Colostomy and Ileostomy Support Belt
Colostomy and Ileostomy Ostomy Belt: Choosing the Right Fit for Your Stoma
Whether you have a colostomy or an ileostomy, a good ostomy belt can make daily life more secure and comfortable. I have lived with an ostomy since 2008, and these are the questions I hear most when people choose a colostomy bag belt or an ileostomy support belt.
Colostomy vs ileostomy: the quick version
A colostomy is usually on the left side of the abdomen and often has thicker output. An ileostomy is usually on the right side and has more frequent, liquid output. Cleveland Clinic and the Crohn's & Colitis Foundation explain both in more detail.
What that means for your belt
- Wear side: every HIRO belt comes in a Left or Right option, so pick the side your stoma is on.
- Ileostomy: since you may empty more often, many people like the Performance Vertical, which opens at the bottom for easy draining.
- Colostomy: many prefer the Performance Horizontal, which keeps the pouch off to one side for active days.
- Opening size: match it to your stoma and wafer, using the sizing guide.
There is no medical rule here, it is personal preference, and I encourage trying both. My horizontal vs vertical guide walks through it, and the lighter Ultralight Sleek Fit works for both stoma types.
Shop HIRO Ostomy Support Belts
Helpful resources
New to your stoma? The UOAA new patient guide and American Cancer Society ostomy pages are excellent, and a WOC nurse can help with fit.
Why HIRO
- Designed by Richard O'Hamill, the original inventor of the performance ostomy support belt, designing belts since 2009
- Free U.S. shipping and next day dispatch from Honolulu
- Real help from a person who has an ostomy, by phone at 808.600.3567 or by Zoom
Common Questions About Colostomy and Ileostomy Belts
Does the same ostomy belt work for a colostomy and an ileostomy?
Yes. HIRO belts work as a colostomy bag belt or an ileostomy support belt. Pick the wear side your stoma is on and an opening size that fits your flange.
Which belt style is best for an ileostomy?
Many people with an ileostomy like the Performance Vertical because it opens at the bottom for easy draining. There is no medical rule, though, so it comes down to personal preference.
Which wear side should I order?
Choose the side your stoma is on. Colostomies are usually on the left and ileostomies on the right, but go by where yours actually is.
Questions? See the ostomy belt FAQ or contact me directly.
Personal note: I am not a doctor, and this page is not medical advice. Always follow your surgeon or WOC nurse's guidance.