Question: How can I prevent leakage around my ostomy with soft output?
Answer: Based on the discussions from the MeetAnOstoMate Forum, here are several strategies to address leakage around an ostomy, particularly when dealing with soft output:
1. **Barrier Rings and Wafers:**
- Consider using barrier rings instead of paste, as they can provide a more effective seal. Products like Hollister CeraRing, Adapt ring, or Eakin Cohesive Seals are recommended.
- Ensure the wafer is cut to fit snugly around the stoma without being too tight or too loose. A precise fit can prevent leaks.
- Use convex wafers if the stoma is flush with the skin or retracted, as they can help direct output into the bag.
2. **Application Techniques:**
- Warm the wafer and barrier ring before application to improve adhesion. This can be done using body heat or a hair dryer on a low setting.
- Apply pressure around the stoma after placing the wafer and ring to ensure a secure fit.
- Consider using a support belt to help hold the appliance in place and prevent leaks.
3. **Skin Preparation:**
- Clean the skin with non-scented, non-moisturizing soap and ensure it is completely dry before applying the wafer.
- Avoid using lotions or oily products on the skin, as they can interfere with adhesion.
- Use stoma powder and a skin barrier film to protect the skin and improve the wafer's adhesion.
4. **Managing Output Consistency:**
- Incorporate foods that thicken stool, such as bananas, rice, peanut butter, and marshmallows, into your diet.
- Consider using anti-diarrheal medications like Imodium, as advised by a healthcare professional, to manage output consistency.
5. **Product and System Variations:**
- Experiment with different brands and types of wafers and bags to find the most effective solution for your needs. Request free samples from manufacturers like Hollister, ConvaTec, and Coloplast.
- If using a two-piece system, ensure the barrier ring is placed correctly, either on the body or on the back of the wafer, to see which method provides a better seal.
6. **Consultation and Support:**
- Consult with an ostomy nurse for personalized advice and to review your current practices. They can recommend appropriate products and techniques.
- Engage with the ostomy community for support and shared experiences, as different methods work for different individuals.
If these strategies do not resolve the issue, consider posting your question in the MeetAnOstoMate Discussion Forum for additional insights and support from the community.
Check out these links for more information:
- Need advice on leakage around stoma with Hollister wafers. How effective are wax rings? (December 16, 2012)
- Need help with leaks and watery output! (July 12, 2016)
- Stopping Stoma Leaks: Seeking Advice and Sharing Experiences (September 28, 2024)
- Stool Leakage Around Stoma - How to Stop It and Treat Irritated Skin? (June 09, 2023)
- New Ileostomy Question on Leakage (April 10, 2024)
- Dealing with Poop Leakage Under Barrier Ring (February 05, 2023)
- Leaks from Stoma Mucous? Need Advice! (January 11, 2024)
- Desperate for Help - Constant Leaking Around Stoma (September 15, 2014)
- Need help with ostomy bag leaks - desperate for a solution! (March 24, 2022)
- Ileostomy Leaking Issues and Frustration (October 20, 2023)