This topic is about managing a flush or "innie" stoma, which can be a bit tricky due to its irregular skin contours. The person sharing their experience has been using a barrier ring but still finds themselves needing to change their pouching system every 24 hours. They are looking for advice from others who might have faced similar challenges and found solutions.

Here are some helpful tips and insights:

1. Check and possibly change the type of wafer you are using:
- While many people suggest using a true convex barrier or pouch for stomas that are sunk in, sometimes a flat wafer can work better, as seen in this case.
- Consider trying different convex depths from various brands, as some products like the Sensura Mio "Convex" might not provide enough pressure.

2. Customize your barrier ring:
- You can use thicker rings, stack two rings, or cut pieces to fill in low spots around the stoma.
- A technique that has worked for some is the half-ring method, where a barrier ring is cut in half and placed under the low side of the stoma, along with a convex one-piece pouch, which can extend wear time to 6-7 days.

3. Use paste if necessary:
- Applying ostomy paste before the barrier ring can help fill in any micro-gaps on uneven skin.

4. Strengthen adhesion:
- Using supplemental adhesive wipes like Torbot or SkinTac can help improve the wear time of your appliance.

5. Consult with a certified WOCN/ostomy nurse:
- An in-person or telehealth session can be very helpful to assess the shape of your stoma, the fit of your belt, the choice of wafer, the thickness of the ring, and the placement technique.

6. Ensure all accessory supplies are included:
- Belts that come with convex systems can enhance pressure and wear time, so make sure your supplier includes all the prescribed items.

7. Understand that change intervals can vary:
- It's common for people with challenging stomas to change their appliances daily or every other day. Keep in mind insurance coverage and costs when selecting products.