This topic is about managing leaks for someone with a recessed or flush loop ileostomy. A friend of a forum member is experiencing continuous leaks from their ostomy appliance, which is causing skin irritation around the stoma. They are looking for practical solutions and products to help prevent these leaks and protect the skin.

Here are some helpful suggestions and insights shared by others:

1. Convex Systems with Support Belt
- Convex pouches can help a flush stoma protrude more, and using a belt can keep the barrier close to the skin. However, the belt might move upwards, so it may need frequent adjustments. Alternatively, consider using light elastic support garments.

2. Seal/Ring Stacking
- You can stack multiple Eakin Cohesive Seals or similar rings to add height around the stoma. Warming them before application can help them mold better to the skin.

3. Barrier Strip and Ring Choices
- Coloplast Brava strips are often more effective than Hollister Adapt strips for filling skin creases and preventing leaks. If the rings swell and create gaps, try using less absorbent options or trimming away any excess material.

4. Paste as a Gap-Filler
- Applying Convatec Stomahesive Paste around the edge of the wafer can help stop minor leaks. Make the wafer hole slightly larger so the stoma can move without getting tucked under.

5. Product Comparisons
- Some people find that Coloplast convex barriers leak less than those from Hollister. Others have success with one-piece flat, flexible flanges combined with generous amounts of paste. Convatec's two-piece systems allow you to remove the pouch to add powder or paste without changing the wafer.

6. Skin-Protective Layering
- If the skin is irritated, apply powder first, then a seal or paste, to protect the skin while still ensuring good adhesion.

7. Support Garments
- Lightweight elastic underwear or panties can help support the weight of the pouch and reduce the drag on the flange.

8. Keep Experimenting/Timeline for Revision
- It's important to keep trying different brands, ring configurations, and paste combinations before considering surgical revision. However, if the stoma remains recessed or awkwardly positioned, revision might eventually be necessary.

9. Reassurance
- Many users share their experiences of early leakage issues that were resolved over time or after revision, encouraging persistence and collaboration with an enterostomal (ET) nurse.

These suggestions involve products from various manufacturers, including Coloplast, Hollister, Convatec, and Eakin.