This topic is about a common concern for people with an ileostomy: noticing that the stoma swells when changing the pouch, especially after a hot shower. This can make it tricky to get a good fit with the new appliance. Here are some insights and tips from others who have experienced this:

1. It's normal for stomas to change size. Many people with long-term ileostomies find that their stomas swell, shrink, and change shape. This happens because the stoma is a living part of the intestine and can react to temperature, air, movement, and digestion. While this is usually not a problem, it can make fitting the wafer more challenging.

2. Try creating a slightly snug opening. Cut a template that is just a bit smaller than the average size of the stoma. For example, if the stoma is usually 1 inch, cut the opening to 15/16 of an inch. This way, the wafer will fit snugly once the stoma relaxes, helping to prevent leaks.

3. Use barrier rings for a better seal. Warming barrier rings with a hair dryer for about 20 seconds can make them more pliable. You can then slide the ring over a dowel marked at the desired size to ensure consistency. Place the ring around the stoma before attaching the wafer. Many people find this method helps prevent leaks and allows the wafer to last up to a week.

4. Consider adjusting your routine or products. Some people have found success by skipping paste and skin-prep wipes, instead using just barrier rings and good skin preparation. Clean the skin around the stoma with an oil-free, fragrance-free soap, rinse well, and make sure everything is dry before applying the wafer. Gently pressing the stoma can also help it fit through the pre-cut hole.

5. Keep a positive mindset. While the swelling can be a bit annoying, many find that with preparation and a consistent technique, it becomes a minor issue compared to the overall benefits of having an ileostomy.