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Changing appliance everyday

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Thu Jul 23, 2020 7:55 am

I know a few people personally and a few that I've read on here that change their bag daily. I'm considering it...wondering if it'll help with my skin irritation. (I know some say that will cause more irritation, but it's already pretty messed up.) i currently wear a 2 piece hollister appliance. The barrier is an extended wear...I'm thinking of changing to the standard wear and just change it everyday with my morning shower. 

For anyone who changes their bag daily...I would love some suggestions. And any input from Others on this practice!

thanks!! 

Thu Jul 23, 2020 8:52 am

I change my bag every day when I go to work and you are right just get standard wear bags. I change in the shower and slowly take off the bag then wash the area with my Classic Head and shoulders shampoo. If I see any redness no matter how small I apply Butt Paste diaper cream and then Karaya 5 Hollister powder and so far it clear up pretty quickly. 

Thu Jul 23, 2020 10:33 am

I use Ivory Soap (no moisturizer or scent) to wash my stoma and area around stoma when changing appliance.  I don't use the "Barrier skin Removal" as I just remove it (scratch it off gently with fingernails) with the warm shower water & Ivory Soap.  I do apply 2-4 packs of "Barrier skin Protector" which makes it easy to replace appliance when on the go.  Of course, I clean area and stoma with flushable wipes (apply two more skin barrier protection) then reaply appliance.  Have'nt had skin issues.  Just saying.....

Thu Jul 23, 2020 10:40 am

Hi Mggy34, I have changed my bag everyday for several years and just use the standard wear wafers. I exercise daily and the sweat under wafer is not healthy for skin. My Doctor wrote an everyday change necessity and my medical insurance company approved it for 30 per month. As the wafer starts to erode around the stoma that is where the skin damage begins from the acid in output. My theory is that changing everyday protects the skin and it also allows a few mintues for the skin around stoma to get some air and be properly cleaned. I only use water to wash around stoma as I don't want the soap to irratate the skin or lessen the adhesion of wafer. Some say removing the wafer everyday can cause skin problems too. I use the Coloplast 2 piece 11124 pouch and 10011 wafer.  I know alot of people rinse bag out when emptying, but I find the water erodes the wafer around stoma area and can cause skin issues. I also use a few drops of baby oil in pouch after each dump to lubricate (good lubricant and deodorizer and alot cheaper than the Coloplast deodorant). I hope this helps. Good luck. Penguins7

 



Last edited by Penguins7 on Thu Jul 23, 2020 12:02 pm; edited 1 time in total
Thu Jul 23, 2020 11:49 am
Maried wrote:

I change my bag every day when I go to work and you are right just get standard wear bags. I change in the shower and slowly take off the bag then wash the area with my Classic Head and shoulders shampoo. If I see any redness no matter how small I apply Butt Paste diaper cream and then Karaya 5 Hollister powder and so far it clear up pretty quickly. 


What is Karaya 5 hollister powder? And how does the butt paste not interfere with the water sticking??

Thu Jul 23, 2020 11:50 am
Penguins7 wrote:

Hi Mggy34, I have changed my bag everyday for several years and just use the standard wear wafers. I exercise daily and the sweat under wafer is not healthy for skin. My Doctor wrote an everyday change necessity and my medical insurance company approved it. As the wafer starts to erode around the stoma that is where the skin damage begins from the acid in output. My theory is that changing everyday protects the skin and it also allows a few mintues for the skin around stoma to get some air and be properly cleaned. I only use water to wash around stoma as I don't want the soap to irratate the skin or lessen the adhesion of wafer. Some say removing the wafer everyday can can skin problems too. I use the Coloplast 2 piece 11124 pouch and 10011 wafer.  I know alot of people rinse bag out when emptying, but I find the water erodes the wafer around stoma area and can cause skin issues. I also use a few drops of baby oil in pouch after each dump to lubricate (good lubricant and deodorizer and alot cheaper than the Coloplast deodorant). I hope this helps. Good luck. Penguins7

 

I had no idea about the insurance thing! That is soooo helpful!!! My ostomy nurse would definitely help em out with that! Thank you!! 

Thu Jul 23, 2020 1:25 pm

hi i have an illeostomy and i have a two piece system anyway if i put my bag on well it lasts up to a week today is day 5 so i will change it tomorrow. don't know why you change everyday.also saves me lots of money because i can go longer than the three months..my bag is just a regular one. i do go to the gym for an hour but have not gone swimming  hope this helped you 

Thu Jul 23, 2020 2:15 pm

Have you ever tried different brands? I used Hollister for over a year since it was what they gave me in the hospital. I had a continuous year of leaks and issues. It wasn't until I started experimenting that I realized I needed convex wafers, and ConvaTec brand fits best. I can sometime make it a week on a wafer now.

 

on a side note, do you use stoma powder where you have irritation?

Thu Jul 23, 2020 2:44 pm

Colostomy or illeostomy? I have a colostomy and use a Hollister 2 peice system. Yes I change my bag most everyday but the wafer stays on most times for 10 days. I use a skin prep and never needed anything more than that. I only wash when flange is off otherwise just wipe with TP.

Thu Jul 23, 2020 2:47 pm
looking forward wrote:

hi i have an illeostomy and i have a two piece system anyway if i put my bag on well it lasts up to a week today is day 5 so i will change it tomorrow. don't know why you change everyday.also saves me lots of money because i can go longer than the three months..my bag is just a regular one. i do go to the gym for an hour but have not gone swimming  hope this helped you 


I don't change everyday...I like to see what's going on under there. I'm not sure I ever get a really good seal because I have a lot of loose skin from weight loss and pregnancy and just generally being old and out of shape! Haven't found a barrier yet that really works well and I've tried lots 

Thu Jul 23, 2020 2:48 pm
xnine wrote:

Colostomy or illeostomy? I have a colostomy and use a Hollister 2 peice system. Yes I change my bag most everyday but the wafer stays on most times for 10 days. I use a skin prep and never needed anything more than that. I only wash when flange is off otherwise just wipe with TP.


Ileo. I can't believe your wafer will stay on 10 days! That is amazing!! 

Thu Jul 23, 2020 2:50 pm
TimeToGrow wrote:

Have you ever tried different brands? I used Hollister for over a year since it was what they gave me in the hospital. I had a continuous year of leaks and issues. It wasn't until I started experimenting that I realized I needed convex wafers, and ConvaTec brand fits best. I can sometime make it a week on a wafer now.

 

on a side note, do you use stoma powder where you have irritation?


I have tried many different brands. Haven't found one that I love. I had lots of success with my hollister....then I had another surgery...stoma is larger now and i had to move up a size. Can't seem to get a good fit. I use stoma powder and barrier spray and all that. 

 

it always feels like it's leaking or seeping...so I'll change it and it isn't really. Maybe I'm just crazy! 

Thu Jul 23, 2020 3:21 pm

The main decider for me to change would be if I get a burning sensation under wafer.  Then I know there is an issue. Other wise leave it alone.  In 8 years i have only had a handful of problems.

Try really pressing hard on wafer around stoma when you put on new wafer. (use fingers to press it on tight all around). Plus i push on the ring too. I put a 4x4 gauge pad over stoma while i press wafer in case it wants to shoot.  Another option is go to Lowes or Home Depot and they sell PVC caps that will fit on the Inner Diameter of your wafer ring.  Take a wafer with you to store so you can make sure it fits. Use this to apply even pressure on the wafer for a great seal when putting on new wafer. Get one with a cap on end so if it leaks while applying it avoids a mess and you can just dump it out and rinse.  Good luck.  Penguins7

Thu Jul 23, 2020 11:43 pm
Mggy34 wrote:


What is Karaya 5 hollister powder? And how does the butt paste not interfere with the water sticking??

The powder absorbs moisture which helps in the bag sticking..it is best to do this the night before or several hours before you leave the house. I press the bag against my stoma area and it sticks even with the Butt Paste...I only use a little and remove any excess cream. I have been working from home this last few months so I do not change everyday and I notice more redness. ..I guess I have sensitive skin.

Fri Jul 24, 2020 1:33 am

Hi mggy,

  There's a lot being discussed here, so let me try to sort some of it. First off......if you have a lot of loose skin around your stoma you have a different situation than any of us that don't. Meaning what works for us with tighter skin may not help your situation. Barriers and sealing rings can only deal with so much skin movement.......if you have more than they can deal with none of the solutions we're discussing will work in that situation. I Googled " ostomy products for obese patients".......not that you're obese, but because there must be some solutions for those folks that may be applicable to you with your loose skin. There were a number of sites, but I didn't have time to check them out.  I'd suggest you see what they have to offer.

  I think some are misunderstanding what you mean when you say you change your bag every day. I take that to mean you are changing your barrier everyday, not leaving the barrier in place and just changing the bag (with a 2 piece system). As you're reading, everyone's skin is different. Some have skin that will tolerate being covered by a barrier for days and others have skin that gets irritated very quickly. The hands-down best thing for irritated skin is to leave it exposed to the air so it can heal. But that's difficult to do with an ostomy. Check out www.nu-hope.com for ostomy products that might work in your situation. If you don't see anything obvious on their site......call them. They are very helpful and might be able to point you in the right direction if they can't help you themselves.  Let us know how you make out.

Regards,

Bob

 

Fri Jul 24, 2020 5:21 am

To help the ring stick I use an empty tape spool as a steam roller. I use the backing from the ring under the roller so it does not pull the ring off. Works for me.

Fri Jul 24, 2020 8:58 pm
Mggy34 wrote:


Ileo. I can't believe your wafer will stay on 10 days! That is amazing!! 


I wear my flange for ten days as well. I can wear it longer but shoot for ten days. I forget about it most times but write down the day I change on the box of wafers. 
i use Convetec. 
Pup

Fri Jul 24, 2020 11:43 pm

Hi

i had surgery 10 weeks ago and use a closed, one piece pouch and change usually twice a day (more during chemo sometimes). I trialled several brands at the beginning and found the different glues and thickness of the base made a big difference to my skin. Hollister glue seems to stick to me more than some others. I use Colorplast SenSura Mio and find them much better. I also try and shower with no pouch when it's not active and that helps. Using the adhesive spray to clear any glue residue also works well. 
I know I'm a newbie so early days but I tried about 6 and some really irritated me straight away. Samples are usually free (in UK anyway) so worth a try! 

Good luck

Christina

Sun Jul 26, 2020 10:11 pm
Mggy34 wrote:


I don't change everyday...I like to see what's going on under there. I'm not sure I ever get a really good seal because I have a lot of loose skin from weight loss and pregnancy and just generally being old and out of shape! Haven't found a barrier yet that really works well and I've tried lots 


Hi Mggy34,

I have an ileostomy since 2014.  I shower daily without my coloplast sen sura mio one piece pre cut.  I use ONLY a barrier wipe to protect the skin around the stoma, before applying the bag over the stoma.  I press around the stoma to create the necessary seal. I have found that less is more, and changing daily just feels better to me.  If any irritation occurs from a leak (which has been rare in the six years so far), I use a wound gel, anacept from ancapa technologies, which is a clear, greaseless gel which I apply around the stoma.  I let it absorb for a moment and rub it into the skin before drying it completely with a gauze pad and then applying the barrier wipe and after that dries, I apply the bag.  When I remove the bag before getting in the shower I just gently pull the top tab away from my skin.  I have never had any problems with irritation from the removal process.  Good luck with finding the system that works best for you.

Peace

Dadnabbit

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