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Support / Belt for Pouch ??

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Tue Dec 08, 2015 1:12 pm

I am a pretty new ostomate (about 2 months or so). I am having trouble properly supporting my tummy and stoma site - my face plate now rests on a small "hill" of tummy, and when the pouch starts to fill, it drags and swings against the stoma area. I have tried some belts and other supports that go around the waist and over the entire stoma/faceplate/pouch assembly, and that does feel more comfortable than the swing and drag, but that has problems of its own. When I cover and support everything, it pushes the pouch against the faceplate, and waste just pancakes around the ring instead of flowing down into the pouch. With pressure as more waste is voided, instead of flowing into the pouch waste infiltrated beneath the inside edge of the faceplate right around the stoma, and works its way along the skin until it "blows out" the side underneath the faceplate. Not cool! I use Hollister pouches with the belt tabs, but the belt I have seen to go with that is verry narrow, and it seems it would be uncomfortable. 

Does anyone have any experience with the narrow Holliseter belts? Is there a wider belt that would fit the table, maybe of another brand? Any advice would be greatly appreciated!

Tue Dec 08, 2015 9:48 pm

Hi, ND. I use the thin Hollister belt and have never had problems like you describe. Do you have an ileostomy or colostomy? It sounds like you're positioning the pouch so that the drain points to your side, versus straight down? I think I understand the problem you're having but I position my pouch straight down, therefore I do not need to support the entire pouch. It seems that you may need a wrap-around with a built-in stoma protector. I've seen various belts, each of which support the appliance in different ways. I'd imagine there's one out there that would work for you. Perhaps your WOCN would be able to help? Otherwise, just try a Google image search for ostomy belts. Good luck! 

Wed Dec 09, 2015 12:54 am

Hi, I have used the narrow clip on belts and they worked fine for support as well as comfort. I too had a hill when I first got my colostomy and needed the extra security. As soon as I finished chemtheropy (about 8 months later) and was able, I had a surgery to flaten out the area at my stoma. Now everything works well without the belt, but I'm sure glad they were available when I needed them. I wear a convatec system but I think the belts and clips are similar.

-alistair

Wed Dec 09, 2015 11:19 am

The belts are fine. They give me a little more sence of securty and after a short time you do not even notice them. I think they only come in one width. Maybe you need to change more often. I never wait till the bag is completly full.

Wed Dec 09, 2015 11:46 am

I use the Hollister belt as well....but recently bought a stealthbelt....only have used it a few times (bought it w/1 3/4 opening) trying to use up the supply of 2 1/4 barriers first. It very comfortable & good support, doesn't fold over like the narrower belts...here's the link

http://stealthbelt.com/

I haven't wore it enough to recommend it, but might be worth a try for you.

Thu Dec 10, 2015 8:31 am

I use Ostomy Armour. It has a hard face plate to protect you from hernias due to trauma (I have had surgery on 2 before I bought the armour) and seems to keep the bag pretty well stable. It has a wider, more comfy belt than the thin Hollister belts that I despised. Good luck!

Mon Dec 21, 2015 12:25 am

Thank you for all the suggestions and comments. Turns out the reason I have a "tummy hill" is a small hernia. I have ordered a belt from Nu-Hope which is supposed to support and reduce the hernia. It should come in by next week. When I have it for a while, I will post again how it works and whether it does the trick for me.

Mon Dec 21, 2015 10:21 am

Hi, ND. Thanks for the follow up. That clarifies it and makes sense. Please do let us know how the Nu-Hope belt works out. My WOCN just mentioned that I may need one soon as a precaution based on activities I participate in. Take care. 

Mon Dec 28, 2015 4:22 pm

Hey ND, you're on the right track.  After a couple weeks with the Nu-Hope belt , call them and tell them exactly how good things are and order a 2nd belt, modified if you wish.  The folks at Nu-Hope will help you with design improvements and most insurance companies will cover two belts each year.  You don't have to wait before ordering the second one.

Please keep us posted.

Mike

Tue Dec 29, 2015 12:34 pm
AlistairC wrote:

Hi, I have used the narrow clip on belts and they worked fine for support as well as comfort. I too had a hill when I first got my colostomy and needed the extra security. As soon as I finished chemtheropy (about 8 months later) and was able, I had a surgery to flaten out the area at my stoma. Now everything works well without the belt, but I'm sure glad they were available when I needed them. I wear a convatec system but I think the belts and clips are similar.

-alistair


What did they do to to flatten out the area around your stoma...I have a hill as well

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