This topic is about dealing with leakage and skin damage around a flush ileostomy stoma, where the Coloplast wafer is not sealing properly. The person experiencing this issue has tried various solutions but continues to face challenges. Here are some insights and advice that might help:

1. Reach out to Coloplast Care Advisors for personalized support. They can be contacted at Ostomy Care 1-877-858-2656, Continence Care 1-866-226-6362, or Bowel Care 1-855-605-7594.

2. Ensure the skin is clean and dry before applying the appliance:
- Take a long, hot shower with the stoma exposed.
- Gently cleanse and shave the area if needed.
- Allow the skin to air-dry completely while lying flat.

3. Try using Eakin Seals (Convatec) for deep dips:
- Warm a 2-inch seal and mold it tightly around the stoma.
- Place a warmed 4-inch seal on top to push the smaller seal into the crevice.
- These seals can melt together and help promote healing.

4. Consider skin healing and protection options:
- Apply Vitamin E liquid from a punctured capsule on raw skin, let it sit, then remove before applying seals.
- Use CORONA ointment for rashes, Meda Honey, or calamine lotion for difficult areas. Allow absorption, then clean off before pouching.
- Flonase nasal spray can be used topically as a steroid barrier to control adhesive allergies.

5. Explore barrier substitutes:
- Use 3M Cavilon No-Sting Barrier Spray lightly or small pieces of 3M Micropore tape under the wafer to protect broken skin until it heals.

6. Consider alternative appliances and adhesion boosters:
- Blow-dry the wafer/flange before application to improve tack.
- Sensura Mio two-piece (Coloplast) might be an option, but if allergic, protect skin with Flonase or another barrier.
- Try Salts Alo rings, Dansac barrier wipes, a dusting of stomahesive powder, then a calamine lotion layer.
- Use Coloplast Assura 2-piece cut-to-fit convex “Extra” Extended-Wear wafer with Coloplast Stomahesive paste. Apply paste just behind the cut edge and let the wafer sit for 30–60 minutes before use.
- Consider Hollister Adapt Medical Adhesive Spray for a strong, moisture-resistant bond, though it has been discontinued, it might still be available online.

7. Wear an ostomy belt for the first 24 hours or longer if skin folds press on the wafer.

8. For night-time management, limit late-evening intake and manage gas to avoid ballooning. A two-piece system might make monitoring easier.

9. If all else fails, consider a surgical option for a minor stoma revision to bring it 1 inch above the skin surface. Some have reported success with this approach when leaks were otherwise unmanageable.