Nausea and leakage

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Hi All,

I have had my stoma since May of 2021. I have had many issues unfortunately with leakage and skin rawness. I honestly feel like I am losing my mind. It seems no matter how differently I cut my hole (larger, smaller) for some reason at the bottom of the appliance where it meets the stoma, there seems to always be a hole that opens up and lets leakage through. I tend to have to change my appliance every other day it seems. I have tried different diets, but no matter how or what I eat it seems that the stool comes out hard at first then it turns to a soft diarrhea for the next outputs (2 or 3 minutes later)I am constantly nauseas and I have deemed that it seems I get this nausea whenever I feel like I am going to expel. Has anyone else dealt with this?Do you have a solution?UGH

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Hi, that's a lot to deal with for two straight years. It sounds like that part of the barrier below your stoma isn't making a good seal against your skin. Does your stoma curve at all or does it stick straight out? Is it flush? Do you have a skin dip (a dimple where the skin is not flat) there where the seal hits your skin? Is it on a spot of your abdomen that changes when you bend over? Have you tried a convex wafer or barrier extenders? I'm sorry for the questions but it doesn't sound like the size of the hole that you cut; it sounds like the lack of seal in that spot. I'm sure a lot of other ostomy detectives on here will chime in!

How to Use the Peristomal Skin Assessment Guide for Consumers | All in for Ostomy Conference 2018

Hi Beatles , from what you say I would suggesttrying a Seal under the Wafer . " Eakin CohesiveSeals " is the name and it is a solid disc with a pre-cut hole for your Stoma. It is about 4 inches across. , about the same as the Wafer. . The Seal is made of the same material that are used to teeat Diabetic Ulcers . It is Very soft and Very sticky . This should fill any stray gap between Wafer and skin .

This Seal will help heal any skin damagec d skin also. You will get more days of wear also.

I rarely have a problem since I started using these Seals .

I hope that was of some use to you.


Reply to eefyjig

When I First got my stoma I was told I should use a convex wafer. After a year or so, i finally got in to see a stoma nurse and she said i shouldn't be wearing convex, flat should be fine. So I switched to that. I will try to go back to a convex wafer. Anything is worth a shot. Thank you


Hi again . I forgot to mention the Convex Wafer . I think the ConvexWafer is better for mist Stomas ??In my experience thereis no real reason Not to use them . What I like about the Hollister Convex One Piece is that it has a stiff plasticlayer . This pushes down around the edge of the Stoma and is really great at preventing the Stinky Stuff from seeping under the Wafer, causing the Wafer to lift , a leak soon follows .

I would recommend using the Convex Wafer , they really work very well . I get an average of about 5 Days without the barrier breaking down and leaking .

I hope something works for you but from my many years of experience using themI think this wafer works best , forone piece or two pieceand I've tried both Convex and flat . Flat was Always a disaster waiting to happen .

Magoo .


I would not hesitate to consult a stoma therapist for help. What works for one of us may or may not work for you.

Reply to gentlejohn

Thanks. i have an appointment July 19

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