This topic is about dealing with an unexpected leak from an ileostomy pouch while at work and finding ways to prevent it from happening again. The person who experienced this is looking for advice on how to regain confidence and avoid future leaks. Here are some helpful insights and suggestions:

1. Consider using barrier rings or seals:
- Try Hollister Adapt Rings, Eakin Seals, or Dermacol Collars. Warming them with a hair-dryer for about 20 seconds can help them fit snugly around the stoma.
- A tapered wooden dowel can be used to stretch the rings to fit an oval stoma, and you can mark sizes as the stoma changes.
- Barrier rings often eliminate the need for pastes or extra barrier wipes.

2. Prepare your skin and wafer area:
- Shave the area where the wafer will be applied, as hair can prevent proper adhesion and cause pain during removal.
- Clean the skin with an unscented, non-moisturizing soap like yellow Dial.
- After washing, use an adhesive or skin-prep wipe if needed, and make sure the skin and stoma are completely dry before applying the wafer.
- Applying gentle heat to the wafer with a hair-dryer or warm hand for about 5 minutes can improve adhesion.

3. Choose the right appliance and support:
- A convex wafer might provide a better seal for a mounded stoma. You can request free samples from manufacturers like Hollister, Coloplast, or Convatec to find the best fit.
- Using a 1-inch elastic ostomy belt can help stabilize the pouch and reduce the risk of blowouts.

4. Monitor and establish a routine:
- Keep track of when you change your appliance to understand its true wear time.
- Use a small mirror to inspect the seal daily, as you might notice a creeping sensation or slight odor if a leak is developing.
- Carry a complete emergency kit with a pre-cut pouch, wafer, wipes, gloves, and spare clothes. Being prepared can often prevent mishaps.

5. Troubleshoot persistent leaks:
- If the output undermines the wafer quickly, placing toilet paper or sanitary pads between the pouch and clothing can catch early seepage.
- High-mucus output might affect certain adhesives. Some have tried Hollister Medical Adhesive Spray #7730 or acrylic clear nail polish around the cut-edge with mixed success.

6. Seek emotional and practical support:
- Remember that leaks happen to almost everyone, and trial-and-error is a normal part of the process.
- Online forums and websites like Koolostomy.com offer products and community support, which can be helpful in managing leaks and finding solutions.