This topic is about someone who has been living with a permanent colostomy for over a year and is facing challenges with frequent leaks and the high cost of supplies. Their stoma has a unique shape, which makes it difficult to find an appliance that stays on for more than a few days. They found a product that works but it's too expensive, so they are looking for more affordable options and tips to prevent leaks and protect their skin.

Here are some helpful suggestions:

1. Try different manufacturers and request free samples. Companies like Coloplast, ConvaTec, SALTS, and Nu-Hope often provide samples. Eakin, Adapt, and Hydro-Frames products are also worth trying. U.K. pouches and SALTS are recommended as budget-friendly options.

2. Consider Coloplast’s inverted-flange system, which might be more affordable through online suppliers like RTA.

3. Consult with an ostomy or WOCN nurse for a re-fit, as your body shape and stoma contour can change, especially in the first year.

4. Use convexity to help the stoma protrude and improve flow. You can try convex one-piece or two-piece wafers/pouches from Coloplast or ConvaTec. Adding an Eakin Cohesive Seal or Hollister Adapt Barrier Ring under the wafer can create a better seal.

5. An ostomy belt can help by applying tension that encourages the stoma to protrude, preventing leaks, especially at the bottom of the pouch.

6. For uneven skin areas, use barrier tape sticks or Hydro-Frames to level the skin before applying the pouch.

7. Protect your skin from irritation by using Karaya Powder or ConvaTec Stomahesive Powder on raw areas, sealing it with 3M Cavilon No-Sting Barrier Film. Use Cavilon regularly to prevent further skin issues and remove appliances gently with a no-sting adhesive remover.

8. Adjust your diet while troubleshooting leaks. Limiting high-fiber foods and large meals can affect the volume and consistency of stoma output.

9. Check your insurance coverage, as many U.S. policies cover ostomy supplies if they are properly coded.

10. Keep experimenting with different combinations of products. Many people find that with the right mix of convexity, barrier rings, powders, films, and belts, they can achieve a wear time of 5-7 days.