Topic Explanation
The forum topic is about a person who has had a colostomy for almost 2 years due to Crohn's disease. The individual's stoma shape has changed, causing issues with the wafer not lasting as long as before. They are seeking advice and tips to address this problem.

Advice and Insights
- Consider using a convex wafer to help the stoma protrude more and prevent seepage under the wafer.
- Use a convex wafer on the skin without Eakin seals or paste, fill the space around the stoma with Karaya powder, and then put the pouch on.
- Ensure the skin around the stoma is dry, use a hair dryer, and apply prescription cream to prevent itching and redness.
- Use a pink tape to address uneven stomach surfaces and consider the impact of weather on the wafer.
- Use digestive enzymes, acidophilus, and drink alkaline water to help with digestion and hydration.
- Consider using a Convatec mouldable convex back plate to prevent leaks and protect the skin.
- Try using an Adapt ring under the seal to fill the gap and make the area for the seal flat, which can help with sore skin and prevent leaks.
- Consider getting a casting of the stoma to determine if a special appliance is needed.
- Seek medical advice if experiencing a change in stoma shape or symptoms of Crohn's disease.
- Home healthcare nurses may not always be experts in changing wafers, and it's important to ensure proper preparation and use of protective gel.
- Consider the use of Karaya powder to prevent burning from output seeping around the stoma.
- Understand the potential implications of growths of bowel tissue near the stoma and seek medical advice for appropriate management.