This topic is about a new ileostomy wearer who is experiencing some challenges with their ostomy care. They are dealing with frequent leaks, skin irritation, and thick output, which is making it difficult to manage their supplies and diet. They are looking for practical advice to help with these issues.

Here are some helpful tips and insights:

1. Cut the wafer or skin-barrier opening so it fits snugly around the stoma. If the opening is too large, output can seep onto the skin.

2. Regularly measure the stoma, as its size can change during healing. Consider ordering precut pouches to ensure a proper fit and avoid cutting mistakes.

3. Use a barrier ring or seal to protect the skin and fill any gaps. Slim barrier rings or specific protective seal rings can be shaped to fit right up to the stoma before applying the pouch.

4. Make sure the skin prep is thorough. Clean the area well, let it dry completely, and then apply the barrier ring and pouch.

5. Consider using convex appliances, which can improve the seal. Some specific products are designed to help with this.

6. After applying the pouch, add an extra layer of tape around the flange for added security. Dry it with a hair-dryer after showering to enhance the hold.

7. Lubricate the inside of the pouch with commercial lubricating drops or a few drops of cooking oil. Leave a little air inside to help the output drop to the bottom, preventing pancaking and pressure that can cause leaks.

8. Stay well-hydrated by drinking plenty of water, apple juice, hot tea, coffee, or an occasional soda to help thin the ileostomy output.

9. Generally, laxatives are not needed with an ileostomy and can be harmful. Focus on fluids to prevent blockages and manage thick output.

10. Chew food thoroughly. Most foods can be eaten if they are well-chewed and accompanied by enough fluids.

11. If current products are not working, try different brands or styles. An ostomy nurse can provide samples to test.

12. Seek help from a certified ostomy nurse to fine-tune the appliance fit and an IBD-experienced dietitian to tailor eating guidelines. Professional support can make the adjustment process easier.