This question is for my fellow high output friends. Have you ever had a problem (ie leakage or such) that required you to have to change your barrier during the day when your stoma just wouldn't cooperate and slow down? I've so far been able to avoid such a disaster, but often wonder what I'd do if I had to change my barrier at any time other than when I first get up (ie, when my output is predictable and my motility meds actually do something). I've asked ostomy nurses how I should go about it and most just give me that blank stare. One sweet soul told me to get on all fours with a bucket directly under my stoma to catch my output while I get the new barrier and ring ready for application. I've never actually tried that, but have given it much thought. I guess I should have asked where where the hell do I get a bucket from when I'm out and about???
The other thing that sticks in my mind is when I went to an ostomy support group just a few weeks after getting my ostomy. The instructor was adament that we ostomates always keep our emergency ostomy supply kit on hand, no matter what. So for those first couple of years I'd drag a plastic shopping bag around with me with enough stuff (wipes, towels, ostomy supplies, etc) in case I was out and about and needed to change my barrier. I no longer carry that kit around. And that's because I've come to realize that the few times I have sprung a leak that kit was useless. There's no way I'd attempt a full-blown barrier change mid-day at work or in the mall or wherever I was, except maybe at home. So each time I've had a leak or blowout I'd simply clean up as best I could and then tape the shit out of it (punn intended) to keep the barrier on. That has always worked, although the skin around the stoma doesn't like having crap on it for very long before it starts to get upset.
My worst accidents (only 2 or 3 times) have occured when I've fallen asleep for too long and woke up to a fully pressurized bag of crap, that as soon as I moved to get up let go where my stoma is flush with my skin on one side. Those few times really sucked and resulted in me doing lots of wash in the wee hours of the morning. But when that happens there's only a few more hours until I'd be getting up to change my barrier normally, so same deal........clean up, tape up, and wait it out. Now one night it happened early (before midnight) and I did decide too much of the barrier was compromised by leakage and gave it the old college try to change the barrier. Of course I took my motility meds first, then waited about 2 hours without eating or drinking anything.........and I was able to pull it off successfully, although I went thru a lot of supplies and it was a little nerve racking.
So........having said all that.......how have you managed to change your barrier during times of high output? Any tips would be appreciated.