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Jun 25, 2010

Unexpected Issues with Coloplast Illeostomy Pouches

This topic is about dealing with unexpected issues that can arise with Coloplast ileostomy pouches, particularly during hot weather. After a period of smooth sailing, a user encountered some problems with their pouches, including leakage, adhesive issues, and pin-hole seepage. Here are some helpful tips and insights to address these concerns:

1. Outlet "spray" vs. true leak:
- A brief wet spot during emptying might just be splash-back from the spout, not a defect. This can happen with many brands.
- If there were a real hole, you'd likely notice dampness on your clothing or leg within an hour.

2. Inspect pouches before use:
- Creases in the box can lead to pin-sized holes along the fold line. Discard any pouch with a crease or wrinkle at the plastic/wafer junction.

3. Reinforce the wafer seal:
- Use a barrier ring, like Hollister Adapt Ring or Eakin Seal, around the stoma before attaching the pouch. This can extend wear time and reduce leaks.

4. Counteract adhesive softening in heat and humidity:
- Accept that you might need to change the pouch more frequently in hot weather.
- Consider using a light elastic ostomy belt to relieve tension and maintain the seal.
- Spray a medical adhesive onto the wafer before application to prevent humidity-related lifting.

5. Prevent ballooning-related micro-tears:
- Avoid over-inflation by venting or "burping" the pouch frequently to prevent tiny holes from forming.

6. Suspect a defective batch:
- If several pouches from the same lot fail, contact the manufacturer. They often replace the entire box and may request samples for quality control.

7. Try alternate systems if problems persist:
- Explore different brands and models, as no single brand is perfect for everyone. Sampling can help find the best fit for your skin, output, and climate.
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