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Oct 27, 2020

Sleeping worry-free with an ostomy - Tips for a secure night

This topic is all about finding a way to sleep peacefully through the night without worrying about leaks if you have an ostomy. The method involves using irrigation sleeves to ensure a leak-proof night. Here's how it works and some helpful tips:

1. What you need:
- Hollister irrigation sleeve
- Hollister irrigation base unit
- Hollister barrier and the regular Hollister pouch you use during the day

2. Preparing the irrigation sleeve:
- Discard the irrigation accessories and order just the sleeves in the future.
- Fold the two top tabs inward and roll them down to seal the top of the sleeve.
- At the bottom, fold over about ¾ to 1 inch of the sleeve and secure it with the plastic clip that comes in the box.
- Reinforce this closure by placing a strong metal chip-bag clip over the plastic clip, as the plastic clip alone might not hold a full or semi-full sleeve.

3. Using it at night:
- Detach your daytime pouch and attach the prepared sleeve to the same barrier/base.
- The sleeve’s large capacity can handle night output, preventing any bursts.

4. Morning routine:
- While still wearing the sleeve, sit on the toilet, undo the top tabs, unroll the top, detach the sleeve, raise the clipped end, and empty it.
- Immediately attach your regular pouch to avoid any unexpected output.
- Rinse the sleeve in a sink and hang it to dry. Each sleeve can be reused 4–5 times or discarded.

Additional insights and advice:

- Alternative brand option: Some people use the Coloplast Assura two-piece irrigation sleeve (code 12836) with the matching press-plate (code 128020) instead of Hollister. Coloplast often provides free samples upon request. Custom-made baseplates can be used, but the stock Coloplast base works fine.

- Reinforcement tip: Users of both Hollister and Coloplast recommend using a secondary, sturdier clip, like a metal potato-chip-bag clip, over the supplied plastic clip to prevent failures when the sleeve gets heavy.

- Lifestyle workaround: One person avoids night leaks by adopting a very short sleep schedule, either sleeping 2–3 hours near dawn or splitting sleep into two blocks. They claim the body adapts, and accidents are eliminated when awake during usual high-output hours.
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