Question: How can we manage leaks and skin irritation with a recessed stoma?

Answer: Based on the forum discussions, here are some strategies for managing a recessed stoma and preventing leaks:

- Convex Systems: Use a convex pouching system to help the stoma protrude into the pouch, which can reduce leaks. Ensure the convexity is appropriate for the stoma's depth.

- Barrier Rings and Seals: Apply barrier rings or seals, such as Eakin Cohesive Seals, around the stoma to fill gaps and prevent output from undermining the wafer. Mold them snugly and warm them before application to improve adhesion.

- Skin Protection: Use stoma powder on irritated skin, followed by a skin-prep wipe to create a protective layer. This "crusting" technique can help protect the skin while allowing the wafer to adhere.

- Output Management: To manage watery output, consider dietary adjustments to thicken the stool, such as incorporating bananas or pretzels. Consult with a healthcare provider for personalized dietary advice.

- Product Trials: Experiment with different brands and types of appliances. Request free samples from manufacturers to find the best fit for your mom's stoma.

- Professional Guidance: Continue working with a wound care specialist or an ostomy nurse to ensure proper fitting and to explore all available options. They can provide hands-on assistance and advice tailored to your mom's specific needs.

- Surgical Consideration: If leaks persist despite trying various appliances, discuss the possibility of a surgical revision with the healthcare team, especially if a reversal is planned in the future.

These strategies may help improve the situation, but ongoing collaboration with healthcare professionals is crucial for optimal management.

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