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Jan 11, 2011

My First Experience with an Ostomy Bag Leak

This topic is about an experience shared by someone who had their first ostomy leak after seven months of trouble-free living with their ostomy. They were in bed when they noticed their pouch had ballooned, which they vented before starting their day. However, while at work, they realized the tail clip of their drainable pouch had come undone, leading to a leak. Despite the mishap, they remained positive, acknowledging that such incidents are part of life with an ostomy.

Here are some helpful insights and advice for managing similar situations:

1. Leaks are a common experience for ostomates. Using humor and giving these incidents funny names like "brown-out" or "bagtastrophe" can help maintain a positive outlook.

2. Consider replacing clips with more secure systems:
- Closed-end pouches remove the risk of clip failure.
- Hollister’s “New Image” drainable pouches with Lock-and-Roll closure offer a clip-free drainage option.
- Coloplast Assura’s two-piece locking system is known for its secure latch.
- Convatec’s clip design is considered reliable among traditional styles.

3. If using traditional clips, make them safer by:
- Wrapping a rubber band around the clip each time you close the pouch and carrying spares.
- Sliding an O-ring over the clip for added security.
- Using two clips together so if one fails, the other prevents a spill.

4. Add external support:
- A 1-inch ostomy belt or any snug elastic belt can help keep the pouch and wafer secure, especially during activities that involve bending or working in tight spaces.
- Hernia belts and work belts can provide extra adhesion and are helpful for active individuals.

5. Consider irrigation if medically suitable:
- For those with a colostomy and a healthy remaining colon, routine irrigation (after consulting with an ostomy nurse or physician) can significantly reduce unexpected output and leaks.

These tips can help manage and prevent leaks, allowing you to continue living an active and fulfilling life.
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