This topic is about a 59-year-old man who, three weeks after getting an ileostomy, is experiencing daily leaks. While in the hospital, he used Coloplast supplies without any issues, but after switching to Hollister products at home, the leaks began. He is active, enjoying golf and playing on two softball teams, and is looking for advice on products and techniques to stop the leaks and regain his confidence.

Here are some helpful suggestions:

1. Consider returning to the brand that worked well in the hospital. If Coloplast products were leak-free, it might be worth switching back, especially to Coloplast Sensura Mio grey bags or Coloplast barriers with an extended outer flange.

2. Try samples from different brands, as what works can vary from person to person. You can contact companies like Coloplast, Convatec, Dansac, and Hollister, or ask your stoma nurse for free samples. Some recommended products include:
- Coloplast Sensura Mio system
- Convatec Esteem Plus mouldable 1-piece with InvisiClose & Lock-It Pocket
- Dansac Invent 1-piece drainable pouch Ref 337-15
- Hollister mini pouch, which is shorter and less obtrusive

3. To improve adhesion during changes:
- Warm the flange with your hand, a low-heat hair-dryer, or by sitting on it for a minute before applying.
- Press and hold the wafer for 2-3 minutes to activate the adhesive.
- Make sure your skin is completely dry and wait for all prep products to dry before attaching.
- Measure the stoma with each change, as its size can fluctuate early on, and cut or choose the wafer accordingly.

4. Clean your skin properly by avoiding pre-moistened wipes and soaps with oils. Use plain warm water, Ivory, or Dial soap. Barrier wipes like 3M Cavilon wipes/spray or Convatec Sensi-Care are suggested.

5. Consider using adhesive aids such as barrier rings or seals like Eakin, Convatec rings, or Coloplast Brava. You can also use Stomahesive or other pastes around the opening, and Skin Tac Wipe for a tacky layer, though it may make removal harder.

6. Fill gaps and reinforce edges with an Eakin seal between the skin and wafer. Use Tegaderm tape strips or Micropore tape around the flange, or try Hollister or Coloplast flange extenders.

7. Provide external support by wearing an ostomy belt or belly band full-time. Light pressure can prevent pouch pull-down and extend wear time from 3 days to 8-14 days for some.

8. Manage high output and gas, as they can undermine adhesion. Monitor your diet, empty frequently, and consider shorter pouches like Hollister mini or clipping systems like Convatec two-piece to reduce tugging.

9. Explore educational resources and support, such as online content from Let'sTalkIBD, The Ostomy Diaries, VeganOstomy, and Hannah Witton. Organizations like the United Ostomy Association of America (UOAA) and Ostomy101.com, as well as local support groups, can also be helpful.

10. Some additional practical tips include:
- Adjusting your sleeping position if side-sleeping loosens wafers.
- Taking extra time with each change, as rushed changes often lead to shorter wear times.
- Staying patient and continuing to experiment, as stoma nurses and forums can offer further guidance.