The topic at hand is about managing the adhesion of ileostomy wafers in high heat and humidity, particularly for someone living in South Carolina. When temperatures rise to the upper 80s or 90s Fahrenheit, sweat can cause the wafers to loosen, especially during activities like gardening. Here are some practical tips to help keep the wafer secure in such conditions:

1. Change Frequency and Timing
- Consider changing the wafer daily or waiting until after outdoor activities to apply a fresh one on cool, dry skin.
- During very hot months, changing more frequently can help prevent yeast infections or skin irritation.

2. Keep the Area Dry
- After sweating or showering, use a hairdryer on a low, cool setting to dry the wafer and surrounding skin. If the wafer starts to "bubble," it might be time to replace it.

3. Reinforce the Seal
- Use products like Coloplast Brava Elastic Tapes or Barrier Y-shaped Strips to add extra hold around the wafer, especially during heat waves or heavy activity.
- Be cautious with long-term use if skin irritation occurs.

4. Choose Breathable or Supportive Clothing
- Switch from standard cotton underwear to moisture-wicking ostomy underwear, which can help reduce heat and sweat buildup.
- Underwear with an internal pocket or a separate bag cover can keep the pouch off the skin.

5. Product/System Alternatives
- Some users find that a Convatec two-piece barrier and pouch system stays secure during activities like yard work and swimming without needing extra tapes.

6. Activity Strategies
- Try to garden, golf, or exercise in the early morning or evening when temperatures are cooler.
- If the wafer is only damp, drying it might suffice; if it starts lifting, consider replacing it.

7. Additional Tips
- Applying regular stick deodorant to the skin just outside the wafer can help reduce perspiration and improve adhesion.