This topic is about dealing with issues related to ostomy bags, specifically when they fail to seal properly, leading to leaks and the pouch "puffing up" with air. Here are some helpful tips and advice to address these challenges:

1. Gas Management
- Occasionally open the tail or filter of the pouch to release any built-up air.
- If your pouch has a vent or filter, cover it with tape or the provided sticker after emptying to prevent outside air from entering.

2. Improving Adhesion of Wafer/Ring
- Thoroughly clean the skin around the stoma and remove all old adhesive before each change.
- Ensure the skin is completely dry before applying any new products.
- Warm the karaya seal, wafer, barrier ring, and baseplate with a hair dryer for 10-30 seconds or use body heat, then apply firm pressure for 60-90 seconds to help it adhere to the skin.
- Measure the stoma with each change and cut the wafer opening to match its current size, as stomas can change daily.
- Apply the barrier ring to the baseplate first, then place the entire assembly on the skin to reduce handling errors and improve adhesion.
- Experiment with different ring thicknesses (2 mm vs 4 mm) and position the ring about 1 mm inside the wafer hole to allow swelling to fill the gap instead of intruding into the stoma opening.

3. Choosing the Right Flange/Baseplate
- If the area around the stoma is uneven, recessed, or has a "low spout" and dip, consider switching from a flat to a convex flange/baseplate to push the stoma out and create a flatter surface.

4. Mechanical Support
- Use an ostomy belt with hooks that attach to the pouch flange; lightly cinching it can relieve stress on the adhesive and reduce leaks.
- OstomySecrets wraps with two built-in pouches and other stoma belts can be helpful, especially if you have multiple stomas or a hernia.
- A Level-1 Comfizz support waistband can be worn for about 30 minutes after changing to secure the appliance; some users find that wearing it all day can cause pancaking or extra pressure.

5. Technique Tips
- Change the appliance in front of a large mirror to ensure precise placement.
- For those who rarely have issues, "eyeballing it" during placement might work, but beginners generally benefit from using a template for cutting and a mirror for guidance.