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Jan 09, 2009

Seeking Alternatives to Hollister for Ileostomy Care

This topic is about someone with an ileostomy who has been using Hollister products for their ostomy care. They have been experiencing issues with their current setup, specifically with the barrier rings, and are looking for alternative solutions. Here are some suggestions and insights shared by others:

1. If you want to stick with Hollister:
- Contact Hollister’s customer service. They might replace faulty supplies at no cost.
- Change your appliance regularly, as wearing it too long can lead to leaks.
- To soothe minor skin irritation, apply a light layer of calamine lotion before putting on a new flange.

2. Consider trying ConvaTec products:
- The Natura Moldable or Durahesive Moldable flange with a flexible collar is known for a secure seal and easy preparation.
- The Sur-Fit Natura Flexible system is reported to be leak-free, even during swimming.
- Some users pair moldable flanges with Eakin Cohesive Seals, or use them without any ring, depending on the shape of the stoma.
- ConvaTec’s customer support is praised for personalized fitting advice and providing samples.

3. Tips on barrier rings:
- Some users find that the newer Hollister Adapt CeraRing erodes faster than the older version.
- Longer wear times might be achieved by switching to Eakin Cohesive Seals or by applying the moldable flange directly to dry skin without a ring.
- Dusting the damp stoma area with ConvaTec Stoma Powder can improve adhesion when using rings or seals.

4. Other accessory suggestions:
- Create custom filler pieces from flat Hollister skin-barrier sheets or use Hollister Medical Adhesive tape to smooth out crevices.
- For redness after a leak, apply Marathon Liquid Skin Protectant before re-pouching.

5. Additional brands to consider:
- Hollister Cera Plus pouches.
- Salts “BE Confidence” drainable system (available in the UK).
- Dansac “Easy Fold Nova” flange, which is part of the Hollister family.

6. Wear-time expectations:
- Wear times can vary from 1 to 6 days, depending on factors like activity level, skin condition, and the use of accessories.

7. Lifestyle considerations:
- Activities like sit-ups or intense abdominal exercises can break seals. While there’s no universal solution, frequent pouch checks and filling crevices securely can help reduce leaks.
See full discusison
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