Topic Explanation
The forum topic is about a person experiencing bleeding from the sides of their stoma and seeking advice on how to stop it. They mention that they cut-to-fit their appliance and have had a CT scan that showed no issues except for cancer. They are wondering if they need a better appliance.

Advice and Insights
- Use a moldable ring applied to the skin around the stoma and put paste on the wafer around the hole on the sticky side to create a good seal and prevent output from burning the skin.
- If the stoma is bleeding because the appliance is scraping the sides, use a moldable barrier ring and cut the barrier slightly bigger to create a small gap between the stoma and the barrier.
- Salts Healthcare offers a soft and comfortable 'Dermacol' stoma collar that may help with the issue.
- Check for sharp edges after cutting the appliance to fit correctly and consider wearing a barrier ring around the stoma before the appliance for added protection.
- Ensure the appliance is not cut too tight, as slightly too big is better than too small.
- Consider making bespoke baseplates or using 3D printing for custom devices, although it may be time-consuming and costly.
- Cut the wafers to leave room around the stoma and use a ring of paste for added protection.