This topic is about finding solutions for a common issue faced by people with a new ileostomy: the swelling of barrier rings. The person who started the discussion is using a Hollister 2-piece convex system with Hollister Adapt hydrocolloid barrier rings. They have noticed that the rings swell significantly, almost covering the stoma, which leads to frequent bag changes and concerns about potential constriction of the stoma. They are seeking advice on reducing this swelling or finding alternative rings that fit better.

Here are some helpful insights and advice shared by others:

1. Swelling is a normal protective feature of barrier rings, but different brands and thicknesses can affect how much they swell.

2. Consider trying products that are reported to swell less or in a more controlled way:
- Coloplast SenSura Brava barrier rings, which have received multiple endorsements.
- Eakin Cohesive SLIMS, which are thinner than standard Eakin seals.
- Hollister Adapt Slim rings, which have already shown improvement for the person in question.
- Convatec Silesse Sting-Free silicone seals, known for being slim and easy to remove.
- Coloplast #2325 pre-cut thin rings, which do not swell and can be paired with a thicker ring for uneven skin.
- Trio Ostomy Siltac silicone ring, which is non-hydrocolloid and has minimal swelling.

3. To manage excess swelling or bulk:
- Use thinner versions of any brand, as thickness affects swelling.
- Modify a standard ring by cutting and reshaping it to a thinner form.
- Consider switching to a convex baseplate if not already using one, as it may reduce swelling.

4. For skin irritation:
- When output is low, remove the appliance, shower, and ensure the skin is completely dry, possibly using a hair-dryer on low.
- Apply stoma powder on raw areas, followed by a sting-free barrier wipe or film.

5. To improve adhesion and limit seepage:
- Warm the ring and flange with a hair-dryer before placement, apply gentle pressure, and then warm again while lying down for a few minutes.

6. Sampling advice:
- Most major manufacturers offer free samples, and stoma nurses can assist in requesting these and ensuring insurance coverage.

7. Brand comparisons from experienced users:
- Hollister Adapt is reliable but swells significantly.
- Coloplast SenSura Brava has a larger starter hole and swells modestly.
- Eakin standard rings provide an excellent seal but are stickier and swell more than SLIMS.
- Eakin Stomawrap requires minimal stretching and has moderate swelling.

8. Some users have observed that acidic foods can increase the swelling of barrier rings.