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Jan 31, 2023

Struggling to Keep Bag On - Need Help

The topic at hand is about the challenges of keeping an ostomy bag securely in place. The person sharing their experience is feeling frustrated because no matter what combination of supplies they try, the bag eventually peels off, leaks, or just doesn't stay put. They had hoped that living with an ostomy would become easier over time, but these ongoing issues are making it difficult.

Here are some helpful tips and advice to improve the situation:

1. Skin preparation
- Clean the skin around the stoma with water only, avoiding soaps or wipes that leave any residue.
- If soap is necessary, use one without moisturizers, rinse thoroughly, and let the area air-dry completely.
- Use adhesive-remover wipes to clear old adhesive, then wipe with a wet paper towel to remove any residue before applying a new barrier.
- Shave any hair under the wafer to ensure a smooth surface.

2. Barrier/wafer application tips
- Use a barrier-prep wipe and let it become tacky before placing the wafer.
- Warm the wafer, paste, or rings with a heating pad or hair-dryer before application, and hold your hand over the wafer to set the adhesive.
- Consider using a convex wafer for better wear time.
- After applying everything, some people use a heating pad on top for a few minutes to improve adhesion.

3. Extra sealing methods
- Place a barrier ring directly on the skin around the stoma and use ostomy paste around the wafer opening.
- Use a round PVC pipe fitting to press the barrier ring firmly into place for a tight seal.
- Add hydrocolloid extenders around the wafer for extra security.
- Apply a thin layer of ostomy glue where leaks usually start.
- Some people create a personal baseplate and attach the wafer with prosthetic glue, securing it with an ostomy belt until set.

4. Product and brand references
- Consider using products like adhesive-remover wipes, barrier wipes, ostomy-specific glue, wafers, and belts from brands like Convatec.
- Hydrocolloid wafer extenders and Probond prosthetic glue can also be helpful.

5. Storage and environment
- Store supplies in a cool, dry place to maintain adhesive performance.
- Pre-warming is crucial in cold weather to ensure stickiness.

6. Wear-time expectations
- Many people achieve 3–5 days of wear time, with some stretching it to 7–10 days, though longer wear can affect skin health.
- Be prepared to change sooner if there's high output or heavy sweating.

7. When to seek professional help
- If the skin is red or irritated, use stoma powder and protective spray before applying the wafer.
- Consult an enterostomal or WOC nurse for personalized product recommendations.

8. Lifestyle reminders
- Avoid using body lotion under the wafer, as it can break the seal.
- Keep alcohol pads or skin-protectant pads handy to remove any accidental lotion or sweat before applying the wafer.
See full discusison
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