This topic is about finding a more precise way to apply ostomy paste. The person is looking for a tube with a long, narrow nozzle, similar to a cake-icing tool, to help apply paste under the wafer and fill any gaps that appear after a day or two. Here are some helpful suggestions and insights:

1. The person currently applies paste around the stoma before fitting the wafer but notices gaps later. A syringe-type applicator could be ideal for this purpose.

2. Barrier rings have not been effective in preventing leakage. When the output is thick, it pushes the ring away, allowing output to seep underneath.

3. The person has purchased "caulking strips" to mold around the stoma and plans to test them.

Advice and insights from others include:

- Using a syringe: Some WOC nurses load ostomy paste into a syringe to apply it directly around the stoma. It might be helpful to ask a supplier or clinic for 10 to 20 ml disposable syringes.

- Re-purposing nozzles:
- The threaded applicator tip from a Germolene hemorrhoid-ointment tube can be screwed onto the paste tube, as the long nozzle fits most standard threads.
- A plastic tip from a nasal-spray bottle can be cleaned and attached to the paste tube to create a narrow applicator.

- Considering barrier rings as an alternative to paste:
- Brands mentioned include Hollister barrier rings and similar products from other manufacturers.
- Rings are known to seal better, don’t sting, are easy to remove, and come in various thicknesses. Many users prefer the thinner versions.
- Rings can be placed around the stoma, around the wafer opening, or reshaped to level creases and protect irritated skin. Washing and drying hands first can make handling easier.
- A technique tip is to use an intact ring around the stoma, then cut a second ring in half, stretch and roll each half flat to cover any sore skin under the barrier.
- Some users add elastic ostomy straps over the wafer to keep everything snug and extend wear time, achieving 4 or more days leak-free.

- Barrier strips, also known as "caulking strips," are another option. They adhere to both the wafer and skin and remain in place even during showers.