Barrier rings

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301
Hisbiscus

Hi all,

For those of you that use convex pouches and have a flat stoma,  do you use a barrier ring? I've used them for years but wondering if it makes things worse if you have a flat stoma. The rings are flat cera rings by hollister. I do rinse with each empty and I tend to empty quite often due to the pancaking making things feel yucky around the stoma area. 

Kas

My stoma is irregularly shaped and half innie & half outie (having revision surgery on 3/5/24). I have to use the convex barrier and use the 2 piece Hollister.  I also have to use the wax rings and use Coloplast Brava otherwise I have leaks.  Hopefully this surgery will fix that!

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Hisbiscus
Reply to Kas

Thanks for sharing your experience. I'm half tempted to try without the ring but afraid I might leak around the stoma area.i was also thinking maybe the ring is adding to much room under the wafer making it further sit in. 

w30bob

Hi Hi,

  The answer to your question really depends on your specific stoma. You're right that using the ring will make everything thicker, but if your stoma shoots straight out that won't be a problem.  If your stoma shoots off center or to the side.........it probably will.  What you need to do is measure the thickness of your barrier and ring before you put it on.  Then when you take it off (in however many days you get out of your setup)........measure it again.  That will tell you how much the combination has grown in thickness as it swells during use.  What you'll find is that the barrier swells more than the ring.  Which might lead you to believe you can get away with no ring if the combination swells to a height that is higher than your stoma.  But you need to know the ring swells faster than the barrier.  That's important if you don't cut your barrier hole small enough to be really snug against your stoma, which you really shouldn't do.  If you leave even the smallest gap around your stoma and use the ring to be snug up against your stoma, you're instantly protected from liquid output, as the ring swells very fast.  If you now leave out the ring and there's any gap between the hole in your barrier and your stoma........output can get in there before the barrier has had time to swell and you'll develop a leak.  What I do, because my barrier swells a lot.....is I use a rolling pin and flatten my ring until it's really thin.  I cut it so I can then wrap it tightly around my stoma and then put the barrier on.  Note that Hollister makes two size rings.  A thin 4" ring and a thick 2 1/2 inch ring.  I'm using the 2 1/2 ones now, which I flatten, but have some of the thin 4" rings on order.  

So..........depending on the direction your stoma shoots..........and how much your barrier and ring swell.........you should be able to figure out what combination of ring, flattened ring, barrier or only barrier is what you need.  You dig?

;O)

AlexT

I used one when the ostomy nurse wanted me to try convex bags, no issues with the ring. Went back to flat bags and a ring. 

 
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Happy-but-Newbie

My stoma is flat and I use convex Hollister 2 pieces...

Rings made things worse for me, as they sort of melted away instead of helping things stay put...

Morning glory

Hibiscus,  we all have different experiences with using the ring. I have more of a flat stoma ; so changing from a flat waffer to the convex was a game changer for me. Don't  be afraid to try for yourself to find out what  works best for you.

Hisbiscus
Reply to w30bob

Thank you for all of this very descriptive and informational reply.

Hisbiscus
Reply to Happy-but-Newbie

I rinse so I notice mine are meltig away as well.

AlexT
Reply to Hisbiscus

I rinse nearly every time I empty and slosh the water around all over my stoma area, no melting of the barrier ring. 🤷‍♂️

w30bob
Reply to AlexT

Must be that Neeebraska water you got......corn filtered and all!  The crap the rest of us have for water eats those rings up!!!  If we drop one in a glass of water and check on it in a few hours we can't recognize it.  

;O)

AlexT
Reply to w30bob

Interesting. When I change my stuff, the ring comes off with my bag as one solid piece with no apparent amount missing from being exposed to water/rinsing. 🤷‍♂️

Hisbiscus
Reply to AlexT

You know, my ring will be there when taking mine off as well but it's the parts that are closest to the stoma that are melting I do believe. I will see pieces of it in my bag. I wear a clear bag so i can see them and they do stick to the bag. This also makes me wonder how good can this be on the plumbing if some peices make thier way out into the toilet on a daily basis. 

HarryD

I have a small stoma 1/2" around and less than that tall, having revision in April. My output comes out the side at skin level and I have been using Holister 1 and 2 piece soft convex with their 2" Slim CeraRing™ Barrier Rings #8815 and it was doing real well until my stoma shrank more from Stenosis I think they call it.

Chickadee
Reply to Hisbiscus

I used to bury your ring for Hollister for a year when on vacation and it just melted away in the heat. One of my ostomy nurses suggested I try without a ring completely as I found it just messy and coming apart. I haven’t used one since and I have never had a problem with leaking, and it’s much cleaner for me. So I just put the flange right on with no barrier ring.