This topic is about dealing with night-time leaks from a colostomy bag, especially when the stoma is located near a fresh surgical incision. The person is looking for advice on causes, products, and positioning tips to prevent leaks and protect the wound. Here are some helpful insights and suggestions:
1. Make sure you are using the right equipment for an "innie" stoma:
- Consider using a convex wafer or barrier, as flat ones might not work well with retracted stomas.
- If the edges of the wafer lift, try adding barrier extenders.
2. Check the barrier or ring after each change:
- Remove the barrier more frequently, like daily, to find the exact point of leakage.
- Look at the impression on the Eakin/Eco Seal to see where the output is getting underneath.
3. Prepare your skin properly for better adhesion:
- Ensure your skin is completely dry before applying any products.
- If your skin is weepy, lightly dust with stoma powder, seal with a no-sting adhesive skin prep, let it dry, and apply a second coat before drying again.
- Avoid using powders and creams if your skin is healthy, as too many products can lead to poor adhesion and leaks.
4. Customize the wafer cutting:
- If the stoma is close to the incision, cut the wafer hole off-center so more adhesive is between the stoma and incision. Press firmly or wear a support belt for several hours after fitting.
5. Try different products:
- Request free samples from companies like Convatec, Coloplast, and Hollister to test various wafer materials and adhesives.
- Consider using barrier extenders, belts, or elastic wraps for added security.
6. Adjust the frequency of changes:
- Shorten the wear-time until the leakage stops, as damaged skin heals faster with dry, intact barriers.
7. Experiment with sleeping positions and equipment:
- Sleeping on your back or side can reduce pressure on the pouch.
- If you prefer sleeping on your stomach, place a pillow under your torso and bend the knee on the pouch side to allow the bag to expand.
- An adjustable bed that elevates the head and feet can help keep you on your back and allow output to flow freely overnight.
8. Control the volume of night-time output:
- Consider limiting late-night snacking or choose low-residue foods in the evening to reduce overnight output.
9. Explore colostomy irrigation as a longer-term option:
- This is usually introduced 6–8 weeks after surgery, once healing is complete. Many people find that irrigation can virtually eliminate the need for wearing a bag and prevent leaks. Discuss this option with your surgeon or ostomy nurse, and look for guidance from YouTube tutorials and forum members when you're ready.
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