How does one wear a bag on ileostomy with business shirt tucked into pants?

I tuck mine all inside my 'granny undies' at an angle towards my groin. That way it doesn't get in the way of anything for me (at first I tried having it hang down one side but that annoyed me). Having it all safely stashed in my undies stops it from moving and feels more secure.

Thanks- so, alive and well, are you saying you wear a girdle, or weightlifter's belt style, support belt that holds it sideways around your waste? That is what I thnk I will need for work. If that works, is it mUch more time consuming detaching it to empty it out, or just slightly more work? I guess it all becomes automatic after awhile but of course pre surgery it looks like it will be quite a chore.

When dressing "up" where I have to tuck the shirt in typically I will wear pants that have stretch bands built in, and I wear a belt loose just for show not to hold up pants. The pouch hangs down between the underwear and the pants. I don't wear wear a "form fitting" shirt. Typically oxford cloth shirt that has a little bit of sag to it. I also wear a one piece pouch which has a slightly lower profile than a two piece. Of course you shouldn't let the bag fill to full. Another way to go which is better is to wear dress suspenders, these work great and allow the pants to be worn loosely. Some of this depends on stoma location.

Yeah saw the ostomysecrets home page, looks helpful. I kind of do depend on my dress oants being fairly snug on me with a belt, otherwise my shirt tends ti becme untucked and look sloppy... Does the ostomy secrets underpants help stool flow into the bag when it is tucked in under the pants?

My suggestions would be to wait until you actually have your ostomy and see how the pouch works with what you like to wear...most don't use anything special when wearing clothes. I wear tight jeans and a fancy belt daily without any issues. I tuck my pouch into my undies just because it's what I like but it's not necessary for what I wear.

If I'm wearing a fancy dress I might wear Spanx (fancy girdle!) and it's never bothered my pouching system.

My usual suggestion would be to go to a department store that has a wide selection of pant styles...take everything into the changing room and try them all on. I know it could take a while but you might find a style that you wouldn't normally choose that works with your pouching system and personal preferences.

Ok, this has been a useful thread for me- but to shake things up a bit- it sounds like most everyine has their stoma above the beltline (and by beltline I literally mean where the beltline of the pants you normally wear is). If the stoma happened to be below the beltline, this whole topic would be moot, right? Is the only reason more or most stomas are above rather than below the beltline because the beltline is nowadays (esp in men's clothes but also in low rise womens) too low for the medical placement of the stoma as regards the pubic bone and so forth? I guess any of us could have a high beltline if we wanted to look like Steve Irkel (i forget the name of the show)... Anyway, I wouldn't but would sure love to get stoma below the beltline methinks and avoid all these issues.

Somedude, if your stoma is above the beltline you can rotate the bag sideways and keep it completely outside the pants as well.

I guess for women the definition of "beltline" has a lot more variation... I have pants that are below the stoma as well as pants that go above it. I do like having the entire thing under my beltline since the flow into the bag isn't restricted, however because my pants tend to be on the tighter side I worry more about the waistband slipping down onto the stoma and cutting off the circulation (my low rise pants would never ride up onto it so I don't have to worry about that). I think above or below the beltline matters a lot less than just making sure it isn't near a crease in your abdomen that could lead to a poor seal.

My stoma sits below my belt line and I really like how it works with my clothing. Mine sits two inches below and two inches to the right of my belly button. When I wear mid-rise jeans, they almost completely cover my pouch. When I wear low-rise jeans, an inch or so of my pouch sticks above the waistband. Sometimes on my lower-rise jeans, the stoma sits right under my waistband, but this is okay because it isn't that tight against my stoma. My jeans tend to be a bit tighter at the hips and then gap at the waist... it is in this looser waistband area where my stoma sits so it works very well.

I have a couple of blog posts with photos that show my jeans in relation to my ostomy pouch.

http://ostomyoutdoors.com/2012/03/13/opening-up-about-my-ostomy/
http://ostomyoutdoors.com/2013/01/29/the-my-hip-t-a-great-product-for-ostomy-pouch-coverage/

I am an education park ranger, and I wear a uniform with a belt and my shirt tucked in almost everyday. I don't do anything special with my pouch most days. I just let my pouch flop over my regular underwear, wear my pants over it all and tuck in my shirt like always. I do a lot of presentations so when I want to feel extra confident that my shirt won't come untucked and show the top of my pouch, I wear a pair of women's ostomy briefs or boxers from the following company.

http://www.comfizz.com/products/ostomy/level1/ladies/boxer-highwaist-pink.html

These cover the top of the pouch and also hold it close to my body. I don't like ostomy wraps because they always roll up and I find them uncomfortable.

Every person's body is different which is why it is so important to work with a good stoma nurse and wear your favorite jeans to the placement meeting to get the best spot possible.

@Blueheron and @UCWarrior- just woke up due to UC pain as I often do so came to this forum to browse and your posts made my night already. @blueheron- esp great to see the pics on your excellent, if I may say so, blog. I think i was losing my mind over this whole beltline thing but you both seem to say that it is not throttling the flow at all- even when sitting? And the capacity in trrms of volume and time between emptyings isnt reduced in that situation? My surgeon mentioned that worst case scenario one can move up one size in waist for pants and one is fine but I love knowing this may not be necessary. Thanks for chiming in.

Yup, bluegrass- I remember those words from the surgeon- "I can get rid of your pain TOMORROW" (well, not literally as it atill has to be scheduled a few weeks in advance since it's elective, but I get the gist) - of course there will be post op pain to deal with but that is the way pain is supposed to be- heal and gone, as opposed to the ridiculous neverendng story of IBD. Ladies and gentlemen, I am takin' the plunge... (And I say that in full realization that this is not a cure per se- we still have it in us andit may well be crohns or a UC-crohns blend, but it is one major strategic victory).

Thanks, NASCARon. I sure hope mine will be below the beltline. Hey, regarding sideways vs vertical and the issue of blockage of flow- if that is an issue, then how come that the output isnt blocked when one sleeps at night on ones back or side? That isnt vertical flow either, but I have never heard of anyone mention an issue of free flow in their sleep.

Funny Liz, before surgery I was like you and never slept on my back. Now I often wake up on my back. Weird. No pan caking issues thus far though. I try to put a pillow on both sides of me so I stay on my side. I think hubby must move them and I end up on my back!