This topic is about someone who has been using an ileostomy appliance successfully for 32 years but recently started experiencing leaks after gaining some weight. The person used to enjoy 6-7 days of reliable wear but now faces leaks within a day due to a dip forming on the left side of their stoma. They are looking for advice to regain their previous wear time and stop the leaks. Here are some helpful suggestions and insights shared by others:

1. Warm the wafer with a hair-dryer and consider using additional medical adhesive sprays like Hollister Medical Adhesive Spray 7730 to improve adherence.

2. Consider switching to a pouch or wafer with convexity and use a belt to help push the flush stoma outward. Many have found success with convex seals from brands like Coloplast SenSura/Assura and Hollister.

3. Try Pelican one-piece drainable pouches, which are made by Eakin. These have a pliable backing that can conform to dips and have helped some users achieve multi-day wear.

4. Fill the dip before applying the wafer:
- Use a piece of an Eakin Cohesive Seal to pack into the dip.
- Warm and mold a small piece of Hollister Adapt Barrier Strip into the dip, then "picture-frame" the entire barrier with Genairex Barrier Strips for extra security.

5. Experiment with different manufacturers and product lines. Many suppliers offer free samples of various convex wafers and pouches, including brands like Hollister, Coloplast, Eakin, Genairex, and Torbot.

6. Users who switched to Coloplast SenSura/Assura convex systems with Eakin seals have reported 4-5 days of wear, changing by choice rather than due to leakage.

7. Consider using Hollister two-piece setups with specific flange and pouch combinations, along with Hollister paste around the cut edge, to maintain the seal through showers. Washing with mild, non-moisturizing soap like Ivory before application can also help.

8. If leaks consistently start at the same spot, apply ostomy paste directly to that area and reinforce with waterproof tape. Changes in weather, diet, and activity can require such localized sealing.

9. Use rubber shower pants or shower-cap–type covers to keep pouches dry during bathing when extended wear is needed.