supplies in on top of that. I keep some in my carry-on, of course. I know how many paper towels I need per change, and I usually pack what I need but not extra, because if I really go through my supplies like that I can always go to the store and get more paper towels. I pre-cut all of my flanges for convenience. And that’s it. Oh yeah, I double-check and triple-check and quadruple-check that I’m not forgetting these things. I’m paranoid that I’ll leave the bag of supplies out until the last minute and then forget it.

When I went on a roadtrip out west, camping and hiking etc., I essentially packed the same way. Since we were doing more car camping than backcountry, I also had a special little dishtub that I could fill with water so that if I had a particularly messy change I had some extra water at hand. Once or twice over the course of two and a half weeks, I succumbed to the desire to change in a real bathroom, and we stayed in a hotel instead of camping. Why not? I thought. It’s my vacation, and I don’t have to prove anything to anybody about how tough I am. I really enjoyed those few times in the hotel, even if in general I prefer to be in the woods. I was lucky throughout my trip in finding private campsites where I could just change at the picnic table. I would do it early in the morning when few were up. However, if you’re car camping you can always bring a second tent to have a private space to change your pouch. I might do that this summer when we go to the Telluride Bluegrass Festival because there will be a lot of people around at all hours.

While I would say that having an ileostomy is similar to having Crohn’s in the sense that there’s nothing like having your own bathroom, the feeling in not nearly so powerful to warrant actually staying home. I would never let the minor inconveniences and risks of changing my pouch in unfamiliar places keep me from traveling and doing whatever I want. Cheers to a life on the move!

(In August/September 2009, I traveled to China and Tibet, and had no difficulties with airport security or getting around either country.  If you want to read my posts from the road, here is a link to one of my first posts related to the trip, or you can go to August or September and see the “China and Tibet Travelogue” posts:

http://lifewithapouch.wordpress.com/2009/08/25/china-tibet-travelogue-1/

)


Responses

  1. Surgery is now two days away, and I am so hungry and weak now that I have begun the bowel prep fast and am getting anxious whether this is the right decision too. I actually have been feeling so much better of late and that really makes it harder to go through with this, but the long term damage that prednisone has done to my body keeps reminding me that I really have no choice.
    Wow! Sounds wonderful to be able to travel again. I really hope I will be able to do that.
    I also read your other blog about yoga. That is also a real concern for me. I have been practicing yoga for about 8 years (ever since I was diagnosed with UC). I too have found it to be a real life saver and I hate the thought of possibly not being able to do the poses that are so helpful to me and/or constantly being fearful of hurting myself in other poses. Did you just go by how you were feeling, or did you find some specific guidelines for practicing after surgery?

    Also, just wondering if you had the option to have the internal pouch when you went through your surgery?
    ,
    Thanks again for being there,
    Sandy

    • Sandy, I think the next couple of days will be the worst, and for me the day of surgery was the scariest thing ever. I really did think I would cancel it even after they had already started drugging me up. I’m just so glad I went through with it. I wish I could promise you that everything will work out for you just as well and that you will be just as glad as I am that you did it. I remember asking my nurse to tell me all the horror stories, because I wanted to be prepared for the worst. She told me that honestly she didn’t have any. She said the worst story she had was of somebody having some adhesion or complication post-op that slowed down their recovery time and/or required a follow-up surgery. But beyond that, everyone she had worked with had been glad they had the surgery. Other than that, all I can say is that I have no regrets and that of the many people who have written to me through my blog who havehad the surgery, they have all been positive stories.

      Regarding yoga, I just went by how I felt. At first, just doing some gentle yoga at home felt best. Once I started feeling more comfortable with the pouch and with going out in public, though, I started going to a studio about five times a week,and I just played it by ear. For me the thing that has taken the longest to recover is my core strength. I still feel that my abdominal muscles are not quite as strong as before surgery. But essentially at this point there are no poses that I wouldn’t try. I think I could even get my cobra and hand stand back in order if I really focused on it, but right now I’m doing more kung fu than yoga.

      My doctors did not present me with the option of an internal pouch. I can’t remember now if I first read about it before surgery or after, but I remember thinking it sounded to me like not enough people had tried it for me to be entirely comfortable with it. I wonder if you have talked about it with your doctors, and whatbthey think about it.

      Good luck!!! I’ll be thinking about you tomorrow. Please send me a note once you feel well enough to do so. You can email directly to emilylikestowrite@gmail.com if you don’t want it published on the blog.

      P.S. I wrote this on my iPhone so I apologize for typos. Incidentally,
      I’m spending this long weekend in Crested Butte, CO, where I’ve been going hiking in the beautiful mountains.

      • I’m having trouble editing my comment from my iPhone, so just wanted to say I’ll be thinking about you Tuesday. I thought for a minute today was Monday. :)


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