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May 14, 2021

Struggling with Ostomy Supplies - Need Advice!

This topic is about dealing with the challenges of managing leaks and adhesion issues with ostomy supplies, especially when waiting for preferred products to arrive. The person is experiencing frequent failures with their current pouching system, leading to skin irritation and nighttime blow-outs. They usually use Hollister products but are temporarily relying on Coloplast trial pouches, which are not staying on effectively. Here are some helpful tips and advice to manage this situation:

1. Obtain Emergency Supplies
- Contact Hollister, Coloplast, and other manufacturers to request free or expedited samples. Many representatives can help with quick shipping.
- Reach out to your wound or ostomy nurse or doctor to see if they have any supplies on hand that can help you in the meantime.

2. Improve Application Technique
- Make sure to thoroughly remove old adhesive, wash the area with water, and let your skin air-dry.
- Warm the barrier slightly, such as by holding it under your arm, before applying it.
- Cut the wafer opening slightly larger than the stoma, apply it evenly, and press all adhesive surfaces firmly.

3. Select Products That Match Stoma Shape & Position
- If the area around your stoma is uneven or the stoma is positioned low or sideways, consider using a convex barrier or pouch.
- A barrier ring can help fill in uneven skin, but be cautious as adding a ring under a convex wafer might lift the system.

4. Consider Alternative Systems & Accessories
- Try a Coloplast SenSura Mio one-piece system instead of a two-piece, as some users find it reduces leaks.
- Two-piece convex systems can help direct thick output away from the flange.
- Use an ostomy belt to keep the appliance secure while sleeping.
- Seal wafer edges at night with barrier extenders, medical tape, or even duct tape for extra security.
- Lubricate the inside of the pouch with K-Y Jelly or baby oil to help stool slide down and reduce pressure on the wafer.

5. Stock Management Tips
- Build a small reserve of supplies to avoid future shortages; you can pass on unused items later.
- Keep vendor phone numbers handy and order samples regularly.

6. Emotional Reassurance
- Remember that stress is common among both new and experienced ostomates. Troubleshooting leaks is a normal part of the learning process.
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