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Dec 19, 2020

Blowout Disaster: Lessons in Preparedness and Resilience

This topic is about an unfortunate incident where someone experienced a severe ostomy blowout while working, which affected their confidence. The experience highlighted the importance of being prepared and resilient. Here are some helpful tips and advice to manage such situations:

1. Always carry a "go-kit" with you. This should include a spare pouch or flange, wipes, disposal or sealable trash bags, waterproof tape, a sanitary napkin, and a change of shirt or a small towel.

2. Keep backup items in your car. Consider having blankets, an oversized towel, a flannel shirt, sweatpants, or spare clothing so you can cover up, tape up, or change quickly if needed.

3. Make it a habit to empty your pouch before going out and whenever it starts to feel heavy. Many people find it helpful to frequently touch or "check" the bag.

4. Identify what might have caused past blowouts, such as an overfilled bag, wearing the pouch for too long, poor adhesion, or certain foods and drinks like cola or large black coffee. Adjust your habits to prevent these issues.

5. For better adhesion:
- Warm the flange or wafer before applying it using a hot-water bottle or body heat.
- Use waterproof tape to frame the flange for extra security and more time to react.
- If you feel the flange loosening, change it immediately.
- Avoid wearing tight trousers that might lift the edge of the flange.

6. For long trips or traffic delays, keep a plastic urinal or large cup in your vehicle to empty the pouch discreetly.

7. At night, protect your bedding with disposable hospital pads in case the pouch detaches while you sleep.

8. If suitable for you, consider ostomy irrigation. This can provide predictable, appliance-free intervals of 24 hours or more, greatly reducing the risk of daytime leaks.

9. Remember that blowouts happen to almost everyone at some point. It's okay to feel upset for a day or two, but then focus on rebuilding your confidence. Most people are preoccupied with their own concerns and rarely notice. Maintaining a sense of humor can also be helpful.
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