Question: Is it normal to have trouble keeping a colostomy bag on after surgery, and does it improve as the skin heals?

Answer: It is common to experience challenges with ostomy bag adhesion shortly after surgery, especially if the stoma is located in a moist area. As the surgical site heals, the moisture levels may decrease, potentially improving adhesion. Here are some general tips to help with adhesion:

- Ensure the peristomal skin is completely dry before applying the appliance. Use a hair-dryer on a cool setting or blot with tissue.
- Warm the adhesive side of the wafer before application to improve initial tack.
- Consider using a barrier ring to fill in gaps and reinforce the seal.
- Apply firm pressure over the flange for several minutes after fitting to enhance adhesion.
- A support belt can help keep the appliance in place by providing additional support and reducing the weight on the seal.
- If issues persist, consult with an ostomy nurse for personalized advice and consider trying different products or brands.

Adhesion typically improves as the skin heals, but individual experiences may vary. It is often a process of trial and error to find the most effective solution for your specific situation.

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